Summary of Benefits and Coverage (SBC)

The Summary of Benefits and Coverage (SBC) is a federally mandated document designed to allow "apples to apples" comparisons of health plan options. Helpful during the shopping phase, it is important to know the SBC is for plan comparison purposes only; it does not replace the benefit summary and contract of your purchased health plan.

Learn more about the SBC

Choose your plan:

Total Enhanced

With the most robust level of coverage, our Total Enhanced plans offer employees best-in-class benefits with full access to the Providence Signature Network for the ultimate flexibility.


Spanish versions (PDFs coming soon)

  • Total Enhanced 250 Platinum - en español (PDF)
  • Total Enhanced 500 Platinum - en español (PDF)
  • Total Enhanced 1000 Gold - en español (PDF)
  • Total Enhanced 1500 Gold - en español (PDF)
  • Total Enhanced 2500 Gold - en español (PDF)
  • Total Enhanced 3500 Gold - en español (PDF)
  • Total Enhanced 4500 Gold - en español (PDF)
  • Total Enhanced 5500 Gold - en español (PDF)
  • Total Enhanced 7200 Silver - en español (PDF)

Balance

Our Balance plans offer a harmonious mix of cost-saving features and coverage for the services your employees use the most. Plans indicated with 00 are available direct and plans with 01 are available through SHOP.


Spanish versions:

  • Balance 750 Gold 00 - en español (PDF)
  • Balance 750 Gold 01 - en español (PDF)
  • Balance 1500 Gold 00 - en español (PDF)
  • Balance 1500 Gold 01 - en español (PDF)
  • Balance 2500 Silver 00- en español (PDF)
  • Balance 2500 Silver 01- en español (PDF)
  • Balance 3500 Silver 00- en español (PDF)
  • Balance 3500 Silver 01- en español (PDF)
  • Balance 4500 Silver 00- en español (PDF)
  • Balance 4500 Silver 01- en español (PDF)
  • Balance 6000 Silver 00- en español (PDF)
  • Balance 6000 Silver 01- en español (PDF)
  • Balance 7000 Bronze 00- en español (PDF)
  • Balance 7000 Bronze 01- en español (PDF)
  • Balance 8550 Bronze 00- en español (PDF)
  • Balance 8550 Bronze 01- en español (PDF)

HSA Qualified

These lower-premium, high deductible plans combine health coverage with the ability to save pre-tax dollars to pay for future health care expenses. Plans indicated with 00 are available direct and plans with 01 are available through SHOP.

Spanish versions (PDFs coming soon)

  • HSA Qualified 1500 Gold 00 - en español (PDF)
  • HSA Qualified 1500 Gold 01 - en español (PDF)
  • HSA Qualified 2500 Silver 00 - en español (PDF)
  • HSA Qualified 2500 Silver 01 - en español (PDF)
  • HSA Qualified 3500 Silver 00 - en español (PDF)
  • HSA Qualified 3500 Silver 01 - en español (PDF
  • HSA Qualified 4500 Silver 00 - en español (PDF)
  • HSA Qualified 4500 Silver 01 - en español (PDF)
  • HSA Qualified 5500 Bronze 00 - en español (PDF)
  • HSA Qualified 5500 Bronze 01 - en español (PDF)
  • HSA Qualified 7000 Bronze 00- en español (PDF)
  • HSA Qualified 7000 Bronze 01- en español (PDF)

Connect

Using a member-selected medical home, Connect plans provide a collaborative and flexible approach to meet a wide range of health and wellness needs for members in the Portland metropolitan area.

Spanish versions (PDFs coming soon)

  • Connect 750 Gold - en español (PDF)
  • Connect 1500 Gold - en español (PDF)
  • Connect 2800 Silver - en español (PDF)
  • Connect 3500 Silver - en español (PDF)
  • Connect 4500 Silver - en español (PDF)
  • Connect 6000 Silver - en español (PDF)
  • Connect 7000 Bronze - en español (PDF)
  • Connect 8550 Bronze - en español (PDF)

Choice

Choice plans use a patient-centered medical home model of care to keep your employees healthy.

Spanish versions (PDFs coming soon)

  • Choice 750 Gold - en español (PDF)
  • Choice 1500 Gold - en español (PDF)
  • Choice 2800 Silver - en español (PDF)
  • Choice 3500 Silver - en español (PDF)
  • Choice 4500 Silver - en español (PDF)
  • Choice 6000 Silver - en español (PDF)
  • Choice 7000 Bronze - en español (PDF)

Standard

Defined by the state of Oregon, Standard plans can be purchased through SHOP or in the private market. Plans indicated with 00 are available direct and plans with 01 are available through SHOP.

Spanish versions:

  • Providence Oregon Standard Gold 00 Plan - en español (PDF)
  • Providence Oregon Standard Gold 01 Plan - en español (PDF)
  • Providence Oregon Standard Silver 00 Plan - en español (PDF)
  • Providence Oregon Standard Silver 01 Plan - en español (PDF)
  • Providence Oregon Standard Bronze 00 Plan - en español (PDF)
  • Providence Oregon Standard Bronze 01 Plan - en español (PDF)