Summary of Benefits and Coverage

The Summary of Benefits and Coverage (SBC) is a federally mandated document designed to allow "apples to apples" comparison 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.

Providence plans available directly from Providence or a producer

Balance

This plan offers a balance of cost-saving features and coverage for the services you use most. With excellent benefits at an affordable premium, it's the most traditional of our health plans.

Value

With a lower premium and simplified benefits, this plan offers great value and financial protection in the event of a major medical issue.

HSA

Paired with a tax-exempt savings account, HSA health plans combine health coverage with the ability to save pre-tax dollars to pay for future health care expenses.

Choice

Plan members select a medical home from the Providence Choice Network of more than 180 clinics in Oregon and southwest Washington. Care teams work collaboratively to support all aspects of care. It's a great option if you're interested in lower premiums and a connected care experience that takes a holistic approach to supporting your long-term health.

Connect

Our lowest premium option, Connect plan members select a medical home from the Providence Neighborhood Network of more than 25 primary care clinics in Multnomah, Washington and Clackamas counties. Care teams work collaboratively to support all aspects of care. Plan members also have access to two walk-in retail clinics that utilize Providence Health eXpressTM telehealth technology.

Providence Oregon Standard Plans

Defined by the state of Oregon, Standard plans offer greater choice between coverage levels and affordable premiums. The Providence Oregon Standard Silver Plan strikes a balance between cost and coverage. The Providence Oregon Standard Bronze Plan emphasizes premium savings while maintaining a high level of coverage.

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Providence plans available through Cover Oregon or a producer

Balance

This plan offers a balance of cost-saving features and coverage for the services you use most. With excellent benefits at an affordable premium, it's the most traditional of our health plans.

Value

With a lower premium and simplified benefits, this plan offers great value and financial protection in the event of a major medical issue.

Choice

Plan members select a medical home from the Providence Choice Network of more than 180 clinics in Oregon and southwest Washington. Care teams work collaboratively to support all aspects of care. It's a great option if you're interested in lower premiums and a connected care experience that takes a holistic approach to supporting your long-term health.

Connect

Our lowest premium option, Connect members select a medical home from the Providence Neighborhood Network of more than 25 primary care clinics in Multnomah, Washington and Clackamas counties. Care teams work collaboratively to support all aspects of care. Plan members also have access to two walk-in retail clinics that utilize Providence Health eXpressTM telehealth technology.

Providence Oregon Standard Plans

Defined by the state of Oregon, Standard plans offer greater choice between coverage levels and affordable premiums. Providence Oregon Standard Gold provides the highest level of coverage. Providence Oregon Standard Silver strikes a balance between cost and coverage. Providence Oregon Standard Bronze emphasizes premium savings while maintaining a high level of coverage.

Providence Essential

Providing protection against unforeseen major medical expenses, this catastrophic plan is available to individuals under age 30.

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Providence plans available to members of a federally recognized tribe through Cover Oregon or a producer

Balance

This plan offers a balance of cost-saving features and coverage for the services you use most. With excellent benefits at an affordable premium, it's the most traditional of our health plans.

Value

With a lower premium and simplified benefits, this plan offers great value and financial protection in the event of a major medical issue.

Choice

Plan members select a medical home from the Providence Choice Network of more than 180 clinics in Oregon and southwest Washington. Care teams work collaboratively to support all aspects of care. It's a great option if you're interested in lower premium costs and a connected care experience that takes a holistic approach to supporting your long-term health.

Connect

Our lowest premium option, Connect plan members select a medical home from the Providence Neighborhood Network of more than 25 primary care clinics in Multnomah, Washington and Clackamas counties. Care teams work collaboratively to support all aspects of care. Plan members also have access to two walk-in retail clinics that utilize Providence Health eXpressTM telehealth technology.

Providence Oregon Standard Plans

Defined by the state of Oregon, Standard plans offer greater choice between coverage levels and affordable premiums. Providence Oregon Standard Gold provides the highest level of coverage. Providence Oregon Standard Silver strikes a balance between cost and coverage. Providence Oregon Standard Bronze emphasizes premium savings while maintaining a high level of coverage.

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