Product Portfolio

2013 Oregon Plans - Groups sized 51+

Note: The medical plan benefit summaries listed below do not include all available plan configurations for groups sized 51+. Please contact your Providence representative for additional plan configurations or questions.
Plan Overview

Oregon Plans - Groups sized 51+

Product Type

Annual Deductible

Benefit
(personal physician-provider
copayment/other provider coinsurance/out-of-pocket maximum)

Providence Core

Core Essentials$1000CORE ES 25/30/50/5000 1000cd
$1500CORE ES 25/30/50/5000 1500cd
$2000CORE ES 25/30/50/5000 2000cd
$3000CORE ES 25/30/50/5000 3000cd
$5000CORE ES 25/30/50/5000 5000cd
$7500CORE ES 25/30/50/5000 7500cd
Core Advantages$1000CORE AD 25/30/50/5000 1000cd
$1500CORE AD 25/30/50/5000 1500cd
$2000CORE AD 25/30/50/5000 2000cd
$3000CORE AD 25/30/50/5000 3000cd
$5000CORE AD 25/30/50/5000 5000cd
$7500CORE AD 25/30/50/5000 7500cd
Core Advantages eff. Jan. 1, 2013$500CORE AD 25/20/50/3000 500cd
$500CORE AD 25/20/50/4000 500cd
$500CORE AD 25/20/50/5000 500cd
$750CORE AD 25/20/50/3000 750cd
$750CORE AD 25/20/50/4000 750cd
$750CORE AD 25/20/50/5000 750cd
$1000CORE AD 25/30/50/3000 1000cd
$1000CORE AD 25/20/50/3000 1000cd
$1000CORE AD 25/30/50/4000 1000cd
$1000CORE AD 25/20/50/4000 1000cd
$1000CORE AD 25/20/50/5000 1000cd
$1500CORE AD 25/30/50/3000 1500cd
$1500CORE AD 25/20/50/3000 1500cd
$1500CORE AD 25/30/50/4000 1500cd
$1500CORE AD 25/20/50/4000 1500cd
$1500CORE AD 25/20/50/5000 1500cd
$2000CORE AD 25/30/50/3000 2000cd
$2000CORE AD 25/20/50/3000 2000cd
$2000CORE AD 25/30/50/4000 2000cd
$2000CORE AD 25/20/50/4000 2000cd
$2000CORE AD 25/20/50/5000 2000cd
$2500CORE AD 25/30/50/4000 2500cd
$2500CORE AD 25/20/50/4000 2500cd
$2500CORE AD 25/30/50/5000 2500cd
$2500CORE AD 25/20/50/5000 2500cd
$3000CORE AD 25/30/50/3000 3000cd
$3000CORE AD 25/20/50/3000 3000cd
$3000CORE AD 25/30/50/4000 3000cd
$3000CORE AD 25/20/50/4000 3000cd
$3000CORE AD 25/20/50/5000 3000cd
$3500CORE AD 25/30/50/5000 3500cd
$4000CORE AD 25/20/50/4000 4000cd
$4000CORE AD 25/30/50/4000 4000cd
$4000CORE AD 25/20/50/5000 4000cd
$5000CORE AD 25/30/50/4000 5000cd
$5000CORE AD 25/20/50/5000 5000cd
Core Alternatives$1000CORE AL 25/30/50/5000 1000cd
$1500CORE AL 25/30/50/5000 1500cd
$2000CORE AL 25/30/50/5000 2000cd
$3000CORE AL 25/30/50/5000 3000cd
$5000CORE AL 25/30/50/5000 5000cd
$7500CORE AL 25/30/50/5000 7500cd

Providence Open Option

Open OptionNAOP 10/10/30/1200

Providence Personal Option

Personal OptionNAPE 10/10/1200
NAPE 15/20/2000
Personal Option w/ Deductible$1000PE 15/30/2500 1000d
$1000PE 25/30/3000 1000d
$1500PE 15/30/2000 1500d
$2000PE 25/30/3000 2000d
$3000PE 25/20/3000 3000d
$5000PE 20/20/4000 5000d
$250PE 10/10/1700/250d
$250PE 10/20/1700/250d
$250PE 15/20/2000/250d
$500PE 15/20/2000/500d
$500PE 20/20/2000/500d
$750PE 20/20/2500/750d
$1000PE 15/30/2500/1000d
$1000PE 25/30/3000/1000d
$1500PE 15/30/2000/1500d
$2000PE 25/30/3000/2000d
$3000PE 25/20/3000/3000d
$5000PE 20/20/4000/5000d

Providence Open Option

Open Option w/ Common Deductible$250OP 10/10/20/1700/250cd
$250OP 15/20/40/1700/250cd
$500OP 20/10/30/2000/500cd
$250OP 20/30/40/2000/250cd
$500OP 15/20/40/2000/500cd
$500OP 25/20/30/2000/500cd
$750OP 20/20/40/2500/750cd
$1000OP 15/20/30/2000/1000cd
$1000OP 25/20/30/2500/1000cd
$1000OP 15/30/50/2500/1000cd
$1500OP 25/20/30/2500/1500cd
$1500OP 15/30/50/2500/1500cd
$2000OP 20/20/30/3000/2000cd
$3000OP 25/20/40/3000/3000cd
$5000OP 20/20/40/4000/5000cd

Providence Traditional Option

Traditional Option$250TO 20/1000/250d
$250TO 20/2500/250d
$500TO 20/5000/500d

Providence HSA

HSA Plan$1500HSA 20/40/5500 1500cd
$2500HSA 20/40/5500 2500cd
$3500HSA 20/40/5500 3500cd
$1500HSA 50/50/5500 1500cd
$5500HSA 0/0/5500cod

 

Oregon Plans - Groups sized 51+ Group Riders

Product Type

Benefit

AlternativeAlt 10/1500
Alt 15/1500
Alt Plus 15/1500
Alt Plus 15/1000
Alt Plus 15/500
ChiroChiro 10/1500
Chiro 15/1500
RXtra plans (Two copay per 90-day supply)RXtra 10/20
RXtra 10/30
RXtra 15/30
RXtra 15/45
Rxtra 15/60
Rxtra 15/75
RXtra 15/45/250d
RXtra 15/45/500d
Traditional OptionTO Chiro 20/1500
TO Alt 20/1500
Rx PlansRX 10/20
RX 10/30
RX 10/50/1000
RX 15/30
RX 15/45
RX 20/40
RX 15/60
RX 15/45/250d
Rx 15/75
RX 15/45/500d
RX 15/50
RX 5/15/40/50/2000
RX 5/10/50/50/2000
VisionVis 400
Vis 300
Vis 200

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