Product Portfolio

2013 Oregon Plans - Groups sized 1-50


Washington Plans - Groups sized 1-50

Product Type

Annual Deductible

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

Providence Core

Core Essentials$7500CORE ES 25/30/50/5000 7500cd
$5000CORE ES 25/30/50/5000 5000cd
$3000CORE ES 25/30/50/5000 3000cd
$2000CORE ES 25/30/50/5000 2000cd
$1500CORE ES 25/30/50/5000 1500cd
$1000CORE ES 25/30/50/5000 1000cd
Core Advantages$7500CORE AD 25/30/50/5000 7500cd
$7500CORE AD 25/30/50/5000 7500cd
$5000CORE AD 25/30/50/5000 5000cd
$3000CORE AD 25/30/50/5000 3000cd
$2000CORE AD 25/30/50/5000 2000cd
$1500CORE AD 25/30/50/5000 1500cd
$1000CORE AD 25/30/50/5000 1000cd
Core Alternatives$7500CORE AL 25/30/50/5000 7500cd
$5000CORE AL 25/30/50/5000 5000cd
$3000CORE AL 25/30/50/5000 3000cd
$2000CORE AL 25/30/50/5000 2000cd
$1500CORE AL 25/30/50/5000 1500cd
$1000CORE AL 25/30/50/5000 1000cd

Providence Personal Option

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

Providence Open Option

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

Providence HSA

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

 

Oregon Plans - Groups sized 1-50 Group Riders

Product Type

Benefit

AlternativeALT 10/1500
ALT Plus 15/500
ALT Plus 15/1000
ChiroChiro 10/1500
VisionVIS 200
VIS 300
Rx PlansRx 15/50
RX 15/45/500d
RX 15/75
RX 15/45/250d
RX 15/60
RX 15/45
RX 15/30
RX 10/30
RX 5/10/50/50/2000
RXtra plans (Two copay per 90-day supply)RXtra 15/45/500d
RXtra 15/45/250d
RXtra 15/45
RXtra 15/30

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