Product Portfolio

Oregon Plans - Groups sized 51+
2017 Oregon Plans -- Group sized 51+  Effective:  January 01, 2017 - December 31, 2017

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 Open Option

Open Option$250OP 15/10/20/2000/250cd
$250OP 15/10/20/2500/250cd
$250OP 15/10/20/3000/250cd
$250OP 15/20/40/2000/250cd
$250OP 15/20/40/2000/250sd
$250OP 15/20/40/2500/250cd
$250OP 15/20/40/3500/250cd
$250OP 15/20/40/4000/250cd
$250OP 20/10/20/2500/250cd
$250OP 20/10/20/3000/250cd
$250OP 20/10/20/3000/250sd
$250OP 20/20/40/2000/250sd
$250OP 20/20/40/2500/250cd
$250OP 20/20/40/3000/250cd
$250OP 20/20/40/4000/250cd
$250OP 25/10/20/2000/250cd
$250OP 25/10/20/3500/250cd
$250OP 25/20/40/2000/250sd
$250OP 25/20/40/3000/250sd
$250OP 25/20/40/3500/250cd
$250OP 25/20/40/4000/250sd
$250OP 25/20/40/5000/250sd
$500OP 10/20/40/2500/500cd
$500OP 15/10/20/2000/500sd
$500OP 15/10/20/3500/500cd
$500OP 15/10/20/3500/500sd
$500OP 15/10/20/2000/500cd
$500OP 15/10/20/2500/500cd
$500OP 15/10/20/3000/500cd
$500OP 15/10/20/4000/500cd
$500OP 15/20/40/2000/500cd
$500OP 15/20/40/2000/500sd
$500OP 15/20/40/2500/500sd
$500OP 15/20/40/2500/500cd
$500OP 15/20/40/3000/500cd
$500OP 15/20/40/3500/500cd
$500OP 15/20/40/3500/500sd
$500OP 15/20/40/4000/500cd
$500OP 15/20/40/4000/500sd
$500OP 15/20/40/5000/500cd
$500OP 20/10/20/2500/500cd
$500OP 20/10/20/3000/500cd
$500OP 20/10/20/3000/500sd
$500OP 20/10/20/3500/500sd
$500OP 20/20/40/2000/500cd
$500OP 20/20/40/2500/500cd
$500OP 20/20/40/2500/500sd
$500OP 20/20/40/3000/500cd
$500OP 20/20/40/3500/500sd
$500OP 20/20/40/3500/500cd
$500OP 20/20/40/4000/500sd
$500OP 20/20/40/4000/500cd
$500OP 20/20/40/5000/500cd
$500OP 25/10/20/2500/500cd
$500OP 25/10/20/3500/500cd
$500OP 25/20/30/2000/500cd
$500OP 25/20/30/2500/500cd
$500OP 25/20/40/2000/500cd
$500OP 25/20/40/2000/500sd
$500OP 25/20/40/2500/500cd
$500OP 25/20/40/2500/500sd
$500OP 25/20/40/3000/500cd
$500OP 25/20/40/3000/500sd
$500OP 25/20/40/3500/500cd
$500OP 25/20/40/3500/500sd
$500OP 25/20/40/4000/500cd
$500OP 25/20/40/5000/500sd
$750OP 15/10/20/2000/750sd
$750OP 15/10/20/2500/750sd
$750OP 15/20/40/3000/750cd
$750OP 15/20/40/3500/750sd
$750OP 15/20/40/3500/750cd
$750OP 15/20/40/5000/750cd
$750OP 15/20/40/5000/750sd
$750OP 20/20/40/2500/750cd
$750OP 20/20/40/3000/750cd
$750OP 20/20/40/3500/750cd
$750OP 20/20/40/4000/750cd
$750OP 20/20/40/4000/750sd
$750OP 20/20/40/3000/750sd
$750OP 20/20/40/3500/750sd
$750OP 25/10/20/3500/750cd
$750OP 25/20/40/2000/750sd
$750OP 25/20/40/3000/750cd
$750OP 25/20/40/3000/750sd
$750OP 25/20/40/3500/750cd
$750OP 25/20/40/3500/750sd
$750OP 25/20/40/4000/750cd
$750OP 25/20/40/4000/750sd
$750OP 25/20/40/5000/750cd
$1000OP 15/10/20/2000/1000cd
$1000OP 15/20/30/3000/1000cd
$1000OP 15/20/40/2500/1000sd
$1000OP 15/20/40/2500/1000cd
$1000OP 15/20/40/3000/1000cd
$1000OP 15/20/40/3000/1000sd
$1000OP 15/20/40/3500/1000cd
$1000OP 15/20/40/3500/1000sd
$1000OP 15/20/40/4000/1000sd
$1000OP 15/20/40/4000/1000cd
$1000OP 15/20/40/5000/1000cd
$1000OP 15/20/40/5000/1000sd
$1000OP 15/30/50/2500/1000cd
$1000OP 20/20/40/2500/1000cd
$1000OP 20/20/40/2500/1000sd
$1000OP 20/20/40/3000/1000sd
$1000OP 20/20/40/4000/1000cd
$1000OP 20/20/40/4000/1000sd
$1000OP 20/20/40/5000/1000cd
$1000OP 20/20/40/5000/1000sd
$1000OP 20/20/40/7150/1000sd
$1000OP 25/20/30/2500/1000cd
$1000OP 25/20/30/3500/1000cd
$1000OP 25/20/30/5000/1000sd
$1000OP 25/20/40/2000/1000cd
$1000OP 25/20/40/2500/1000cd
$1000OP 25/20/40/3000/1000sd
$1000OP 25/20/40/3500/1000cd
$1000OP 25/20/40/3500/1000sd
$1000OP 25/20/40/4000/1000cd
$1000OP 25/20/40/5000/1000cd
$1000OP 25/20/40/5000/1000sd
$1000OP 25/20/40/7150/1000sd
$1000OP 25/20/40/7150/1000cd
$1500OP 10/20/30/3500/1500cd
$1500OP 15/10/20/2000/1500cd
$1500OP 15/20/30/3500/1500sd
$1500OP 15/20/40/2500/1500sd
$1500OP 15/20/40/3000/1500cd
$1500OP 15/20/40/3500/1500cd
$1500OP 15/20/40/3500/1500sd
$1500OP 15/20/40/4000/1500sd
$1500OP 20/20/40/3500/1500cd
$1500OP 20/20/40/4000/1500cd
$1500OP 20/20/40/4000/1500sd
$1500OP 20/20/40/5000/1500cd
$1500OP 20/20/40/7150/1500sd
$1500OP 25/20/30/3500/1500cd
$1500OP 25/20/30/4000/1500cd
$1500OP 25/20/30/4000/1500sd
$1500OP 25/20/30/5000/1500cd
$1500OP 25/20/40/2500/1500cd
$1500OP 25/20/40/3000/1500sd
$1500OP 25/20/40/3000/1500cd
$1500OP 25/20/40/3500/1500cd
$1500OP 25/20/40/3500/1500sd
$1500OP 25/20/40/4000/1500cd
$1500OP 25/20/40/4000/1500sd
$1500OP 25/20/40/5000/1500cd
$1500OP 25/20/40/5000/1500sd
$1500OP 25/20/40/7150/1500sd
$1500OP 35/20/30/4000/1500cd
$2000OP 15/20/40/3000/2000sd
$2000OP 15/20/40/3500/2000cd
$2000OP 15/20/40/4000/2000sd
$2000OP 20/20/30/6350/2000cd
$2000OP 20/20/40/2000/2000sd
$2000OP 20/20/40/3000/2000sd
$2000OP 20/20/40/3000/2000cd
$2000OP 20/20/40/3500/2000sd
$2000OP 20/20/40/4000/2000sd
$2000OP 20/20/40/5000/2000cd
$2000OP 20/20/40/5000/2000sd
$2000OP 20/20/40/7150/2000cd
$2000OP 20/20/40/7150/2000sd
$2000OP 25/20/30/4000/2000cd
$2000OP 25/20/40/3000/2000cd
$2000OP 25/20/40/3500/2000cd
$2000OP 25/20/40/3500/2000sd
$2000OP 25/20/40/4000/2000cd
$2000OP 25/20/40/4000/2000sd
$2000OP 25/20/40/5000/2000cd
$2000OP 25/20/40/5000/2000sd
$2000OP 25/20/40/7150/2000cd
$2000OP 25/20/40/7150/2000sd
$2500OP 15/10/20/7150/2500sd
$2500OP 15/20/40/3500/2500cd
$2500OP 15/20/40/5000/2500sd
$2500OP 20/20/30/5000/2500cd
$2500OP 20/20/40/3000/2500sd
$2500OP 20/20/40/5000/2500cd
$2500OP 20/20/40/7150/2500sd
$2500OP 25/20/40/4000/2500sd
$2500OP 25/20/40/5000/2500cd
$2500OP 25/20/40/7150/2500sd
$3000OP 15/20/40/5000/3000sd
$3000OP 20/10/20/3000/3000cd
$3000OP 20/10/20/7150/3000cd
$3000OP 20/20/30/5000/3000cd
$3000OP 20/20/40/5000/3000cd
$3000OP 20/20/40/5000/3000sd
$3000OP 20/20/40/7150/3000cd
$3000OP 25/20/30/5000/3000sd
$3000OP 25/20/40/4000/3000cd
$3000OP 25/20/40/5000/3000cd
$3000OP 25/20/40/5000/3000sd
$3000OP 25/20/40/7150/3000sd
$3000OP 25/20/40/7150/3000cd
$5000OP 20/10/20/5000/5000cd
$5000OP 20/10/20/7150/5000cd
$5000OP 20/10/20/7150/5000sd
$5000OP 20/20/40/7150/5000cd
$5000OP 20/20/40/7150/5000sd
$5000OP 25/20/40/7150/5000cd
$5000OP 25/20/40/7150/5000sd
$5000OP 25/20/40/5000/5000cd

Providence Personal Option

Personal Option$250PE 10/20/2000/250d
$500PE 15/10/2500/500d
$750PE 15/30/3500/750d
$750PE 20/20/3500/750d
$1000PE 15/30/2500/1000d
$1500PE 25/30/3500/1500d
$2000PE 20/30/5000/2000d
$2000PE 25/20/5000/2000d
$3000PE 35/30/5000/3000d

Providence Core Advantages

Core Advantages$500CORE AD 15/20/40/3500/500cd
$500CORE AD 15/20/40/3500/500sd
$500CORE AD 15/20/40/4000/500sd
$500CORE AD 15/20/50/3500/500cd
$500CORE AD 15/30/50/3500/500sd
$500CORE AD 15/30/50/3500/500cd
$500CORE AD 25/20/40/3500/500sd
$500CORE AD 25/20/40/3500/500cd
$500CORE AD 25/20/40/4000/500sd
$500CORE AD 25/20/40/4000/500cd
$500CORE AD 25/20/40/5000/500sd
$500CORE AD 25/20/40/7150/500sd
$500CORE AD 25/20/50/5000/500sd
$500CORE AD 25/30/50/4000/500sd
$500CORE AD 25/30/50/6350/500cd
$500CORE AD 25/30/50/6350/500sd
$500CORE AD 25/30/50/7150/500sd
$500CORE AD 25/30/50/7150/500cd
$500CORE AD 35/20/40/3500/500cd
$750CORE AD 15/20/40/3500/750sd
$750CORE AD 25/20/40/3500/750sd
$750CORE AD 25/20/40/4000/750sd
$750CORE AD 25/20/40/4000/750cd
$750CORE AD 25/20/40/6350/750cd
$750CORE AD 25/20/50/5000/750sd
$750CORE AD 25/30/50/6350/750sd
$750CORE AD 35/20/40/3500/750sd
$750CORE AD 35/20/40/7150/750sd
$1000CORE AD 15/20/40/3500/1000cd
$1000CORE AD 15/20/40/3500/1000sd
$1000CORE AD 15/20/40/4000/1000cd
$1000CORE AD 15/20/40/5000/1000sd
$1000CORE AD 15/20/40/6350/1000sd
$1000CORE AD 15/20/40/6350/1000cd
$1000CORE AD 15/20/40/7150/1000sd
$1000CORE AD 15/20/40/7150/1000cd
$1000CORE AD 25/20/40/3500/1000cd
$1000CORE AD 25/20/40/3500/1000sd
$1000CORE AD 25/20/40/4000/1000cd
$1000CORE AD 25/20/40/4000/1000sd
$1000CORE AD 25/20/40/5000/1000cd
$1000CORE AD 25/20/40/5000/1000sd
$1000CORE AD 25/20/40/6350/1000sd
$1000CORE AD 25/20/40/6350/1000cd
$1000CORE AD 25/20/40/6850/1000sd
$1000CORE AD 25/20/40/6850/1000sd
$1000CORE AD 25/20/40/7150/1000sd
$1000CORE AD 25/20/50/4000/1000sd
$1000CORE AD 25/20/50/5000/1000sd
$1000CORE AD 25/30/50/3500/1000cd
$1000CORE AD 25/30/50/3500/1000sd
$1000CORE AD 25/30/50/4000/1000cd
$1000CORE AD 25/30/50/4000/1000sd
$1000CORE AD 25/30/50/5000/1000sd
$1000CORE AD 25/30/50/5000/1000cd
$1000CORE AD 25/30/50/6350/1000sd
$1000CORE AD 25/30/50/6350/1000cd
$1000CORE AD 25/30/50/6850/1000cd
$1000CORE AD 25/30/50/7150/1000cd
$1000CORE AD 35/20/40/3500/1000sd
$1000CORE AD 35/20/40/5000/1000sd
$1000CORE AD 35/20/40/6350/1000sd
$1000CORE AD 35/20/50/4000/1000cd
$1000CORE AD 35/30/50/4000/1000cd
$1000CORE AD 35/30/50/5000/1000sd
$1000CORE AD 35/30/50/6350/1000sd
$1000CORE AD 35/30/50/7150/1000sd
$1500CORE AD 15/20/40/4000/1500sd
$1500CORE AD 15/20/40/4000/1500cd
$1500CORE AD 15/20/40/5000/1500sd
$1500CORE AD 15/20/40/6350/1500cd
$1500CORE AD 15/20/40/6350/1500sd
$1500CORE AD 15/20/40/7150/1500sd
$1500CORE AD 15/20/40/7150/1500cd
$1500CORE AD 15/30/50/4000/1500sd
$1500CORE AD 25/20/40/3500/1500cd
$1500CORE AD 25/20/40/3500/1500sd
$1500CORE AD 25/20/40/4000/1500cd
$1500CORE AD 25/20/40/4000/1500sd
$1500CORE AD 25/20/40/5000/1500cd
$1500CORE AD 25/20/40/6350/1500cd
$1500CORE AD 25/20/40/6350/1500sd
$1500CORE AD 25/20/40/7150/1500cd
$1500CORE AD 25/20/40/7150/1500sd
$1500CORE AD 25/20/50/4000/1500cd
$1500CORE AD 25/20/50/5000/1500cd
$1500CORE AD 25/20/50/6350/1500cd
$1500CORE AD 25/30/50/3500/1500sd
$1500CORE AD 25/30/50/4000/1500cd
$1500CORE AD 25/30/50/5000/1500cd
$1500CORE AD 25/30/50/6350/1500cd
$1500CORE AD 25/30/50/6350/1500sd
$1500CORE AD 15/20/40/3500/1500sd
$1500CORE AD 15/30/50/3500/1500sd
$1500CORE AD 25/20/40/5000/1500sd
$1500CORE AD 25/30/50/4000/1500sd
$1500CORE AD 25/30/50/5000/1500sd
$1500CORE AD 25/30/50/6850/1500sd
$1500CORE AD 25/30/50/7150/1500cd
$1500CORE AD 25/30/50/7150/1500sd
$1500CORE AD 35/20/40/6350/1500sd
$1500CORE AD 35/30/50/5000/1500sd
$1500CORE AD 35/30/50/5000/1500cd
$1500CORE AD 35/30/50/6350/1500sd
$1500CORE AD 35/30/50/7150/1500sd
$2000CORE AD 15/20/40/4000/2000sd
$2000CORE AD 15/20/40/4000/2000cd
$2000CORE AD 15/20/40/5000/2000sd
$2000CORE AD 15/20/40/5000/2000cd
$2000CORE AD 15/20/40/6350/2000cd
$2000CORE AD 15/20/40/6350/2000sd
$2000CORE AD 15/20/40/7150/2000sd
$2000CORE AD 15/20/40/7150/2000cd
$2000CORE AD 25/20/40/3500/2000cd
$2000CORE AD 25/20/40/4000/2000sd
$2000CORE AD 25/20/40/5000/2000cd
$2000CORE AD 25/20/40/7150/2000cd
$2000CORE AD 25/20/50/5000/2000cd
$2000CORE AD 25/20/50/6350/2000cd
$2000CORE AD 25/30/50/5000/2000cd
$2000CORE AD 25/30/50/6350/2000cd
$2000CORE AD 25/30/50/6850/2000cd
$2000CORE AD 25/30/50/7150/2000cd
$2000CORE AD 25/20/40/3500/2000sd
$2000CORE AD 25/20/40/4000/2000cd
$2000CORE AD 25/20/40/5000/2000sd
$2000CORE AD 25/20/40/6350/2000sd
$2000CORE AD 25/20/40/7150/2000sd
$2000CORE AD 25/20/50/6850/2000sd
$2000CORE AD 25/30/50/4000/2000sd
$2000CORE AD 25/30/50/5000/2000sd
$2000CORE AD 25/30/50/6350/2000sd
$2000CORE AD 25/30/50/7150/2000sd
$2000CORE AD 35/20/40/3500/2000sd
$2000CORE AD 35/20/40/5000/2000sd
$2000CORE AD 35/20/40/6350/2000cd
$2000CORE AD 35/20/40/6350/2000sd
$2000CORE AD 35/20/40/7150/2000cd
$2000CORE AD 35/30/50/4000/2000sd
$2000CORE AD 35/30/50/4000/2000cd
$2000CORE AD 35/30/50/5000/2000sd
$2000CORE AD 35/30/50/6350/2000cd
$2000CORE AD 35/30/50/6350/2000sd
$2000CORE AD 35/30/50/7150/2000sd
$2500CORE AD 15/20/40/4000/2500sd
$2500CORE AD 15/20/40/5000/2500sd
$2500CORE AD 15/20/40/6350/2500sd
$2500CORE AD 15/20/40/6350/2500cd
$2500CORE AD 15/20/40/7150/2500sd
$2500CORE AD 15/20/40/7150/2500cd
$2500CORE AD 15/30/50/7150/2500sds
$2500CORE AD 25/20/40/3500/2500cd
$2500CORE AD 25/20/40/3500/2500sd
$2500CORE AD 25/20/40/4000/2500cd
$2500CORE AD 25/20/40/4000/2500sd
$2500CORE AD 25/20/40/5000/2500cd
$2500CORE AD 25/20/40/5000/2500sd
$2500CORE AD 25/20/40/6350/2500cd
$2500CORE AD 25/20/40/6850/2500cd
$2500CORE AD 25/20/40/7150/2500cd
$2500CORE AD 25/20/50/6850/2500cd
$2500CORE AD 25/20/50/6850/2500sd
$2500CORE AD 25/30/50/5000/2500cd
$2500CORE AD 25/30/50/5000/2500sd
$2500CORE AD 25/30/50/6350/2500cd
$2500CORE AD 25/30/50/6850/2500cd
$2500CORE AD 25/30/50/7150/2500sd
$2500CORE AD 25/30/50/7150/2500cd
$2500CORE AD 35/20/40/6350/2500cd
$2500CORE AD 35/30/50/5000/2500sd
$2500CORE AD 35/30/50/6350/2500cd
$2500CORE AD 35/30/50/6850/2500cd
$2500CORE AD 35/30/50/7150/2500sd
$2500CORE AD 35/30/50/7150/2500cd
$3000CORE AD 15/20/40/4000/3000sd
$3000CORE AD 15/20/40/5000/3000sd
$3000CORE AD 15/20/40/6350/3000sd
$3000CORE AD 15/20/40/6350/3000cd
$3000CORE AD 25/20/40/4000/3000cd
$3000CORE AD 25/20/40/5000/3000cd
$3000CORE AD 25/20/40/6350/3000cd
$3000CORE AD 25/20/40/6350/3000sd
$3000CORE AD 25/20/40/6850/3000cd
$3000CORE AD 25/20/40/7150/3000cd
$3000CORE AD 25/20/40/7150/3000sd
$3000CORE AD 25/20/50/5000/3000cd
$3000CORE AD 25/20/50/6350/3000cd
$3000CORE AD 25/20/50/6850/3000cd
$3000CORE AD 25/30/50/5000/3000cd
$3000CORE AD 25/30/50/6350/3000cd
$3000CORE AD 25/30/50/6850/3000cd
$3000CORE AD 35/20/40/5000/3000cd
$3000CORE AD 35/20/40/6350/3000sd
$3000CORE AD 35/20/40/7150/3000sd
$3000CORE AD 35/20/50/5000/3000cd
$3000CORE AD 35/30/50/5000/3000sd
$3000CORE AD 35/30/50/6350/3000cd
$3000CORE AD 35/30/50/6850/3000cd
$3000CORE AD 25/20/40/5000/3000sd
$3000CORE AD 25/30/50/5000/3000sd
$3000CORE AD 25/30/50/6350/3000sd
$3000CORE AD 25/30/50/7150/3000cd
$3000CORE AD 25/30/50/7150/3000sd
$3000CORE AD 35/20/40/6350/3000cd
$3000CORE AD 35/20/40/7150/3000cd
$3000CORE AD 35/30/50/5000/3000cd
$3000CORE AD 35/30/50/6350/3000sd
$3000CORE AD 35/30/50/7150/3000sd
$3000CORE AD 35/30/50/7150/3000cd
$5000CORE AD 15/20/40/6350/5000cd
$5000CORE AD 15/20/40/7150/5000sd
$5000CORE AD 15/30/50/7150/5000cd
$5000CORE AD 25/20/40/5000/5000cd
$5000CORE AD 25/20/50/6350/5000cd
$5000CORE AD 25/20/50/6850/5000cd
$5000CORE AD 25/30/50/5000/5000cd
$5000CORE AD 25/30/50/6850/5000cd
$5000CORE AD 35/20/40/6350/5000cd
$5000CORE AD 35/30/50/6350/5000cd
$5000CORE AD 35/20/50/6350/5000cd
$5000CORE AD 35/30/50/6350/5000cd
$5000CORE AD 35/30/50/6850/5000cd
$5000CORE AD 15/20/40/6350/5000sd
$5000CORE AD 25/20/40/5000/5000sd
$5000CORE AD 25/20/40/6350/5000sd
$5000CORE AD 25/20/40/7150/5000cd
$5000CORE AD 25/20/40/7150/5000sd
$5000CORE AD 25/20/50/6350/5000sd
$5000CORE AD 25/30/50/5000/5000sd
$5000CORE AD 25/30/50/6350/5000sd
$5000CORE AD 25/30/50/7150/5000cd
$5000CORE AD 25/30/50/7150/5000sd
$5000CORE AD 35/20/40/5000/5000cd
$5000CORE AD 35/20/40/5000/5000sd
$5000CORE AD 35/20/40/6350/5000sd
$5000CORE AD 35/20/40/6850/5000sd
$5000CORE AD 35/20/40/7150/5000cd
$5000CORE AD 35/20/40/7150/5000sd
$5000CORE AD 35/30/50/5000/5000sd
$5000CORE AD 35/30/50/5000/5000cd
$5000CORE AD 35/30/50/6350/5000sd
$5000CORE AD 35/30/50/7150/5000cd
$5000CORE AD 35/30/50/7150/5000sd

Providence HSA

HSA Plan$1500HSA CD Ph5T 20/40/3000/1500cd
$1500HSA CD Ph5T 20/40/4000/1500cd
$1500HSA SD Ph5T 20/40/4000/1500sd
$1500HSA CD Ph5T 20/40/5500/1500cd
$1500HSA SD Ph5T 20/40/5500/1500sd
$1500HSA CD Ph5T 20/40/6550/1500cd
$2000HSA CD Ph5T 20/40/4000/2000cd
$2000HSA CD Ph5T 20/40/5500/2000cd
$2000HSA SD Ph5T 20/40/5500/2000sd
$2000HSA CD Ph5T 20/40/6550/2000cd
$2000HSA SD Ph5T 20/40/6550/2000sd
$2000HSA SD Ph5T 50/50/4000/2000sd
$2500HSA SD Ph5T 20/40/4000/2500sd
$2500HSA CD Ph5T 20/40/4000/2500cd
$2500HSA CD Ph5T 20/40/5500/2500cd
$2500HSA SD Ph5T 20/40/5500/2500sd
$2500HSA SD Ph5T 20/40/6550/2500sd
$2500HSA CD Ph5T 50/50/6550/2500cd
$2500HSA SD Ph5T 50/50/6550/2500sd
$3000HSA SD Ph5T 20/40/4000/3000sd
$3000HSA SD Ph5T 20/40/5500/3000sd
$3000HSA CD Ph5T 20/40/5500/3000cd
$3000HSA CD Ph5T 20/40/6550/3000cd
$3000HSA SD Ph5T 20/40/6550/3000sd
$3000HSA SD Ph5T 50/50/4000/3000sd
$3000HSA CD Ph5T 50/50/5500/3000cd
$3000HSA CD Ph5T 50/50/6550/3000cd
$3000HSA SD Ph5T 50/50/6550/3000sd
$3500HSA CD Ph5T 20/40/4000/3500cd
$3500HSA SD Ph5T 20/40/4000/3500sd
$3500HSA CD Ph5T 20/40/5500/3500cd
$3500HSA SD Ph5T 20/40/5500/3500sd
$3500HSA CD Ph5T 20/40/6550/3500cd
$3500HSA SD Ph5T 20/40/6550/3500sd
$3500HSA CD Ph5T 50/50/5500/3500cd
$3500HSA SD Ph5T 50/50/6550/3500sd
$5000HSA SD Ph5T 50/50/6550/5000sd
$5500HSA CD Ph5T 0/0/5500/5500cd
$5500HSA SD Ph5T 0/0/5500/5500sd
$5500HSA CD Ph5T 20/40/6550/5500cd
$5500HSA SD Ph5T 20/40/6550/5500sd
$5500HSA CD Ph5T 50/50/6550/5500cd
$5500HSA SD Ph5T 50/50/6550/5500sd
$6550HSA SD Ph5T 0/0/6550/6550sd

Providence Connect

Connect$250CNC 10/20/40/3000/250d
$250CNC 20/20/40/3000/250d
$500CNC 15/20/40/2000/500d
$500CNC 15/20/40/2500/500d
$500CNC 15/20/40/3000/500d
$500CNC 15/20/40/3500/500d
$500CNC 15/20/40/4000/500d
$500CNC 15/30/50/3500/500d
$500CNC 20/10/30/5000/500d
$500CNC 25/20/40/2000/500d
$500CNC 25/20/40/3000/500d
$500CNC 25/20/40/3500/500d
$500CNC 25/20/40/4000/500d
$500CNC 25/20/40/5000/500d
$1000CNC 15/20/30/3500/1000d
$1000CNC 15/20/40/3000/1000d
$1000CNC 15/20/40/3500/1000d
$1000CNC 15/20/40/4000/1000d
$1000CNC 15/20/40/5000/1000d
$1000CNC 15/30/50/6350/1000d
$1000CNC 25/20/40/2000/1000d
$1000CNC 25/20/40/2500/1000d
$1000CNC 25/20/40/3000/1000d
$1000CNC 25/20/40/3500/1000d
$1000CNC 25/20/40/4000/1000d
$1000CNC 25/20/40/5000/1000d
$1000CNC 25/20/40/7150/1000d
$1000CNC 25/30/50/6350/1000d
$1000CNC 35/20/40/5000/1000d
$1000CNC 35/30/50/6350/1000d
$2000CNC 15/20/40/4000/2000d
$2000CNC 15/20/40/7150/2000d
$2000CNC 15/30/50/6350/2000d
$2000CNC 25/20/40/3500/2000d
$2000CNC 25/20/40/2500/2000d
$2000CNC 25/20/40/3000/2000d
$2000CNC 25/20/40/4000/2000d
$2000CNC 25/20/40/5000/2000d
$2000CNC 25/20/40/6350/2000d
$2000CNC 25/20/40/7150/2000d
$2000CNC 25/30/50/5000/2000d
$2000CNC 25/30/50/6350/2000d
$2000CNC 25/30/50/7150/2000d
$2000CNC 35/30/50/5000/2000d
$2000CNC 35/30/50/6350/2000d
$2500CNC 15/30/50/6350/2500d
$3000CNC 15/20/40/6350/3000d
$3000CNC 15/30/50/6350/3000d
$3000CNC 15/30/50/7150/3000d
$3000CNC 20/20/30/5000/3000d
$3000CNC 25/20/40/3000/3000d
$3000CNC 25/20/40/3500/3000d
$3000CNC 25/20/40/4000/3000d
$3000CNC 25/20/40/5000/3000d
$3000CNC 25/20/40/5500/3000d
$3000CNC 25/20/40/6350/3000d
$3000CNC 25/20/40/7150/3000d
$3000CNC 25/30/50/5000/3000d
$3000CNC 25/30/50/6350/3000d
$3000CNC 25/30/50/7150/3000d
$3000CNC 35/20/40/6350/3000d
$3000CNC 35/20/40/7150/3000d
$3000CNC 35/30/50/6350/3000d
$3000CNC 35/30/50/7150/3000d
$4000CNC 15/30/50/6350/4000d
$4000CNC 15/30/50/7150/4000d
$4000CNC 25/20/40/4000/4000d
$4000CNC 25/20/40/5000/4000d
$4000CNC 25/20/40/6350/4000d
$4000CNC 25/20/40/7150/4000d
$4000CNC 25/30/50/6350/4000d
$4000CNC 25/30/50/7150/4000d
$4000CNC 35/20/40/6350/4000d
$4000CNC 35/30/50/5000/4000d
$4000CNC 35/30/50/6350/4000d
$4000CNC 35/30/50/7150/4000d

Providence Choice

Choice$1000CHC 15/30/50/6350/1000d
$1500CHC 20/20/40/4000/1500d
$1500CHC 20/20/40/7150/1500d
$1500CHC 20/30/50/4000/1500d
$1500CHC 20/30/50/7150/1500d
$1500CHC 25/20/40/4000/1500d
$1500CHC 25/20/40/7150/1500d
$1500CHC 25/30/50/4000/1500d
$2000CHC 20/20/40/4000/2000d
$2000CHC 25/30/50/5000/2000d
$3000CHC 20/20/40/4000/3000d
$3000CHC 20/30/50/7150/3000d
$3000CHC 25/20/40/7150/3000d
$3000CHC 25/30/50/7150/3000d

 

Oregon Plans - Groups sized 51+ Group Riders

Product Type

Benefit

Chiropractic Manipulations and AcupunctureCHA 15/500
CHA 15/1000
CHA 15/1500
CHA 25/500
CHA 25/1000
CHA 25/1500
Chiropractic Manipulations and Acupuncture PlusCHA Plus 15/500
CHA Plus 15/1000
CHA Plus 15/1500
CHA Plus 25/500
CHA Plus 25/1000
CHA Plus 25/1500
Chiropractic Manipulation, Acupuncture & Massage TherapyCHA/MT 15/500
CHA/MT 15/1000
CHA/MT 15/1500
CHA/MT 25/500
CHA/MT 25/1000
CHA/MT 25/1500
Chiropractic Manip., Acupuncture & Massage Therapy PlusCHA/MT Plus 15/500
CHA/MT Plus 15/1000
CHA/MT Plus 15/1500
CHA/MT Plus 25/500
CHA/MT Plus 25/1000
CHA/MT Plus 25/1500
RX 5 TierRX 10/15/30/60/50
RX 10/15/45/75/50
RX 10/15/60/80/50
RX 15/15/30/30/30
RX 15/15/45/45/45
RX 15/20/50/50/50
RX 15/20/75/100/50
VisionVSP Exam
Vis Basic
Vis Plus
Vis Premium
Vis Basic - Featuring Otis & Piper
Vis Plus - Featuring Otis & Piper
Vis Premium - Featuring Otis & Piper
DentalEssential Dental
Essential Dental Plus
Essential Access
Essential Access Plus
Advantage Access 1500
Advantage Access 2000
Advantage Access 1500 Plus
Advantage Access 2000 Plus

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