Product Portfolio

Oregon Plans - Groups sized 51+
Effective:  January 01, 2020 - December 31, 2020


  Effective:  January 01, 2020 - December 31, 2020

Product Type

Annual Deductible

Benefit

Providence Option Advantage Base

Option Advantage Base$4000OP ADV BASE 35/30/50/7900/4000sd/45/250/2X/SIG
$5000OP ADV BASE 25/30/50/7900/5000sd/35/250/2X/SIG

Providence Option Advantage Plus (A)

Option Advantage Plus (A)$250OP ADV PLUS (A) 15/20/40/2000/250cd/25/250/2X/SIG
$250OP ADV PLUS (A) 15/20/40/2000/250sd/25/250/2X/SIG
$500OP ADV PLUS (A) 20/30/50/4000/500cd/30/250/2X/SIG
$500OP ADV PLUS (A) 25/20/40/2500/500sd/35/250/2X/SIG
$500OP ADV PLUS (A) 25/20/40/4000/500sd/35/250/2X/SIG
$750OP ADV PLUS (A) 15/10/20/2500/750cd/25/250/2X/UPPO
$750OP ADV PLUS (A) 25/20/40/6350/750cd/35/250/2X/SIG
$1000OP ADV PLUS (A) 20/20/40/5000/1000sd/30/250/2X/SIG
$1000OP ADV PLUS (A) 20/30/50/4000/1000cd/30/250/2X/SIG
$1000OP ADV PLUS (A) 25/20/40/6350/1000sd/35/250/2X/SIG
$1000OP ADV PLUS (A) 25/30/50/6350/1000cd/35/250/2X/SIG
$1000OP ADV PLUS (A) 35/20/40/4000/1000cd/45/250/2X/SIG
$1500OP ADV PLUS (A) 15/20/40/3500/1500sd/25/250/2X/SIG
$1500OP ADV PLUS (A) 15/20/40/4000/1500cd/25/250/2X/SIG
$1500OP ADV PLUS (A) 20/30/50/6350/1500cd/30/250/2X/SIG
$1500OP ADV PLUS (A) 25/20/40/4000/1500cd/35/250/2X/SIG
$1500OP ADV PLUS (A) 25/20/40/4000/1500sd/35/250/2X/SIG
$1500OP ADV PLUS (A) 25/20/40/5000/1500sd/35/250/2X/SIG
$1500OP ADV PLUS (A) 25/20/40/7900/1500sd/35/250/2X/SIG
$1500OP ADV PLUS (A) 25/30/50/4000/1500cd/35/250/2X/SIG
$1500OP ADV PLUS (A) 35/20/40/6350/1500sd/45/250/2X/SIG
$1500OP ADV PLUS (A) 35/30/50/5000/1500cd/45/250/2X/SIG
$1500OP ADV PLUS (A) 35/30/50/5000/1500sd/45/250/2X/SIG
$2000OP ADV PLUS (A) 20/20/40/6350/2000sd/30/250/2X/SIG
$2000OP ADV PLUS (A) 25/20/40/4000/2000cd/35/250/2X/SIG
$2000OP ADV PLUS (A) 25/20/40/4000/2000sd/35/250/2X/SIG
$2000OP ADV PLUS (A) 25/20/40/5000/2000sd/35/250/2X/SIG
$2000OP ADV PLUS (A) 25/20/40/6350/2000cd/35/250/2X/SIG
$2000OP ADV PLUS (A) 25/30/50/5000/2000cd/35/250/2X/SIG
$2000OP ADV PLUS (A) 25/30/50/6350/2000sd/35/250/2X/SIG
$2000OP ADV PLUS (A) 35/30/50/6350/2000sd/45/250/2X/SIG
$2500OP ADV PLUS (A) 25/20/40/7900/2500sd/35/250/2X/SIG
$2500OP ADV PLUS (A) 25/20/40/8150/2500sd/35/250/2X/SIG
$2500OP ADV PLUS (A) 25/30/50/7900/2500sd/35/250/2X/SIG
$2500OP ADV PLUS (A) 35/20/40/6350/2500sd/45/250/2X/SIG
$2500OP ADV PLUS (A) 35/20/50/7900/2500sd/45/250/2X/SIG
$3000OP ADV PLUS (A) 25/20/40/6350/3000sd/35/250/2X/SIG
$3000OP ADV PLUS (A) 25/20/40/7900/3000sd/35/250/2X/SIG
$3000OP ADV PLUS (A) 25/30/50/6350/3000cd/35/250/2X/SIG
$3000OP ADV PLUS (A) 35/30/50/7900/3000cd/45/250/2X/SIG
$3000OP ADV PLUS (A) 35/30/50/7900/3000sd/45/250/2X/SIG
$4000OP ADV PLUS (A) 35/30/50/7900/4000cd/45/250/2X/SIG
$5000OP ADV PLUS (A) 25/20/40/7900/5000cd/35/250/2X/SIG
$5000OP ADV PLUS (A) 35/30/50/7350/5000sd/45/250/2X/SIG
$5000OP ADV PLUS (A) 35/30/50/7900/5000cd/45/250/2X/SIG
$5000OP ADV PLUS (A) 35/30/50/7900/5000sd/45/250/2X/SIG

Providence Option Advantage Premium (B)

Option Advantage Premium (B)$250OP ADV PREM (B) 15/10/20/2000/250cd/15/250/2X/SIG
$250OP ADV PREM (B) 15/20/40/2000/250cd/15/250/2X/SIG
$250OP ADV PREM (B) 15/20/40/2000/250sd/15/250/2X/SIG
$250OP ADV PREM (B) 20/10/20/3000/250cd/20/250/2X/UPPO
$250OP ADV PREM (B) 25/20/40/4000/250cd/25/250/2X/SIG
$250OP ADV PREM (B) 35/20/40/7900/250cd/35/250/2X/SIG
$500OP ADV PREM (B) 15/20/40/2000/500cd/15/250/2X/SIG
$500OP ADV PREM (B) 15/20/40/2500/500cd/15/250/2X/SIG
$500OP ADV PREM (B) 20/20/40/4000/500cd/20/250/2X/SIG
$500OP ADV PREM (B) 25/20/40/3500/500sd/25/250/2X/UPPO
$500OP ADV PREM (B) 25/20/40/5000/500cd/25/250/2X/SIG
$500OP ADV PREM (B) 25/20/40/5000/500cd/25/250/2X/SIG
$750OP ADV PREM (B) 20/20/40/3000/750cd/20/250/2X/SIG
$750OP ADV PREM (B) 20/20/40/3000/750sd/20/250/2X/SIG
$750OP ADV PREM (B) 20/20/40/3500/750cd/20/250/2X/SIG
$750OP ADV PREM (B) 25/10/20/4000/750cd/25/250/2X/SIG
$750OP ADV PREM (B) 25/20/40/5000/750cd/25/250/2X/SIG
$1000OP ADV PREM (B) 15/10/20/2000/1000cd/15/250/2X/SIG
$1000OP ADV PREM (B) 15/10/20/2500/1000cd/15/250/2X/SIG
$1000OP ADV PREM (B) 15/20/40/3000/1000cd/15/250/2X/SIG
$1000OP ADV PREM (B) 25/20/40/2500/1000cd/25/250/2X/SIG
$1000OP ADV PREM (B) 25/20/40/4000/1000sd/25/250/2X/SIG
$1000OP ADV PREM (B) 25/20/40/7900/1000cd/25/250/2X/SIG
$1500OP ADV PREM (B) 15/20/40/2500/1500sd/15/250/2X/SIG
$1500OP ADV PREM (B) 15/20/40/3000/1500cd/15/250/2X/SIG
$1500OP ADV PREM (B) 15/20/40/3500/1500cd/15/250/2X/SIG
$1500OP ADV PREM (B) 15/20/40/3500/1500sd/15/250/2X/SIG
$1500OP ADV PREM (B) 20/20/40/4000/1500cd/20/250/2X/SIG
$1500OP ADV PREM (B) 20/20/40/6350/1500cd/20/250/2X/SIG
$1500OP ADV PREM (B) 25/20/40/4000/1500cd/25/250/2X/SIG
$1500OP ADV PREM (B) 25/20/40/4000/1500sd/25/250/2X/SIG
$1500OP ADV PREM (B) 25/20/40/5000/1500sd/25/250/2X/SIG
$1500OP ADV PREM (B) 25/20/40/5000/1500sd/25/250/2X/UPP
$2000OP ADV PREM (B) 20/20/40/3500/2000sd/20/250/2X/SIG
$2000OP ADV PREM (B) 20/20/40/6350/2000sd/20/250/2X/SIG
$2000OP ADV PREM (B) 25/20/40/4000/2000sd/25/250/2X/SIG
$2500OP ADV PREM (B) 25/20/40/4000/2500cd/25/250/2X/SIG
$2500OP ADV PREM (B) 35/30/50/6350/2500sd/35/250/2X/UPP
$3000OP ADV PREM (B) 15/20/40/5000/3000cd/15/250/2X/SIG
$3000OP ADV PREM (B) 25/20/40/7900/3000cd/25/250/2X/SIG
$3000OP ADV PREM (B) 25/20/40/7900/3000sd/25/250/2X/SIG
$3000OP ADV PREM (B) 35/20/40/7900/3000cd/35/250/2X/SIG
$5000OP ADV PREM (B) 25/20/40/7900/5000cd/25/250/2X/SIG

Providence Personal Option

Personal Option$250PE 10/20/600/20/250/2X/SIG
$1000PE 15/30/2500/1000d/25/250/2X/SIG
$1000PE 15/30/3500/1000d/25/250/2X/SIG
$1500PE 15/30/3000/1500d/25/250/2X/SIG
$4000PE 20/30/6350/4000d/30/250/2X/SIG

Providence HSA

HSA Plan$1500HSA 20/40/3000/1500cd/20/20/2X/SIG
$1500HSA 20/40/3000/1500cd/20/20/2X/UPPO
$1500HSA 20/40/4000/1500cd/20/20/2X/SIG
$1500HSA 20/40/5500/1500cd/20/20/2X/SIG
$1500HSA 20/40/5500/1500sd/20/20/2X/SIG
$1500HSA 20/40/6750/1500cd/20/20/2X/SIG
$2000HSA 20/40/4000/2000cd/20/20/2X/SIG
$2000HSA 20/40/5500/2000cd/20/20/2X/SIG
$2000HSA 20/40/6750/2000cd/20/20/2X/SIG
$2500HSA 20/40/5500/2500cd/20/20/2X/SIG
$2500HSA 20/40/5500/2500sd/20/20/2X/SIG
$2500HSA 20/40/6350/2500cd/20/20/2X/SIG
$2500HSA 20/40/6750/2500sd/20/20/2X/SIG
$3000HSA 20/40/5500/3000cd/20/20/2X/SIG
$3000HSA 20/40/5500/3000sd/20/20/2X/SIG
$3000HSA 20/40/6750/3000cd/20/20/2X/SIG
$3000HSA 20/40/6900/3000sd/20/20/2X/SIG
$3500HSA 20/40/5500/3500sd/20/20/2X/SIG
$3500HSA 20/40/6750/3500cd/20/20/2X/SIG
$4000HSA 20/40/6750/4000cd/20/20/2X/SIG
$5500HSA 0/0/5500/5500sd/0/0/2X/SIG
$5500HSA 20/40/6750/5500cd/20/20/2X/SIG
$5500HSA 20/40/6750/5500sd/20/20/2X/SIG
$5500HSA 50/50/6750/5500sd/50/50/2X/SIG
$5500HSA 50/50/6900/5500sd/50/50/2X/SIG
$6350HSA 0/0/6350/6350cd/0/0/2X/SIG

Providence HSA Embedded

HSA Embedded$3000HSA E 20/40/5500/3000cd/20/20/2X/SIG
$3000HSA E 20/40/5500/3000sd/20/20/2X/SIG
$3500HSA E 20/40/6750/3500sd/20/20/2X/SIG
$4000HSA E 0/0/4000/4000cd/0/0/2X/SIG
$4000HSA E 0/0/4000/4000sd/0/0/2X/SIG
$6750HSA E 0/0/6750/6750sd/0/0/2X/SIG

Providence Connect

Connect$500CNC 15/20/40/3000/500sd/30/250/2X/CNC
$500CNC 15/20/40/3500/500sd/30/250/2X/CNC
$500CNC 20/10/30/5000/500sd/40/250/2X/CNC
$500CNC 25/20/40/3000/500sd/50/250/2X/CNC
$500CNC 25/20/40/4000/500sd/50/250/2X/CNC
$500CNC 25/30/50/3000/500sd/50/250/2X/CNC
$500CNC 25/30/50/4000/500sd/50/250/2X/CNC
$1000CNC 15/20/40/3000/1000sd/30/250/2X/CNC
$1000CNC 15/20/40/6350/1000sd/30/250/2X/CNC
$1000CNC 25/20/40/6350/1000sd/50/250/2X/CNC
$1000CNC 25/30/50/6350/1000sd/50/250/2X/CNC
$2000CNC 15/20/40/4000/2000sd/30/250/2X/CNC
$2000CNC 25/30/50/6350/2000sd/50/250/2X/CNC
$3000CNC 25/20/40/6350/3000sd/50/250/2X/CNC
$3000CNC 25/30/50/7900/3000sd/50/250/2X/CNC
$4000CNC 25/20/40/7900/4000sd/50/250/2X/CNC

Providence Choice

Choice$500CHC 20/20/40/4000/500sd/40/250/2X/CHC
$2000CHC 20/20/40/4000/2000sd/40/250/2X/CHC
$3000CHC 25/20/40/7900/3000sd/50/250/2X/

 

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