Providence

Product Portfolio

Oregon Plans - Groups sized 51+

Effective:  January 01, 2022 - December 31, 2022

  Effective:  January 01, 2022 - December 31, 2022

Product Type

Annual Deductible

Benefit

Providence Option Advantage Plus

Option Advantage Plus$750ADV PLUS 25/20/50/5000/750sd/35/250/2X/SIG/CHA 20/
$1000ADV PLUS 25/30/50/3500/1000cd/35/250/2X/SIG/CHA 20
$1500ADV PLUS 15/20/40/3500/1500sd/25/250/2X/SIG/CHA 20
$1500ADV PLUS 25/30/50/4000/1500cd/35/250/2X/SIG/CHA 20
$2500ADV PLUS 25/30/50/6350/2000sd/35/250/2X/SIG/CHA 20
$2500ADV PLUS 35/30/50/5000/2500sd/45/250/2X/SIG/CHA 20
$3000ADV PLUS 35/30/50/7900/3000sd/45/250/2X/SIG/CHA 20
$3500ADV PLUS 35/20/40/6850/3500cd/45/250/2X/SIG/CHA 20
$5000ADV PLUS 35/30/50/7900/5000sd/45/250/2X/SIG/CHA 20
$6000ADV PLUS 35/20/40/7350/6000cd/45/250/2X/SIG/CHA 20

Providence Option Advantage Premium

Option Advantage Premium$250ADV PREM 15/20/40/2000/250cd/15/250/2X/SIG/CHA 20/
$750ADV PREM 20/20/40/4000/750sd/20/250/2X/SIG/CHA 20/
$1000ADV PREM 20/20/40/5000/1000sd/20/250/2X/SIG/CHA 20
$1500ADV PREM 20/20/40/4000/1500cd/20/250/2X/SIG/CHA 20
$2000ADV PREM 25/20/40/4000/2000sd/25/250/2X/SIG/CHA 20
$2000ADV PREM 25/30/40/4500/2000cd/35/350/2X/SIG/CHA 20
$3000ADV PREM 25/20/40/7900/3000sd/25/250/2X/SIG/CHA 20
$4000ADV PREM 25/30/50/8150/4000cd/25/250/2X/SIG/CHA 20

Providence Personal Option

Personal Option$500PE 20/20/3000/500d/30/250/3X/SIG/CHA 20/12
$1500PE 15/30/3000/1500d/25/250/2X/SIG/CHA 20/12
$1500PE 25/20/5350/1500d/35/250/3X/SIG/CHA 20/12

Providence HSA

HSA Plan$1500HSA 20/40/3000/1500cd/20/20/2X/SIG/200/CHA 20/12
$3000HSA 20/40/6750/3000sd/20/20/2X/SIG/200/CHA 20/12
$3000HSA 50/50/4000/3000cd/50/50/2X/SIG/200/CHA 20/12
$4000HSA 30/50/6900/4000sd/30/30/2X/SIG/200/CHA 20/12
$4000HSA 20/40/6750/4000cd/20/20/2X/SIG/200/CHA 20/12
$6000HSA 0/0/6000/6000sd/0/0/2X/SIG/200/CHA 20/12

Providence Connect

Connect$500CNC 15/20/40/3000/500sd/30/250/2X/CNC/CHA 20/12
$1000CNC 15/20/40/3000/1000sd/30/250/2X/CNC/CHA 20/12
$1000CNC 15/20/40/6350/1000sd/30/250/2X/CNC/CHA 20/12
$2000CNC 15/20/40/4000/2000sd/30/250/2X/CNC/CHA 20/12
$2500CNC 25/20/40/4000/2500sd/50/350/3X/CNC/CHA 20/12
$4000CNC 25/30/50/8150/4000sd/50/250/2X/CNC/CHA 20/12

Providence Choice

Choice$500CHC 15/20/40/4000/500sd/30/250/2X/CHC/CHA 20/12
$1500CHC 20/20/40/4000/1500sd/40/250/2X/CHC/CHA 20/12
$2000CHC 20/20/40/4000/2000sd/40/250/2X/CHC/CHA 20/12
$2000CHC 25/30/40/5000/2000sd/35/250/2X/CHC/CHA 20/12
$2500CHC 25/30/50/7900/2500sd/40/350/2X/CHC/CHA 20/12
$3000CHC 25/30/50/7900/3000sd/50/250/2X/CHC/CHA 20/12
$3500CHC 35/30/50/7000/3500sd/70/250/2X/CHC/CHA 20/12

 

Group Riders

Product Type

Benefit

DentalProvidence Advantage Access_ES