Providence

Product Portfolio

Oregon Plans - Groups sized 51+
Effective:  January 01, 2023 - December 31, 2023

  Effective:  January 01, 2023 - December 31, 2023

Product Type

Annual Deductible

Benefit

Providence Option Advantage Base
Option Advantage Base$5000ADV BASE 35/30/50/8700/5000sd/45/250/2X/SIG/CHA 20
$5000ADV BASE 35/20/40/7900/5000cd/45/250/2X/SIG/CHA 20

Providence Option Advantage Plus
Option Advantage Plus$2000ADV PLUS 25/20/40/4000/2000cd/35/250/2X/SIG/CHA 20
$2500ADV PLUS 25/20/40/5000/2500cd/25/250/2X/XPPO/CHA 2
$500ADV PLUS 20/20/40/3000/500sd/20/150/2X/XPPO/CHA 20
$500ADV PLUS 20/10/30/3500/500cd/20/250/2X/SIG/CHA 20/

Providence Option Advantage Premium
Option Advantage Premium$2500ADV PREM 20/10/30/5000/2500sd/30/250/2X/XPPO/CHA 2
$2000ADV PREM 25/20/40/4000/2000cd/25/250/2X/SIG/CHA 20
$1000ADV PREM 25/30/50/6350/1000sd/25/200/2X/XPPO/CHA 2
$1000ADV PREM 20/20/40/5000/1000sd/20/250/2X/SIG/CHA 20

Providence Personal Option
Personal OptionNAPE 10/20/600/0d/10/250/2X/SIG/CHA 20/12
$1500PE 15/30/3000/1500d/25/250/2X/SIG/CHA 20/12

Providence HSA
HSA Plan$4000HSA 0/0/4000/4000sd/0/0/2X/XPPO/0/CHA 20/12
$2000HSA 20/40/5500/2000sd/20/20/2X/SIG/200/CHA 20/12
$6750HSA 0/0/6750/6750cd/0/0/2X/SIG/0/CHA 20/12
$3000HSA 30/50/6000/3000cd/30/30/2X/XPPO/200/CHA 20/12

Providence HSA Embedded
HSA Embedded$3000HSA E 0/0/3000/3000sd/0/0/2X/SIG/0/CHA 20/12
$3000HSA E 20/50/6900/3000sd/20/20/2X/SIG/200/CHA 20/12

Providence Connect
Connect$500CNC 15/20/40/4000/500sd/30/250/2X/CNC/CHA 20/12
$500CNC 25/30/50/3000/500sd/50/250/2X/CNC/CHA 20/12
$5000CNC 25/30/50/8150/5000sd/50/250/2X/CNC/CHA 20/12
$6000CNC 35/30/50/8700/6000sd/70/250/2X/CNC/CHA 20/12

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