Health Benefits Solution, Inc
Health Benefits Solution, Inc
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Cascade Mountains
CITIES:  Brightwood, Camp Sherman, Cascade Locks, Cascadia, Chemult, Chiloquin, Crescent, Crescent Lake, Detroit, Diamond Lake, Drew, Estacada, Fort Klamath, Gates, Gilchrist, Government Camp, Idanha, Klamath Agency, La Pine, Lakeview, McKenzie Bridge, Mill City, North Umpqua, Oakridge, Prospect, Rhododendron, Sandy, Sisters, Sunriver, Warm Springs, Welches, Westfir, Zigzag
AREAS:  Crater Lake National Park, Deshutes National Forest, Fremont National Forest, Mount Hood National Forest, Rogue River National Forest, The Three Sisters, Umpqua National Forest, Willamette National Forest, Winema National Forest

Central Oregon
CITIES:  Antelope, Arlington, Bend, Brothers, Condon, Culver, Dufur, Fossil, Grass Valley, Hampton, Lonerock, Madras, Maupin, Metolius, Mitchell, Moro, Mosier, Paulina, Post, Prineville, Redmond, Rowena, Rufus, Shaniko, Spray, The Dalles, Wasco

Northeast Oregon
CITIES:  Adams, Arlington, Athena, Baker City, Boardman, Canyon City, Condon, Cove, Dayville, Echo, Elgin, Enterprise, Fossil, Greenhorn, Haines, Halfway, Heppner, Hermiston, Huntington, Imbler, Imnaha, Irrigon, Island City, John Day, Joseph, La Grande, Lexington, Long Creek, Lostine, Medical Springs, Milton-Freewater, Monument, Mt Vernon, North Powder, Oxbow, Pendleton, Pilot Rock, Prairie City, Richland, Seneca, Summerville, Sumpter, Ukiah, Umatilla, Union, Unity, Wallowa, Weston
AREAS Hell's Canyon

Oregon Coast
North Coast
Astoria, Bay City, Beaver, Cannon Beach, Garibaldi, Gearhart, Hebo, Nehalem, Manzanita, Neahkahnie, Oceanside, Pacific City, Rockaway Beach, Seaside, Tillamook, Warrenton, Wheeler
Central Coast
Depoe Bay, Dunes City, Florence, Gleneden Beach, Lincoln City, Mapleton, Newport, Otter Rock, Reedsport, Seal Rock, Siletz, Toledo, Waldport, Winchester Bay, Yachats
South Coast

Agness, Bandon, Brookings, Charleston, Coos Bay, Coquille, Gold Beach,
Lakeside, Myrtle Point, North Bend, Port Orford, Powers, Wedderburn

Portland and Vicinity
Banks, Barlow, Beaverton, Camas, Canby, Clackamas, Clatskanie, Columbia City, Cornelius, Forest Grove, Gaston, Gresham, Happy Valley, Hillsboro, Lake Oswego, Marquam, Milwaukie, Molalla, North Plains, Oregon City, Portland, Rainier, Sandy, Scappoose, St. Helens, Tigard, Troutdale, Tualatin, Vernonia, West Linn, Wilsonville

Southeast Oregon
Adel, Adrian, Burns, Diamond, Drewsey, Frenchglen, Hines, Jordan Valley, Juntura, Lakeview, Nyssa, Ontario, Plush, Vale

Southern Oregon
CITIES Ashland, Butte Falls, Cave Junction, Canyonville, Central Point, Dillard, Drain, Eagle Point, Elkton, Glendale, Glide, Gold Hill, Grants Pass, Jacksonville, Klamath Falls, Malin, Medford, Merlin, Myrtle Creek, Oakland, Phoenix, Prospect, Riddle, Rouge River, Roseburg, Shady Cove, Sutherlin, Talent, Umpqua, White City, Winchester, Winston, Wolf Creek, Yoncalla
AREAS:  Applegate Valley, Illinois Valley


Willamette Valley
Albany, Alsea, Amity, Aumsville, Aurora, Brooks, Brownsville, Canby, Canyonville, Carlton, Corvallis, Coburg, Cottage Grove, Creswell, Culp Creek, Dallas, Dayton, Detroit, Donald, Dundee, Eugene, Falls City, Gates, Gervais, Halsey, Harrisburg, Independence, Jefferson, Junction City, Keizer, Lebanon, Lowell, Lyons, McMinnville, Mill City, Millersburg, Mt.Angel, Molalla, Monmouth, Newberg, Oakridge, Oregon City, Philomath, Salem, Scio, Scott Mills, Sheridan, Silverton, Sodaville, Springfield, Stayton, St. Paul, Sublimity, Sweet Home, Tangerit, Turner, Veneta, Walterville, Waterloo, Willamina, Woodburn, Yamhill

 

 

lifewise health plans of oregon

Provider Directory

1-800-596-3440

Search for: "By Specialty" and select the provider type.  Select Network "LifeWise Health Plan of Oregon".  Select zip code, and distance of miles, and search for provider.

"Look for your provider before receiving services"


LifeWise Enrollment Application 2015

LifeWise Kids Dental Application 2015 "Under Age 19 Only"

 

 

LifeWise Individual and Family Plans

Plan Highlights

Essentials Plans offer great basic coverage. A good option when you’re looking for a low rate and more upfront coverage for routine care needs. This plan provides upfront coverage for your first three office visits.

Individual Plan Description

 

 

 

Health Benefit Solution, Inc.

The focus of this website is to provide consumers a simple, and professional environment when looking for Affordable, and Low Cost Health Insurance.  Licensed Health Insurance Agents are available and will take the time to answer all your questions, and help find the Health Plan that best meets the needs of the Individual, Family, or Small Business.

Health Insurance Benefits are always changing, and health insurance companies are providing more options that benefit the consumer.  Alternative, or Holistic health care is now offered through many of the health insurance companies.  You can now see your Naturopathic Physician, and be covered under the doctor office co-pay, and have unlimited visits.  Chiropractic, and Acupuncture are also included as standard health care benefits.

If you are looking for Dental and Vision benefits included within the health plan, we can help you select the Health Insurance Company that will meet your needs.

Health Benefit Solution, Inc is licensed through the Oregon Insurance Division, and has contracted with most all the major health insurance companies to provide the consumer with choice and options when looking for the plan that meets the life style and needs of the insured.

LifeWise Health Plan of Oregon

Individual & Family Plans

Getting your preventive exams, screenings and immunizations are the best way to help you and your family stay healthy. These important screenings help your doctors detect diseases early when they are easiest to treat. All of our plans cover a wide range of preventive exams, screenings, and immunizations.

In addition to preventive care, you’ll also get coverage for naturopathy, acupuncture and chiropractic service; as well as access to member discounts on health products and services, including gym memberships.

Coverage Options

After deciding which date you want to start coverage, review the plan descriptions below for more information about your coverage options:

Plan Brochure – a comparison of plan benefits
Rate Brochure – monthly rates for each plan
Enrollment Application – be sure to review Eligibility and Enrollment information before you apply.

 

Individual Dental Plans

Adding a LifeWise dental plan to your individual health plan means you’ll have complete high-quality coverage. Since research indicates that good oral health is key to your overall health, there’s even more reason to enroll. Especially when you consider our dental plans offer predictable costs on over 200 dental procedures. With a strong and growing provider network, you’re sure to find a preferred dentist conveniently located near you.

LifeWise Dental Copay Plans Feature:

  • Choice of deductible - choose either a $50 or $75 annual deductible plan.
  • Predictability of costs - you’ll pay one set copay for each of the more than 200 covered services
  • Easy plan administration - one application, one bill, one ID card, one customer service line and one resource-rich website.
  • Wide range of coverage - you’ll be covered for the most commonly used preventive, minor and major dental services.
  • Choice of providers – use our “find a doctor” tool to find a dentist in your area. Choose “Dental” from the Network drop-down list.
  • On-going support - you’ll receive online access to a wealth of dental health information at lifewiseor.com/dentalhealth.

To Learn More About our Individual Dental Copay Plans and Enroll:

  1. Review our summary of dental coverage for the most commonly-used covered dental services to learn more.
  2. Peruse our complete list of covered dental services and associated copays for more detailed information.
  3. See our rate brochure to find your monthly rate.
  4. Review and complete the health plan application and mark that you want to add the dental plan.

You can only enroll in a LifeWise dental plan at the same time as your apply for a LifeWise health plan or during our add-on period. The initial add-on period is for effective dates of September 1 through October 15, 2012.

If you are an existing member and want to add a dental plan to your existing health plan during this add-on period, complete the Individual Dental Copay Application

 

Glossary

 

Our Glossary provides definitions of frequently used terms. All the terms in the glossary are listed below.

 

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

 

 

A

   
Assignment of benefits

 

Agent

 

Ancillary services

 

     

B

   
Balance billing

 

Benefit(s)

 

Benefit advisory

 

Benefit booklet

 

Benefit year

 

     

C

   
Care Management

 

Carrier

 

Case Management

 

Certificate of Credible Coverage

 

Claim

 

Claimant

 

COBRA or the Consolidated Omnibus Budget Reconciliation Act

 

Coinsurance

 

Concurrent review

 

Consumer market

 

Consultation

 

COB or Coordination or Benefits

 

Copayment (copay)

 

Coverage

 

     

D

   
Deductible

 

Dependent

 

Diagnostic and treatment codes

 

Discharge planning

 

Disease management

 

Duplicate coverage

 

Durable medical equipment

 

     

E

   
EOB or Explanation of Benefits

 

Eligible/Eligibility

 

Emergency Services

 

Emergency Medical Condition

 

ERISA or Employee Retirement Income Security Act

 

Extension of Benefits

 

     

F

   
Formulary

 

   
     

G

   
Generic Drug

 

Grievance

 

Group health coverage

 

     

H

   
HIPAA or the Health Insurance Portability and Accountability Act

 

HIPAA certificate See Certificate of Credible Coverage

 

Health savings account (HSA)

 

Home delivery pharmacy program

 

Hospice

 

     

I

   
ID Card

 

Indemnity plan

 

Individual coverage

 

Inpatient care

 

     

J

K

   

L

   
Large Group

 

Lifetime maximum benefit amount

 

Long-term care

 

     

M

   
Maintenance medication

 

Mandated benefit(s)

 

Maximum allowable amount

 

Medical director

 

Medical necessity

 

Medical underwriting

 

Medicaid

 

Medicare

 

Medicare Part A

 

Medicare Part B

 

Medicare supplement/Medigap policy

 

Member

 

Member termination

 

     

N

   
Network

 

Non-preferred provider

 

 
     

O

   
Off-label drug use

 

Open enrollment

 

Out-of-area benefits

 

Out-of-pocket expenses

 

Out-of-pocket limit

 

Outpatient care

 

     

P

   
Patient responsibility

 

Personal Protected Information (PPI)

 

Pharmacy and Therapeutics Committee

 

Pharmacy benefit manager

 

Physical therapy

 

Point-of-sale programs

 

Policyholder

 

Pre-existing condition

 

Preferred provider

 

Preferred provider organization (PPO)

 

Premium

 

Prescription drug

 

Preventive care

 

Provider

 

Provider directory

 

Prudent layperson

 

     

Q

   
Qualifying event

 

   
     

R

   
Renewal

 

Retrospective review

 

 
     

S

   
Service area

 

Small Group

 

Specialists

 

Stop loss/stop loss limit

 

     

T

   
Termination of coverage

 

Third-party liability

 

 
     

U

   
Underwriting

 

UCR or usual, customary and reasonable charges

 

Utilization management (UM)

 

     

V

   
     
     

W

   
Workers’ compensation

 

   

 

     

X

Y

Z