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

providence health & services 2015

Provider Directory

1-800-878-4445

"Look for your provider before receiving services"

Plans and Rates listed below includes options available in and out of the ACA Portal, "Tax Credits May Apply"

Plans available for purchase January 1st, 2015

	Metal tier	Plans available directly from Providence or your insurance producer	Marketplace plans available from healthcare.gov
Balance 2000 Silver	Silver	X
Balance 4000 Silver	Silver	X
HSA Qualified 2800 Bronze	Bronze	X
Choice 2000 Silver	Silver	X	X
Choice 4000 Silver	Silver	X
Connect 2000 Silver	Silver	X	X
Connect 4000 Silver	Silver	X
Providence Oregon Standard Gold Plan	Gold	X	X
Providence Oregon Standard Silver Plan	Silver	X	X
Providence Oregon Standard Bronze Plan	Bronze	X	X
Providence Essential	Catastrophic		X

Your lifestyle, your plan

Choose a 2015 health plan that best fits your life and your health. You'll find robust benefits and extensive provider choices, an HSA-qualified plan that lets you save tax-free dollars for future medical expenses and two plan types centered on a medical home model that lets you choose a primary care clinic near you with a health care team to coordinate your care.

Alternative care options

If you prefer to see a naturopath or other alternative care provider for covered benefits, including periodic exams and well-baby care, those services are covered at the same rate as they would be for a primary care physician as long as the provider is licensed to perform the service provided.

The Balance, Choice and Connect plans cover chiropractic manipulation and acupuncture with a $25 copay when you visit an in-network provider.

Flexibility to change plans

We get it. Life throws curve balls that can change your financial situation. When you buy directly from Providence, you can switch to a plan with a lower premium once during the contract year. If you buy your plan through the marketplace, any changes in plans throughout the year are subject to approval by the marketplace.

Pediatric dental coverage

Pediatric dental care is an essential health benefit required by the ACA. It is included in all our medical plans, except the Essential and Standard plans. For your convenience and savings, dental benefits are subject to the medical deductible and out-of-pocket maximum.

Health Insurance for Individuals and Families 2014

Effective Nov. 1, 2012 – Dec. 31, 2013

Thank you for your interest in Providence Individual and Family Plans.

Our plan benefits and rates include:

Plan Descriptions

HSA Plan Descriptions

Plan Rates

Application

Fax: 503-488-5597

Health Benefits Solution, Inc

5200 SW Meadows Rd, Suite 150, Lake Oswego, OR 97035

All Providence Individual and Family Plans include:

A benefit for prescriptions
A benefit for chiropractic services
No deductible for preventive and women's health care services.
Use participating providers and spend less
Access participating providers locally or through our nationwide network while traveling
The option to see non-participating providers

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.

Advocacy and Public Policy

As a fundamental part of our Catholic health care ministry, Providence Health & Services is dedicated to advocacy on behalf of the poor and vulnerable in our communities. Through the efforts of system staff and physicians, volunteers and collaborative partners, we are an active voice in helping to shape health care policy - and public policy in general - to reflect the ideals of universal access to health care, social justice and compassion for all members of our society.

Advocacy Principles

We use the following prinicples that define what we consider to be the ideal health care system as a guide in developing our system position on various federal and state public policy proposals:

1. Access - A health care system that ensures access to a defined set of basic health care services for all people.

2. People Focus - A health care system that promotes a holistic approach that addresses the physical, emotional and spiritual needs of individuals, as well as the social and cultural needs of communities.

3. Quality - A health care system that anticipates and coordinates care across boundaries of time, place, type and organization to maximize quality and health outcomes.

4. Vitality - A health care system that is financially viable and offers a positive environment for patients, physicians and staff.

THE PROVIDENCE COMMITMENT

MISSION

As People of Providence
we reveal God’s love for all,
especially the poor and vulnerable,
through our compassionate service.

CORE VALUES

Respect

All people have been created in the image of God
Genesis 1:27

We welcome the uniqueness and honor the dignity of every person
We communicate openly and we act with integrity
We develop the talents and abilities of one another

Compassion

Jesus taught and healed with compassion for all
Matthew 4:24

We reach out to people in need and give comfort as Jesus did
We nurture the spiritual, physical and emotional well-being of one another and those we serve
We embrace those who are suffering

Justice

This is what the Lord requires of you: act with justice, love with kindness
and walk humbly with your God
Micah 6:8

We believe everyone has a right to the basic goods of the earth
We strive to remove the causes of oppression
We join with others to work for the common good and to advocate for social justice

Excellence

Much will be expected of those who are entrusted with much
Luke 12:48

We set the highest standards for ourselves and for our ministry
We strive to transform conditions for a better tomorrow while serving the needs of today
We celebrate and encourage the contributions of one another

Stewardship

The earth is the Lord’s and all that is in it
Psalm 24:1
We believe that everything entrusted to us is for the common good
We strive to care wisely for our people, our resources and our earth
We seek simplicity in our lives and in our work

Individual & Family Plan Features

Find the right health plan – one that meets the needs of you or your family, as well as your budget.

Choose between three health plan options, Optimum, Value or HSA, each with a variety of features and deductibles to meet your needs.

Optimum Plans

Optimum Plans offer you the most comprehensive coverage. You receive women's and men's preventive care services, personal physician/provider office visits and specialist visits for $20 copay, before meeting the deductible. That means you don't have to pay your deductible before you get medical advice that can keep you well. If you choose to see a non-participating provider, you'll pay 40 percent coinsurance. There are five Optimum Plans with several deductible amounts to choose from.

Value Plans

Value Plans offer similar coverage as Optimumm Plans with women's and men's preventive care services and personal physician/provider office visits for $20 copay, before deductible. However, the deductible is not waived for specialist office visits. After deductible, specialist visits are 30 percent coinsurance for participating or 50 percent coinsurance for nonparticipating specialist office visits. There are five Value Plans with several deductible amounts to choose from.

Both Optimum and Value Plans Feature:

An accidental injury benefit for all covered services (except chiropractor office visits), before meeting deductible.
Hospital, surgery, X-ray, laboratory services from participating providers and health care facilities.
Chiropractic office visits (In-Plan) for $20 copay, after meeting deductible.
Emergency care (In-Plan and Out-of-Plan) for a $125 copayment, before meeting deductible.
Out-of-Plan benefit. See non-participating providers for covered services and pay a coinsurance amount.
Prescription drugs through participating pharamcies for generic and brand-name drugs. Deductible does not apply.
Travel Benefits and Nationwide coverage through our national network of participating providers.

Health Savings Account (HSA) Plan Specific Features:

Our HSA Plans work together with a Health Savings Account and provide comprehensive coverage with a low monthly premium, while you set aside taxdeductible, interest-earning funds in a health savings account (HSA) to help cover your deductible and other qualified medical expenses. By rolling over unused funds from year to year, you also enjoy tax-sheltered investment and retirement planning options.

Preventive care (In-Plan), before meeting deductible.
Annual gynecological exams and mammograms (In-Plan), before meeting deductible.
Personal physician/provider office visits (In-Plan) for $20 copayment, after meeting deductible.
Specialist office visits, hospital, surgery, X-ray, laboratory (In-Plan) for 20 percent coinsurance, after meeting deductible.
Emergency care (In-Plan and Out-of-Plan) for $125 copay, after meeting deductible.
Urgent care and ambulance services for 20 percent coinsurance, after meeting deductible.
Chiropractor office visits (In-Plan) for $20 copay, after meeting deductible.
Out-of-Plan benefit. See non-participating providers for 40 percent coinsurance, after meeting deductible.
Prescription drugs through participating pharmacies for generic and brand-name drugs, after meeting deductible.
Travel Benefits and Nationwide coverage through our national network of participating providers.