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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
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providence health & services 2015
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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" |
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Plans available for purchase
January 1st, 2015 |
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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. |
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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
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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
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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. |
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THE PROVIDENCE COMMITMENT
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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
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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.
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