Providence - Balance 7150 Bronze

Oregon, 2017

  • Plan Type

    EPO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $7,150

  • Deductible

    $7,150

Enroll Now
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Call (855) 866-5590 to speak with a licensed agent about a new health plan.

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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $7,150
Deductible (Family) $14,300
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,150
Out of Pocket Maximum (Family) $14,300

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit $0 Copay after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible
Emergency Room Services No charge after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) No charge after deductible
Laboratory Outpatient and Professional Services No charge after deductible
X-Ray and Diagnostic Imaging No charge after deductible

Health Management Programs

Asthma Available
Depression Available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Available
Pain Management Available
Pregnancy Available
Weight Loss Available

Other

Mental / Behavioral Health Inpatient No charge after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy No charge after deductible
Rehabilitative Occupational & Physical Therapy No charge after deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx $0 Copay after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

Other Plans in Oregon

Plan Balance 2500 Silver Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Providence Oregon Standard Gold Plan Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,850
Plan Providence Oregon Standard Silver Plan Deductible $2,500 Coinsurance Not applicable Out of Pocket $6,850
Plan Providence Oregon Standard Gold Plan Area G Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,850
Plan Providence Oregon Standard Silver Plan Area G Deductible $2,500 Coinsurance Not applicable Out of Pocket $6,850
Plan Choice 7150 Bronze Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Connect 7150 Bronze Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Providence Oregon Standard Gold Plan Area D Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,850
Plan Providence Oregon Standard Silver Plan Area D Deductible $2,500 Coinsurance Not applicable Out of Pocket $6,850
Plan Providence Oregon Standard Bronze Plan Area D Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Choice 2500 Silver Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Providence Oregon Standard Bronze Plan Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Connect 2500 Silver Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan HSA 6000 Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Providence Oregon Standard Bronze Plan Area G Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $7,150
Deductible (Family) $14,300
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,150
Out of Pocket Maximum (Family) $14,300

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit $0 Copay after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible
Emergency Room Services No charge after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) No charge after deductible
Laboratory Outpatient and Professional Services No charge after deductible
X-Ray and Diagnostic Imaging No charge after deductible

Health Management Programs

Asthma Available
Depression Available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Available
Pain Management Available
Pregnancy Available
Weight Loss Available

Other

Mental / Behavioral Health Inpatient No charge after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy No charge after deductible
Rehabilitative Occupational & Physical Therapy No charge after deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx $0 Copay after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

Other Plans in Oregon

Plan Balance 2500 Silver Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Providence Oregon Standard Gold Plan Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,850
Plan Providence Oregon Standard Silver Plan Deductible $2,500 Coinsurance Not applicable Out of Pocket $6,850
Plan Providence Oregon Standard Gold Plan Area G Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,850
Plan Providence Oregon Standard Silver Plan Area G Deductible $2,500 Coinsurance Not applicable Out of Pocket $6,850
Plan Choice 7150 Bronze Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Connect 7150 Bronze Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Providence Oregon Standard Gold Plan Area D Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,850
Plan Providence Oregon Standard Silver Plan Area D Deductible $2,500 Coinsurance Not applicable Out of Pocket $6,850
Plan Providence Oregon Standard Bronze Plan Area D Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Choice 2500 Silver Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Providence Oregon Standard Bronze Plan Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Connect 2500 Silver Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan HSA 6000 Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Providence Oregon Standard Bronze Plan Area G Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150