Summary of Benefits and Coverage (SBC)
The Summary of Benefits and Coverage (SBC) is a federally mandated document designed to allow "apples to apples" comparisons of health plan options. Helpful during the shopping phase, it is important to know the SBC is for plan comparison purposes only; it does not replace the benefit summary and contract of your purchased health plan.
Choose a plan type below to access the SBC:
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Total Enhanced plans
With the most robust level of coverage, Total Enhanced plans offer employees best-in-class benefits with full access to the Providence Signature Network for the ultimate flexibility.
2024 Total Enhanced plans - All plans are SHOP-qualified (all plans available direct and via the marketplace)
- Total Enhanced 250 Platinum (PDF)
- Total Enhanced 500 Platinum (PDF)
- Total Enhanced 750 Platinum (PDF)
- Total Enhanced 1000 Gold (PDF)
- Total Enhanced 1500 Gold (PDF)
- Total Enhanced 2500 Gold (PDF)
- Total Enhanced 3500 Gold (PDF)
- Total Enhanced 4500 Gold (PDF)
- Total Enhanced 5500 Gold (PDF)
- Total Enhanced 7000 Gold (PDF)
2024 Total Enhanced plans – Spanish versions
- Total Enhanced 250 Platinum (PDF) Coming soon
- Total Enhanced 500 Platinum (PDF) Coming soon
- Total Enhanced 750 Platinum (PDF) Coming soon
- Total Enhanced 1000 Gold (PDF) Coming soon
- Total Enhanced 1500 Gold (PDF) Coming soon
- Total Enhanced 2500 Gold (PDF) Coming soon
- Total Enhanced 3500 Gold (PDF) Coming soon
- Total Enhanced 4500 Gold (PDF) Coming soon
- Total Enhanced 5500 Gold (PDF) Coming soon
- Total Enhanced 7000 Gold (PDF) Coming soon
2023 Total Enhanced plans
- Total Enhanced 250 Platinum (PDF)
- Total Enhanced 500 Platinum (PDF)
- Total Enhanced 750 Platinum (PDF)
- Total Enhanced 1000 Gold (PDF)
- Total Enhanced 1500 Gold (PDF)
- Total Enhanced 2500 Gold (PDF)
- Total Enhanced 3500 Gold (PDF)
- Total Enhanced 4500 Gold (PDF)
- Total Enhanced 5500 Gold (PDF)
- Total Enhanced 7000 Gold (PDF)
2023 Total Enhanced plans – Spanish versions
- Total Enhanced 250 Platinum (PDF)
- Total Enhanced 500 Platinum (PDF)
- Total Enhanced 750 Platinum (PDF)
- Total Enhanced 1000 Gold (PDF)
- Total Enhanced 1500 Gold (PDF)
- Total Enhanced 2500 Gold (PDF)
- Total Enhanced 3500 Gold (PDF)
- Total Enhanced 4500 Gold (PDF)
- Total Enhanced 5500 Gold (PDF)
- Total Enhanced 7000 Gold (PDF)
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Balance plans
Our Balance plans offer a harmonious mix of cost-saving features and coverage for the services your employees use the most.
2024 Balance plans - All plans are SHOP-qualified (all plans available direct and via the marketplace)
- Balance 750 Gold (PDF)
- Balance 1500 Gold (PDF)
- Balance 2500 Gold (PDF)
- Balance 4000 Silver (PDF)
- Balance 6000 Silver (PDF)
- Balance 8000 Bronze (PDF)
2024 Balance plans – Spanish versions:
- Balance 750 Gold (PDF) Coming soon
- Balance 1500 Gold (PDF) Coming soon
- Balance 2500 Gold (PDF) Coming soon
- Balance 4000 Silver (PDF) Coming soon
- Balance 6000 Silver (PDF) Coming soon
- Balance 8000 Bronze (PDF) Coming soon
2023 Balance plans
Plans sold direct
- Balance 750 Gold 00 (PDF)
- Balance 1500 Gold 00 (PDF)
- Balance 2500 Gold 00 (PDF)
- Balance 4000 Silver 00 (PDF)
- Balance 6000 Silver 00 (PDF)
- Balance 8000 Bronze 00 (PDF)
SHOP-qualified plans
- Balance 750 Gold 01 (PDF)
- Balance 1500 Gold 01 (PDF)
- Balance 2500 Gold 01 (PDF)
- Balance 4000 Silver 01 (PDF)
- Balance 6000 Silver 01 (PDF)
- Balance 8000 Bronze 01 (PDF)
2023 Balance plans – Spanish versions:
Plans sold direct
- Balance 750 Gold 00 (PDF)
- Balance 1500 Gold 00 (PDF)
- Balance 2500 Gold 00 (PDF)
- Balance 4000 Silver 00 (PDF)
- Balance 6000 Silver 00 (PDF)
- Balance 8000 Bronze 00 (PDF)
SHOP-qualified plans
- Balance 750 Gold 01 (PDF)
- Balance 1500 Gold 01 (PDF)
- Balance 2500 Gold 01 (PDF)
- Balance 4000 Silver 01 (PDF)
- Balance 6000 Silver 01 (PDF)
- Balance 8000 Bronze 01 (PDF)
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HSA Qualified plans
These lower-premium, high deductible plans combine health coverage with the ability to save pre-tax dollars to pay for future health care expenses.
2024 HSA Qualified plans - All plans are SHOP-qualified (all plans available direct and via the marketplace)
- HSA Qualified 1600 Gold (PDF)
- HSA Qualified 2500 Silver (PDF)
- HSA-E Qualified 3500 Silver (PDF)
- HSA-E Qualified 5500 Bronze (PDF)
- HSA-E Qualified 6000 Bronze (PDF)
- HSA-E Qualified 7100 Bronze (PDF)
2024 HSA Qualified plans – Spanish versions
- HSA Qualified 1600 Gold (PDF) Coming soon
- HSA Qualified 2500 Silver (PDF) Coming soon
- HSA-E Qualified 3500 Silver (PDF) Coming soon
- HSA-E Qualified 5500 Bronze (PDF) Coming soon
- HSA-E Qualified 6000 Bronze (PDF) Coming soon
- HSA-E Qualified 7100 Bronze (PDF) Coming soon
2023 HSA Qualified plans
Plans sold direct
- HSA Qualified 1500 Gold 00 (PDF)
- HSA Qualified 2500 Silver 00 (PDF)
- HSA-E Qualified 3500 Silver 00 (PDF)
- HSA-E Qualified 5000 Bronze 00 (PDF)
- HSA-E Qualified 6000 Bronze 00 (PDF)
- HSA-E Qualified 7050 Bronze 00 (PDF)
SHOP-qualified plans
- HSA Qualified 1500 Gold 01 (PDF)
- HSA Qualified 2500 Silver 01 (PDF)
- HSA-E Qualified 3500 Silver 01 (PDF)
- HSA-E Qualified 5000 Bronze 01 (PDF)
- HSA-E Qualified 6000 Bronze 01 (PDF)
- HSA-E Qualified 7050 Bronze 01 (PDF)
2023 HSA Qualified plans – Spanish versions
Plans sold direct
- HSA Qualified 1500 Gold 00 (PDF)
- HSA Qualified 2500 Silver 00 (PDF)
- HSA-E Qualified 3500 Silver 00 (PDF)
- HSA-E Qualified 5000 Bronze 00 (PDF)
- HSA-E Qualified 6000 Bronze 00 (PDF)
- HSA-E Qualified 7050 Bronze 00 (PDF)
SHOP-qualified plans
- HSA Qualified 1500 Gold 01 (PDF)
- HSA Qualified 2500 Silver 01 (PDF)
- HSA-E Qualified 3500 Silver 01 (PDF)
- HSA-E Qualified 5000 Bronze 01 (PDF)
- HSA-E Qualified 6000 Bronze 01 (PDF)
- HSA-E Qualified 7050 Bronze 01 (PDF)
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Connect plans
Using a member-selected medical home, Connect plans provide a collaborative and flexible approach to meet a wide range of health and wellness needs for members in the Portland metropolitan area.
2024 Connect plans - All plans are SHOP-qualified (all plans available direct and via the marketplace)
- Connect 750 Gold (PDF)
- Connect 1500 Gold (PDF)
- Connect 2500 Gold (PDF)
- Connect 4000 Silver (PDF)
- Connect 6000 Silver (PDF)
- Connect 6900 Silver (PDF)
- Connect 9450 Bronze (PDF)
2024 Connect plans – Spanish versions
- Connect 750 Gold (PDF) Coming soon
- Connect 1500 Gold (PDF) Coming soon
- Connect 2500 Gold (PDF) Coming soon
- Connect 4000 Silver (PDF) Coming soon
- Connect 6000 Silver (PDF) Coming soon
- Connect 6900 Silver (PDF) Coming soon
- Connect 9450 Bronze (PDF) Coming soon
2023 Connect plans
Plans sold direct
- Connect 750 Gold 00 (PDF)
- Connect 1500 Gold 00 (PDF)
- Connect 2500 Gold 00 (PDF)
- Connect 4000 Silver 00 (PDF)
- Connect 6000 Silver 00 (PDF)
- Connect 6800 Silver 00 (PDF)
- Connect 9100 Bronze 00 (PDF)
SHOP-qualified plans
- Connect 750 Gold 01 (PDF)
- Connect 1500 Gold 01 (PDF)
- Connect 2500 Gold 01 (PDF)
- Connect 4000 Silver 01 (PDF)
- Connect 6000 Silver 01 (PDF)
- Connect 6800 Silver 01 (PDF)
- Connect 9100 Bronze 01 (PDF)
2023 Connect plans – Spanish versions
Plans sold direct
- Connect 750 Gold 00 (PDF)
- Connect 1500 Gold 00 (PDF)
- Connect 2500 Gold 00 (PDF)
- Connect 4000 Silver 00 (PDF)
- Connect 6000 Silver 00 (PDF)
- Connect 6800 Silver 00 (PDF)
- Connect 9100 Bronze 00 (PDF)
SHOP-qualified plans
- Connect 750 Gold 01 (PDF)
- Connect 1500 Gold 01 (PDF)
- Connect 2500 Gold 01 (PDF)
- Connect 4000 Silver 01 (PDF)
- Connect 6000 Silver 01 (PDF)
- Connect 6800 Silver 01 (PDF)
- Connect 9100 Bronze 01 (PDF)
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Standard plans
Defined by the state of Oregon, Standard plans can be purchased through SHOP or in the private market.
2024 Standard plans - All plans are SHOP-qualified (all plans available direct and via the marketplace)
- Providence Oregon Standard Gold (PDF)
- Providence Oregon Standard Silver (PDF)
- Providence Oregon Standard Bronze (PDF)
2024 Standard plans – Spanish versions
- Providence Oregon Standard Gold (PDF) Coming soon
- Providence Oregon Standard Silver (PDF) Coming soon
- Providence Oregon Standard Bronze (PDF) Coming soon
2023 Standard plans
Plans sold direct
- Providence Oregon Standard Gold 00 Plan (PDF)
- Providence Oregon Standard Silver 00 Plan (PDF)
- Providence Oregon Standard Bronze 00 Plan (PDF)
SHOP-qualified plans
- Providence Oregon Standard Gold 01 Plan (PDF)
- Providence Oregon Standard Silver 01 Plan (PDF)
- Providence Oregon Standard Bronze 01 Plan (PDF)
2023 Standard plans – Spanish versions
Plans sold direct
- Providence Oregon Standard Gold 00 Plan (PDF)
- Providence Oregon Standard Silver 00 Plan (PDF)
- Providence Oregon Standard Bronze 00 Plan (PDF)
SHOP-qualified plans
- Providence Oregon Standard Gold 01 Plan (PDF)
- Providence Oregon Standard Silver 01 Plan (PDF)
- Providence Oregon Standard Bronze 01 Plan (PDF)
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Choice plans
Choice plans use a patient-centered medical home model of care to keep your employees healthy.
2024 Choice plans - All plans are SHOP-qualified (all plans available direct and via the marketplace)
- Choice 750 Gold (PDF)
- Choice 1500 Gold (PDF)
- Choice 2500 Gold (PDF)
- Choice 4000 Silver (PDF)
- Choice 6000 Silver (PDF)
- Choice 6900 Silver (PDF)
- Choice 9450 Bronze (PDF)
2024 Choice plans – Spanish versions
- Choice 750 Gold (PDF) Coming soon
- Choice 1500 Gold (PDF) Coming soon
- Choice 2500 Gold (PDF) Coming soon
- Choice 4000 Silver (PDF) Coming soon
- Choice 6000 Silver (PDF) Coming soon
- Choice 6900 Silver (PDF) Coming soon
- Choice 9450 Bronze (PDF) Coming soon
2023 Choice plans
Plans sold direct
- Choice 750 Gold 00 (PDF)
- Choice 1500 Gold 00 (PDF)
- Choice 2500 Gold 00 (PDF)
- Choice 4000 Silver 00 (PDF)
- Choice 6000 Silver 00 (PDF)
- Choice 6800 Silver 00 (PDF)
- Choice 9100 Bronze 00 (PDF)
SHOP-qualified plans
- Choice 750 Gold 01 (PDF)
- Choice 1500 Gold 01 (PDF)
- Choice 2500 Gold 01 (PDF)
- Choice 4000 Silver 01 (PDF)
- Choice 6000 Silver 01 (PDF)
- Choice 6800 Silver 01 (PDF)
- Choice 9100 Bronze 01 (PDF)
2023 Choice plans – Spanish versions
Plans sold direct
- Choice 750 Gold 00 (PDF)
- Choice 1500 Gold 00 (PDF)
- Choice 2500 Gold 00 (PDF)
- Choice 4000 Silver 00 (PDF)
- Choice 6000 Silver 00 (PDF)
- Choice 6800 Silver 00 (PDF)
- Choice 9100 Bronze 00 (PDF)
SHOP-qualified plans
- Choice 750 Gold 01 (PDF)
- Choice 1500 Gold 01 (PDF)
- Choice 2500 Gold 01 (PDF)
- Choice 4000 Silver 01 (PDF)
- Choice 6000 Silver 01 (PDF)
- Choice 6800 Silver 01 (PDF)
- Choice 9100 Bronze 01 (PDF)