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.
2025 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)
2025 Total Enhanced plans – Spanish
- 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 - 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
- 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.
2025 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)
2025 Balance plans – Spanish
- 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 - 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
- Balance 750 Gold (PDF)
- Balance 1500 Gold (PDF)
- Balance 2500 Gold (PDF)
- Balance 4000 Silver (PDF)
- Balance 6000 Silver (PDF)
- Balance 8000 Bronze (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.
2025 HSA Qualified plans - All plans are SHOP-qualified (all plans available direct and via the marketplace)
- HSA Qualified 1650 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)
2025 HSA Qualified plans – Spanish
- HSA Qualified 1650 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 - 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
- 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)
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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.
2025 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 9200 Bronze (PDF)
2025 Connect plans – Spanish
- 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 9200 Bronze (PDF)
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
- 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)
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Standard plans
Defined by the state of Oregon, Standard plans can be purchased through SHOP or in the private market.
2025 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)
2025 Standard plans – Spanish
- Providence Oregon Standard Gold (PDF)
- Providence Oregon Standard Silver (PDF)
- Providence Oregon Standard Bronze (PDF)
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
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Choice plans
Choice plans use a patient-centered medical home model of care to keep your employees healthy.
2025 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 9200 Bronze (PDF)
2025 Choice plans – Spanish
- 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 9200 Bronze (PDF)
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
- 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)