Plans designed to work as hard as you
In a small business, every role has a significant impact. Our Small Group Plans prioritize convenience with virtual care and tailored coverage, keeping your team healthier, happier, and at their best.
(for 1-50 members)
Healthcare that builds loyalty and commitment
Offering health insurance coverage demonstrates your commitment to your employees.
Built for the busy
From 24-hour care advice lines staffed by registered nurses to convenient virtual options, Providence Health Plan coverage connects your employees people to care in a multitude of ways.
A proactive approach
Providence Health Plan offers extra support through Care Management and Alternative Care options to help keep members well.
Mental health matters
We remove barriers to care with self-directed therapy apps and a single number to reach our Behavioral Health Concierge, connecting members to a therapist within 7 days.
Comprehensive care and coverage
Small organizations come in many shapes and sizes. That's why we offer several plan styles and options so you can find a plan that helps you protect your most valuable asset – your employees.
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Total Enhanced
Our richest small group offering with common deductibles, annual vision benefit and plans that include platinum level of coverage.
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Balance
Robust coverage with premium savings over Total Enhanced. Our most popular offering stateside.
Compare optionsHigh-value plans that use a patient-centered model of care
Great care is closer than you think. Providence Health Plan narrow network plans offer strong benefits at an attractive price, connecting your employees with a team of local primary care and specialists who collaborate for better health outcomes.
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Connect
A Portland Metro medical home plan with our most competitive premium savings – an excellent base plan offering with no referrals required.
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Choice
Significant premium savings over our traditional small group plans with medical homes in most of Oregon.
Compare optionsQuality care focused only on what you need
Designed to make the most of your healthcare budget, these options find a way for you to offer quality healthcare, making care for your employees achievable.
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HSA Qualified
Embedded and aggregated deductible options with the deductible waived for diabetic supplies and an expansive preventive drug list (Core).
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Standard
This more affordable plan offers limited benefits following standards set by the state of Oregon.
Compare optionsExplore options to design your plan to the unique needs of your workforce
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HSAs, HRAs, FSAs
Lower health care costs, support choice and flexibility and provide tax advantages to employees with health savings accounts (HSA), health reimbursement arrangements (HRA), and flexible spending accounts (FSA) paired with a Providence medical plan.
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Multiple plan offering
Offer multiple plans
Give your employees more flexibility by offering up to three health plans with a defined contribution option.
Advantages for the employer include:
- Eliminating the burden of having to choose one plan that satisfies all employees
- Greater employee satisfaction with benefit choices
Advantages for the employee include:
- Greater control, involvement, and choice in benefit selection
- The ability to stretch benefit dollars by choosing lower-priced options
- Greater satisfaction with coverage that they’ve chosen to best meet their needs
The plans you choose must meet a few guidelines:
- Groups with one to four enrolled subscribers can offer up to two plans
- Groups with five or more enrolled subscribers can offer up to three plans
- The employer contribution must be at least 50% of the employee-only rate for the lowest-cost plan
Here's an example:
ABC Company has defined a benefit-eligible employee as someone who works 40+ hours per week. This group has nine employees, six of whom are eligible for benefits, so the group may choose up to three plans.
Plans chosen:
- Plan A = $560 monthly premium
- Plan B = $330 monthly premium
- Plan C = $220 monthly premium
Employer contribution:
This amount is up to the employer, but it must be a minimum of $110 (50% of the lowest premium) in this example.
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Small business tax credit
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Dental offerings
Dental health is a key component to whole body health. Providence Health Plan dental plans provide comprehensive tools for keeping members smiling bright.
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Summary of Benefits and Coverage
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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Workers' compensation
A requirement for almost all employers, protect your business and support your employees when accidents occur on the job.
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Explore benefits designed to support busy lives
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Care management
#1 in the region for managing the top 5 chronic conditions (diabetes, hypertension, cancer, stroke, COPD), Providence Health Plan's Care Management service improves individual health outcomes by considering the holistic needs of each member.
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In person / virtual care
From 24-hour care advice lines to convenient virtual options to in-person care from a vast network of highly rated providers, Providence Health Plan coverage connects your people with care whenever and however they need it.
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Behavioral health
At Providence, we value whole-self care for all members. That’s why we’ve enhanced our focus on behavioral health and substance use disorder services. To help simplify the way you access whole-self care, we’ve established a direct access line to a dedicated behavioral health and substance use disorder service support team that includes a crisis-trained staff. This team is available 24/7 for members.
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Employee Assistance Program (EAP)
All small group medical plans have an embedded EAP benefit that helps employees constructively deal with issues affecting work or family life through counseling and referrals to community service.
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Our plans include perks to help your employees live more full and balanced lives
Association Health Plans
Have you considered Association Health plans?
Access group coverage through your association.
Flexible plans tailored for small employers
Potential tax advantages and cost savings
Simplify administration and streamline budgeting
See if an Association Health Plan is right for your business.
Explore Association Health plansContact us
Questions? We're here.
Sometimes connecting with a real person is the shortest path to a solution. Our team is here for you, ready to help with any questions.
Contact usResources
Everything you need to manage your plan.
Your one-stop resource for plan information, benefits management, employee enrollment, and online invoice payments. Access all the tools you need in one place.
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