Call 800.884.2343 or
541.434.9613
FAX - 541.284.2994
Apply Online Now - Electronic Application
Index | Exclusions | Provider Directory | Application
Plan Benefits:
Optimum Benefits | Value Benefits | Prime Benefits | HSA Benefits
Plan Rates:
Optimum Rates | Value Rates | Prime Rates | HSA Rates
Oregon Health Insurance Plans
LifeWise Health Plans of Oregon
Regence BC BS of OR
Moda Health
PacificSource
Providence Health Plans
HealthNet of Oregon
Kaiser Permanente
Oregon Medical Insurance Pool
Medicare Supplement Plans
- Medicare 101
- Medicare Plans Overview
- Medicare Information Request
- Medicare Supplements
- Medicare Part D
- Aetna
- Columbian Mutual
- Gerber Life
- HealthNet
- Humana
- Lifewise
- Medico Insurance Company
- ODS Senior Select
- Regence
- Sentinel Life
- Sterling
- Stonebridge Life
- United of Omaha
- UCT
- UnitedHealthcare
- Woodmen
Medicare Advantage Plans
- Medicare Advantage Overview
- Medicare Information Request
- Atrio Health Plans
- HealthNet
- ODS
- ODS Legacy Health
- ODS Salem Health
- PacificSource
- Providence
- Regence
- Trillium
- UnitedHealthcare
Other Insurance
Providence Optimum Plan |
| Effective Date: 11/01/2012 |
| Expiration Date: 10/31/2013 |
| Available in: 97324, 97330, 97331, 97333, 97339, 97370, 97456, 97004, 97009, 97011, 97013, 97015, 97017, 97022, 97023, 97027, 97028, 97034, 97035, 97036, 97038, 97042, 97045, 97049, 97055, 97067, 97068, 97070, 97086, 97089, 97222, 97267, 97268, 97269, 97102, 97103, 97110, 97121, 97138, 97145, 97146, 97016, 97018, 97048, 97051, 97053, 97054, 97056, 97064, 97751, 97752, 97753, 97754, 97701, 97702, 97707, 97708, 97709, 97712, 97739, 97756, 97759, 97410, 97416, 97417, 97429, 97432, 97435, 97436, 97441, 97442, 97443, 97447, 97457, 97462, 97467, 97469, 97470, 97471, 97473, 97479, 97481, 97484, 97486, 97494, 97495, 97496, 97499, 97812, 97823, 97861, 97817, 97820, 97825, 97845, 97848, 97856, 97864, 97865, 97869, 97873, 97710, 97720, 97721, 97722, 97732, 97736, 97738, 97758, 97904, 97031, 97041, 97044, 97501, 97502, 97503, 97504, 97520, 97522, 97524, 97525, 97530, 97535, 97536, 97537, 97539, 97540, 97541, 97711, 97730, 97734, 97741, 97760, 97761, 97497, 97523, 97526, 97527, 97528, 97531, 97532, 97533, 97534, 97538, 97543, 97544, 97321, 97322, 97327, 97329, 97335, 97336, 97345, 97348, 97355, 97358, 97360, 97374, 97377, 97386, 97389, 97446, 97002, 97020, 97026, 97032, 97071, 97137, 97301, 97302, 97303, 97305, 97306, 97307, 97308, 97309, 97310, 97311, 97312, 97314, 97317, 97325, 97342, 97346, 97350, 97352, 97362, 97373, 97375, 97381, 97383, 97384, 97385, 97392, 97010, 97014, 97019, 97024, 97030, 97060, 97080, 97201, 97202, 97203, 97204, 97205, 97206, 97207, 97208, 97209, 97210, 97211, 97212, 97213, 97214, 97215, 97216, 97217, 97218, 97219, 97220, 97221, 97227, 97228, 97230, 97231, 97232, 97233, 97236, 97238, 97239, 97240, 97242, 97256, 97258, 97266, 97280, 97282, 97283, 97286, 97290, 97292, 97293, 97294, 97296, 97304, 97338, 97344, 97347, 97351, 97361, 97371, 97029, 97033, 97039, 97050, 97065, 97107, 97108, 97112, 97118, 97122, 97130, 97131, 97134, 97135, 97136, 97141, 97143, 97147, 97149, 97001, 97021, 97037, 97040, 97057, 97058, 97063, 97005, 97006, 97007, 97008, 97062, 97075, 97076, 97077, 97106, 97109, 97113, 97116, 97117, 97119, 97123, 97124, 97125, 97133, 97140, 97144, 97223, 97224, 97225, 97229, 97281, 97291, 97298, 97750, 97830, 97874, 97101, 97111, 97114, 97115, 97127, 97128, 97132, 97148, 97378, 97396, 97401, 97402, 97403, 97404, 97405, 97408, 97409, 97412, 97413, 97419, 97424, 97426, 97431, 97434, 97437, 97438, 97440, 97451, 97452, 97454, 97455, 97461, 97463, 97477, 97478, 97487, 97488, 97489, 97490, 97492, 97733, 97737, 97427, 97482, 97472, 97425 | |||||||||
| Deductible: $1,000 | |||||||||
| Age | Applicant Alone | Applicant and Spouse | Applicant and Child | Applicant and Family | |||||
| 1-17 | $143.00 | — | — | — | |||||
| 18-20 | $187.00 | $374.00 | $280.00 | $524.00 | |||||
| 21-24 | $224.00 | $448.00 | $337.00 | $628.00 | |||||
| 25-29 | $242.00 | $484.00 | $363.00 | $713.00 | |||||
| 30-34 | $275.00 | $550.00 | $413.00 | $825.00 | |||||
| 35-39 | $294.00 | $589.00 | $442.00 | $868.00 | |||||
| 40-44 | $376.00 | $750.00 | $563.00 | $1,088.00 | |||||
| 45-49 | $442.00 | $886.00 | $665.00 | $1,106.00 | |||||
| 50-54 | $515.00 | $1,028.00 | $771.00 | $1,183.00 | |||||
| 55-59 | $619.00 | $1,238.00 | $929.00 | $1,423.00 | |||||
| 60-64 | $710.00 | $1,419.00 | $1,065.00 | $1,560.00 | |||||
| Deductible: $2,500 | |||||||||
| Age | Applicant Alone | Applicant and Spouse | Applicant and Child | Applicant and Family | |||||
| 1-17 | $123.00 | — | — | — | |||||
| 18-20 | $159.00 | $321.00 | $240.00 | $449.00 | |||||
| 21-24 | $192.00 | $385.00 | $288.00 | $537.00 | |||||
| 25-29 | $207.00 | $414.00 | $311.00 | $611.00 | |||||
| 30-34 | $235.00 | $470.00 | $354.00 | $707.00 | |||||
| 35-39 | $252.00 | $503.00 | $379.00 | $743.00 | |||||
| 40-44 | $322.00 | $642.00 | $483.00 | $932.00 | |||||
| 45-49 | $380.00 | $758.00 | $569.00 | $947.00 | |||||
| 50-54 | $441.00 | $881.00 | $661.00 | $1,012.00 | |||||
| 55-59 | $530.00 | $1,060.00 | $795.00 | $1,218.00 | |||||
| 60-64 | $607.00 | $1,215.00 | $912.00 | $1,336.00 | |||||
| Deductible: $5,000 | |||||||||
| Age | Applicant Alone | Applicant and Spouse | Applicant and Child | Applicant and Family | |||||
| 1-17 | $108.00 | — | — | — | |||||
| 18-20 | $141.00 | $282.00 | $211.00 | $395.00 | |||||
| 21-24 | $169.00 | $338.00 | $253.00 | $472.00 | |||||
| 25-29 | $183.00 | $365.00 | $274.00 | $537.00 | |||||
| 30-34 | $208.00 | $414.00 | $310.00 | $621.00 | |||||
| 35-39 | $221.00 | $444.00 | $333.00 | $654.00 | |||||
| 40-44 | $283.00 | $566.00 | $424.00 | $820.00 | |||||
| 45-49 | $333.00 | $667.00 | $501.00 | $833.00 | |||||
| 50-54 | $388.00 | $775.00 | $581.00 | $891.00 | |||||
| 55-59 | $466.00 | $932.00 | $699.00 | $1,071.00 | |||||
| 60-64 | $534.00 | $1,069.00 | $802.00 | $1,175.00 | |||||
| Deductible: $10,000 | |||||||||
| Age | Applicant Alone | Applicant and Spouse | Applicant and Child | Applicant and Family | |||||
| 1-17 | $89.00 | — | — | — | |||||
| 18-20 | $116.00 | $231.00 | $174.00 | $324.00 | |||||
| 21-24 | $139.00 | $278.00 | $208.00 | $388.00 | |||||
| 25-29 | $151.00 | $299.00 | $224.00 | $442.00 | |||||
| 30-34 | $170.00 | $339.00 | $254.00 | $511.00 | |||||
| 35-39 | $182.00 | $365.00 | $273.00 | $537.00 | |||||
| 40-44 | $232.00 | $466.00 | $348.00 | $674.00 | |||||
| 45-49 | $275.00 | $549.00 | $411.00 | $684.00 | |||||
| 50-54 | $319.00 | $636.00 | $478.00 | $731.00 | |||||
| 55-59 | $383.00 | $765.00 | $574.00 | $881.00 | |||||
| 60-64 | $438.00 | $879.00 | $659.00 | $965.00 | |||||