Oregon Health Insurance Quotes & Comparisons
quote Oregon Health InsurancequoteQuote Dental Insurancequotecontact us
Oregon Health Insurance
Call 800.884.2343 or
541.434.9613
FAX - 541.284.2994
Oregon Medical Insurance > LifeWise Health Plan of Oregon >

LifeWise Health Plans of Oregon

LifeWise Individual and Family Plans

Whether your clients choose the value-packed Essentials plan, the comprehensive Prime plan or the tax-advantaged HSA-Qualified plan they'll get benefits and healthcare coverage that fit their lifestyle.

Preventive Services in our plans:
  • Well-baby and newborn exams
  • Routine physicals (for school, sports, work)
  • Women's and men's annual exams
  • Preventive immunizations (includes HPV vaccine)
  • Cervical (PAP), prostate (PSA), and colorectal* cancer screenings
  • Infectious disease screenings
  • Metabolic, nutrition and endocrine screenings
  • Heart and vascular disease screenings
  • Musculoskeletal disorder screenings
 Other Important features:
  • Prescription drug benefits
  • Alternative Care benefits (Chiropractic and Acupuncture)
  • Mammography coverage
  • Professional office visits coverage (including Urgent Care and Naturopathy)

*In-Network Benefits are illustrated below.

Essentials
Essentials
Prime
HSA-Qualified
HSA-Qualified
LifeWise Health Plans
Effective starting 9/1/10		 Plan Summary
Plan Rates
Features A good option when you’re looking for a low rate and more up front coverage for routine care needs. This plan provides up front coverage for your first three office visits. A good option when you’re looking for a low rate and more up front coverage for routine care needs. This plan provides up front coverage for your first three office visits. A benefit-rich plan that includes coverage for generic and brand name prescriptions. A nice option if you’re looking to cover all your bases. • Tax-advantaged savings plan
• Lower monthly rates		 • Tax-advantaged savings plan
• Lower monthly rates
Individual Deductible $1,000 / $2,500 / $5,000 $7,500 / $10,000 $1,500 / $2,500 / $5,000 $3,000 individual
$6,000 family** 		$5,950 individual
$11900 family**
Coinsurance
(what you pay) 		35% 40% 30% 25% 0%
Coinsurance Maximum $7,500 $7,500 $6,000 $2,950 Individual $5,900 Family $0
Out-of-Pocket Maximum
 Annual deductible +
coinsurance maximum
 Annual deductible +
coinsurance maximum		 Annual deductible +
coinsurance maximum		 Annual deductible +
coinsurance maximum		 Annual deductible +
coinsurance maximum
Office Visits and
Preventive Exams 		$35 on first 3 visits PCY; additional visits subject to deductible, then 35%. Office visits, preventive exams and naturopathy are shared $40 on first 3 visits PCY; additional visits subject to deductible,then 40%. Office visits, preventive exams and naturopathy are shared $30 copay on first 4 visits PCY; additional visits subject to deductible, then 30%. Office visits, preventive exams and naturopathy are shared Preventive Exams: Dedcutible waived, you pay 25%
Office Visits: Deductible applies first, then you pay 25%		 Preventive Exams: Dedcutible waived, then covered in full (to allowable amounts)
Office Visits: Deductible, then covered in full
Alternative Care
 $35 copay (Chiro/Acupuncture - 12 visit limit); $35 on first 3 visits PCY; additional visits subject to deductible, then 35%. Office visits, preventive exams and naturopathy are shared $40 copay (Chiro/Acupuncture - 12 visit limit); $40 on first 3 visits PCY; additional visits subject to deductible, then 40%. Office visits, preventive exams and naturopathy are shared $30 copay on first 4 visits PCY; additional visits subject to deductible, then 30%. Office visits, preventive exams and naturopathy are shared Deductible, then 25% Deductible, then covered in full
Pharmacy
(Retail 30-day supply) 		$20 generic only $20 generic only $20 generic; 50% brand Deductible, then 25% ($5,000 PCY limit) Deductible, then covered in full ($5,000 PCY limit)
Pharmacy
(Mail Order 90-day supply) 		$60 generic only $60 generic only $60 generic; 50% brand Deductible, then 25% ($5,000 PCY limit) Deductible, then covered in full ($5,000 PCY limit)
Maternity Prenatal & Postnatal Care: Deductible, then 35% - Routine Delivery: Deductible, then 50% Prenatal & Postnatal Care: Deductible, then 40% - Routine Delivery: Deductible, then 50% Deductible, then 30% Deductible, then 25% Deductible, then covered in full
Vision Care $35 copay (1 exam PCY) $35 copay (1 exam PCY) $30 copay (1 exam PCY) Deductible, then 25% Deductible, then covered in full
* Reimbursable expenses are covered at 100% of maximum allowable amounts; no deductible applies.
** Services for all family members covered under the same HSA-qualified plan are applied to the family deductible. The family deductible must be met before services are covered for any enrolled family members.

 

 
CDA Privacy Policy | Copyright © 2003 - 2012 CDA Insurance LLC