Health Plans

Providence Health Plans

Providence Health Plans in Oregon

Buying a health plan is a big decision. It's about much more than simply selecting a plan that covers your care when you're sick. It's about choosing a partner you trust to stand by you and support your well-being through every step of life – at least, that's the way we see it. To us, good health isn't just a destination – it's a journey, and wherever you are on that journey, we'll be right there with you.

Why Choose Providence?

Quality

Ask around – people like Providence. According to a recent survey, folks in the Portland area rate Providence Health Plan number one in customer satisfaction. They also say that we're the plan they'd be most likely to recommend to others.

Commitment

No matter what the years bring, we'll stick with you. Insurance companies come and go, but Providence has been serving Oregon and southwest Washington for more than 150 years. We're in it for the long haul, and we'll be here for you – always. And, as a not-for-profit organization, we live and breathe our charitable Mission to care for the well-being of the people who live alongside us in our communities and to reach out to those in need.

Collaboration

Here's something you don't find in a lot of insurance companies: health plans, hospitals, clinics and providers who are all in it together to make life easier – and better – for you. We're consistently rated among the top 10 most integrated health systems in the country.

Choice

Want care in your neighborhood or nationwide? It's up to you. Our new plans offer you a variety of options to fit your lifestyle, from connected care in your neighborhood to a nationwide network of nearly one-million health care providers you can choose from, whether the Providence name is on the door or not.

 

10 Essential Benefits

Healthcare reform says all health plans must include ten essential benefits. The basic benefits include:

  1. Outpatient Care - the kind you get without being admitted to a hospital
  2. Emergency Services - for issues that could lead to death or disable you if you do not treat them.
  3. Inpatient Care - covers room and board, tests, drugs, and care from doctors and nurses while admitted, which may include organ and tissue transplants, and hospice and respite care.
  4. Maternity and Newborn Care - care before and after your baby is born
  5. Mental Health and Substance Use Disorder Services - this includes behavioral health treatment, counseling, and psychotherapy.
  6. Prescription Drugs - covers retail, mail order, and specialty drugs.
  7. Rehabilitative and Habilitative Services - services and devices to help you recover if you are injured, or have a disability or chronic condition. This includes physical and occupational therapy, speech-language pathology, psychiatric rehabilitation, and more.
  8. Laboratory Services - covers lab tests, X-ray services, and pathology, and imaging and diagnostics such as MRI, CT scan, and PET scan.
  9. Preventive and Wellness Services - including mammograms, colonoscopies, vaccines. Covered in full if you use in-network providers for care such as routine physicals, screening, and immunizations. Disease management coordinates care for diabetes, asthma, and other conditions.
  10. Pediatric Services - including dental care (preventive, basic, major) and vision care (eye exam, lenses, and eyewear).