(503) 372-5621 Beaverton, OR

Health Plan-Providence

Moda Select 2016 PlansCompared
COMPANY
Moda
Moda
Moda
Moda
Moda
Moda
Plan
BeProtected
BePrepared
StandardSilver
Be SupportedCCN
Standard
Bronze
BeLively
MetalTier
Gold
Silver
Silver
Silver
Bronze
(HASEligible)
Bronze
Deductible
$1,000
$1,550
$2,500
$2,500
$5,000
$5,500
Co-insurance
15%
30%
30%
35%
0%
40%
Maximum Out ofPocket (InNetwork)
$5,500
$6,850
$6,850
$6,500
$6,350
$6,850
PCP/Spec.copay
$15/$15
$30/$30
$35/$70
$30/$60
ded
$80
Urgent Carevisit
$15
$30
$90
$30
ded
$100
 
AlternativeCare
 
$15/$1000max
 
$30 visit/$1000max
 
na
 
na
 
na
 
40%
PrescriptionDrug
$2/$10/40%/50%
$2/$20/40%/50%
$15/$15/$50/50%
$2/$10/40%/50%
ded
$2/$10/ded/ded
Mental Healthvisit
$15
$30
$35
$30
ded
$80
Network
Beacon
Beacon
Beacon
CCN
Beacon
RoseCity
Non-Smoker, area 1rates
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
20 &Under
$183
$161
$152
$143
$125
$113
21
$289
$254
$240
$226
$197
$178
22
$289
$254
$240
$226
$197
$178
23
$289
$254
$240
$226
$197
$178
24
$289
$254
$240
$226
$197
$178
25
$290
$255
$241
$227
$198
$179
26
$296
$260
$246
$231
$201
$183
27
$302
$266
$251
$237
$206
$187
28
$314
$276
$261
$245
$214
$194
29
$323
$284
$269
$253
$220
$200
30
$328
$288
$272
$256
$223
$202
31
$334
$294
$278
$262
$228
$207

32
$341
$300
$284
$267
$223
$211
33
$346
$304
$287
$270
$236
$214
34
$350
$308
$291
$274
$239
$217
35
$353
$310
$293
$276
$240
$218
36
$355
$312
$295
$278
$242
$219
37
$357
$314
$297
$279
$244
$221
38
$360
$316
$299
$281
$245
$222
39
$364
$320
$303
$285
$248
$225
40
$369
$324
$307
$288
$251
$228
41
$376
$330
$312
$294
$256
$232
42
$382
$336
$318
$299
$261
$236
43
$392
$344
$326
$306
$267
$242
44
$403
$354
$335
$315
$275
$249
45
$417
$366
$347
$326
$284
$258
46
$433
$380
$360
$339
$295
$268
47
$451
$396
$375
$353
$308
$279
48
$472
$415
$392
$369
$322
$292
49
$492
$433
$409
$385
$336
$304
50
$515
$453
$429
$403
$351
$319
51
$538
$473
$448
$421
$367
$333
52
$563
$495
$468
$441
$384
$348
53
$589
$517
$490
$460
$401
$364
54
$616
$542
$512
$482
$420
$381
55
$644
$566
$535
$503
$439
$398
56
$673
$592
$560
$527
$459
$416
57
$703
$618
$585
$550
$480
$435
58
$735
$646
$611
$575
$501
$454
59
$751
$660
$625
$588
$512
$464
60
$783
$688
$651
$613
$534
$484
61
$811
$713
$674
$634
$553
$501
62
$829
$729
$689
$648
$565
$512
63
$852
$749
$708
$666
$581
$527
64
$866
$761
$720
$677
$590
$534

 
 
We shop your insurance for you!