Phpcws.providence.org

Providence Health Plan Benefits

WebProvidence Health Plan Benefits. View options for your specific health plan benefits by clicking the View Benefits button. Your benefit package is in PDF document format.

Actived: 9 days ago

URL: https://phpcws.providence.org/members/members/displaybenefitsummaryhistory.aspx

Your Benefit Summary

WebUsing your prescription drug formulary The Providence formulary is a list of FDA-approved prescription brand-name and generic drugs developed by physicians and pharmacists. It …

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Your Benefit Summary

WebYour Benefit Summary. Your Benefit Summary. Providence Health & Services 2019 OR EPO Medical Plan. Copay What You Pay In Network Calendar Year In-Network …

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Your Benefit Summary

WebIf you use a non-participating pharmacy Urgent or emergency medical situations may require that you use a non-participating pharmacy. If this occurs, you will need to pay full price …

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Your Dental Summary

WebSee your dental handbook for details. • Predetermination of Benefits for a proposed course of treatment is strongly recommended. • For customer service, including dental claims …

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In-Network Out-of-Network

WebPGC -OR 0120 SG DENTAL Oregon - Small Group DEN 034A In-Network Your Dental Summary Preventive Dental Calendar Year Deductible (per Notperson) Applicable

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Your Benefit Summary

WebYour Benefit Summary Vision $300 Plan Benefits Your Providence Health Plan vision benefit provides coverage as follows: Adults: up to $300 per two calendar year period …

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Your Benefit Summary

WebYour Benefit Summary. Below is the amount you pay after you have met your calendar year Deductible. Deductible does not apply. In-Network. Out-of-Network. Emergency Care …

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Your Dental Benefit Summary

WebPGC-OR 0117 LG DENT+O Oregon– Large Group DEN-011A Advantage Access 1500+O Adult 50% up to $1,500 50% up to $1,500 Children 50% up to $1,500 50% up to $1,500

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Your Benefit Summary

WebYour Benefit Summary Chiropractic Manipulation, Acupuncture and Massage Therapy Plus Copay Maximum Calendar Year Benefit $15 $1,000 per member Important information …

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Vision Care Summary of Benefits

WebYour Providence Health Plan vision benefit provides coverage as follows: • Adults: up to $200 per two calendar year period Children under 18: up to $200 per calendar year. You …

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Prescription Drug Plan

WebDrugs or medications delivered, injected or administered for you by a physician, other provider or another trained person. Drugs prescribed by naturopathic physicians (N.D.). …

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Your Benefit Summary

WebYour Benefit Summary. Balance 2500 Silver. Providence Signature Network In-Network Out-of-Network. Individual Calendar Year Deductible (family amount is 2 times individual) …

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Your Benefit Summary

WebConnect Benefit Highlights (continued) In-Network Copay or Coinsurance Out-of-Network Copay or Coinsurance Diagnostic Services X-ray, lab services, and testing services …

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Your Benefit Summary

Web20%. Emergency medical transportation (air and/or ground) (Emergency transportation is covered under your In-Network benefit, regardless of whether or not the provider is an In …

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Option Advantage

WebOption Advantage Benefit HighlightsIn-Network Copay or (continued) Coinsurance Out-of-Network Copay or Coinsurance Hospital Services Inpatient/Observation care20% 40% …

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HSA Qualified Plan

WebHSA Qualified Plan Benefit Highlights (continued) In-Network Coinsurance Out-of-Network Coinsurance Diagnostic Services X-ray, lab services, and testing services (includes …

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IMPORTANT NOTICE OF CHANGES TO YOUR BENEFITS

WebYou can also call Customer Service to get information about a provider’s participation with Providence Health Plan and your benefits. If you have any questions about this notice, …

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