2018 Oregon Large Group Plans

The information on this page is for large group plans beginning January 1, 2018.  

Medical Plans

Deductible and out-of-pocket limit amounts shown below are the costs for individuals. Amounts for families are twice the individual amounts. If members receive services from out-of-network providers, their deductible and out-of-pocket limit will be higher than the amounts listed in the table below. 

Medical handbook samples: 


Plan

Deductible

Out-of-pocket limit

Office visits 
Services performed during
an office visit may be
billed separately.

Co-insurance

SBCs
by Network
Summaries
by Network
500+20_20
$500
$3,500
$20 co-pay
After deductible, 20%
750+20_20
$750
$4,500
$20 co-pay
After deductible, 20%
1000+20_20
$1,000
$5,000 
$20 co-pay
After deductible, 20%
1500+20_20
$1,500 
$5,500 
$20 co-pay
After deductible, 20%
1500+30_30
$1,500 
$5,500 
$30 co-pay
After deductible, 30%
2000+20_20
$2,000
$6,000 
$20 co-pay
After deductible, 20%
2000+30_30
$2,000
$6,000
$30 co-pay 
After deductible, 30%
2500+20_20 
$2,500
$6,000
$20 co-pay
After deductible, 20%
2500+30_30 
$2,500
$6,000
$30 co-pay
After deductible, 30%
3000+20_20
$3,000
$6,000
$20 co-pay
After deductible, 20%
3000+30_30
$3,000
$6,000 
$30 co-pay 
After deductible, 30%
3500+30_30
$3,500
$6,000 
$30 co-pay
After deductible, 30%
4000+30_30
$4,000
$6,000
$30 co-pay
After deductible, 30%
5000+30_30
$5,000
$6,850
$30 co-pay
After deductible, 30%
HSA 1500_20+Rx
Non-embedded
$1,500
$4,500
After deductible, 20%
After deductible, 20%
HSA 3000_50+Rx 
$3,000
$6,350
After deductible, 50%
After deductible, 50%
HSA 3000+Rx
$3,000
$3,000 
After deductible, covered in full
After deductible, covered in full
HSA 4000+Rx
$4,000
$4,000
After deductible, covered in full
After deductible, covered in full
HSA 5000+Rx
$5,000
$5,000 
After deductible, covered in full
After deductible, covered in full

 

Dental Plans

Dental handbook samples:


Dental Advantage Essentials
Dental Advantage Essentials Plus
Dental Advantage Plus 0-20-50 1000
Dental Advantage Plus 0-20-50 1500
Dental Advantage Plus 0-20-50 50-1000
Dental Advantage Plus 0-20-50 50-1500
Dental Advantage Plus 20-20-50 50-1000
 
Dental Advantage Plus 20-20-50 50-1500
 
Kids Dental Advantage 0-20-50
Orthodontia 1000

Voluntary Dental Option Plans

Our Voluntary Dental option is available to businesses with ten or more enrolled employees. 

Dental Advantage 0-20-50 1000
Dental Advantage 0-20-50 1500
 

 

Pharmacy Plans


 
 

 

Chiropractic Manipulation and Acupuncture

 500 1500 2000 2500

 

Vision Plans

 Vision 10-150
 Vision 10-300

 

Brochures and Forms


Brochures:

Quote Request and Application Forms:

Visit our Oregon Forms and Materials page for more sales materials.

 

Network Availability (Medical)


Network availability varies depending on geographic location. 

PacificSource Network (PSN)

 

Availability: All Oregon businesses can choose health plans on the PacificSource Network, regardless of location.

Notable features: The PacificSource Network (PSN) includes the broadest access to in-network providers and facilities, such as hospitals and urgent care centers. Plans on the PacificSource Network will typically cost more because members will have more providers to choose from.

 

SmartChoice Network

 

Availability: Businesses located in the following counties can choose plans on the SmartChoice Network: 

  • Benton
  • Coos
  • Crook
  • Curry
  • Deschutes
 
  • Douglas
  • Jackson
  • Jefferson
  • Josephine
  • Lane
 
  • Linn
  • Marion
  • Polk
 

Notable features: The SmartChoice Network is designed to give members a coordinated-care experience through select provider groups and facilities. This level of provider collaboration means great care for members at a lower cost.

 

Legacy Health Network

 

Availability: Businesses located in the following counties can choose plans on the Legacy Health Network:

  • Clackamas
  • Multnomah
  • Washington

Notable features: The Legacy Health Network is designed to give members a coordinated-care experience through select provider groups and facilities. This level of provider collaboration means great care for members at a lower cost.