Healthcare Cost Assistance for

Approved Plans

Get healthy, get covered.

Benefit Summary

Carewell SEIU 503 Healthcare Cost Assistance helps eligible workers in approved health insurance Marketplace plans pay:

  • The net cost of your monthly premium (see FAQ for definition).
  • Out-of-pocket costs like deductibles, copayments, coinsurance, and prescription costs for services covered by your approved individual plan. Up to $6,900 of out-of-pocket expenses are covered in 2023.

This benefit applies only if you are enrolled in an approved Marketplace plan (see approved plans for 2023.)

However, if 

    1. you become eligible for Carewell SEIU 503 benefits (like Dental, Vision and Hearing, and Employee Assistance Program) after the end of the last Open Enrollment period, and 
    2. you are enrolled in a non-approved plan through a health insurance Marketplace,  

you may receive temporary Healthcare Cost Assistance to help with the costs of your premiums and out-of-pocket expenses for your current medical insurance plan. More information can be found in this FAQ. 

Healthcare Cost Assistance is only available to eligible homecare and personal support workers, not to family members. If your family is included in your health insurance policy, Healthcare Cost Assistance will only cover the portion of the monthly premium that applies to your individual coverage. More information can be found in the Use this Benefit section below. 

If you are eligible for Healthcare Cost Assistance, you will receive a Benefit Convenience Card (a Mastercard debit card) to pay for your monthly premium and covered out-of-pocket expenses. The card will come from Ameriflex (the Benefits Convenience Administrator). For more information about the Benefit Convenience Card and how to use it, click here.  

Important Things to Know
  • This benefit pays for the net monthly premium for qualifying individual plans purchased through the Marketplace. It also covers up to $6,900 in 2023 in out-of-pocket medical expenses for claims covered by your approved individual plan. Carewell SEIU 503 Healthcare Cost Assistance benefits are not employer-sponsored or group health insurance coverage.
  • When you enroll, the Health Insurance Marketplace will offer you several plans to choose from. You can choose any plan you wish, but in order to receive Healthcare Cost Assistance benefits, you must enroll in the approved plan for your area.
  • Ameriflex will mail you a Benefit Convenience Card that you can use to pay your monthly premiums. You can also use it to pay your eligible copays, coinsurance, and prescriptions.

Check Your Eligibility

This information is for people who are eligible and need to sign up for an approved plan on a Health Insurance Marketplace.

To see if you qualify, please complete this eligibility questionnaire.

A Carewell eligibility questionnaire on a mobile phone screen

Enrollment

Open Enrollment

If you are enrolling in a Marketplace plan for the first time, you will most likely need to wait until Open Enrollment to enroll. Open Enrollment is generally between November 1 and December 15 every year for coverage starting the following January 1. There are some special circumstances that may allow you to enroll outside of this period; see the FAQs for more information. 

Special Enrollment Period (SEP)

Outside Open Enrollment, there are limited exceptions that may allow you to enroll during a Special Enrollment Period. For example, if you lost your insurance coverage from a spouse’s plan or another employer, or you lost Medicaid coverage, you may be eligible to enroll outside Open Enrollment. Special Enrollment Periods only last 60 days from the date of the qualifying event (like termination of coverage), so if you believe you may be eligible for a SEP, call 1-844-503-7348 right away. See FAQ for more information on Special Enrollment Periods.

Starting in April 2023, the Oregon Health Authority (OHA) began redeterminations of eligibility for the Oregon Health Plan (OHP). Redetermination is when OHA reviews your information to figure out if you still qualify for the Oregon Health Plan (OHP).  

If you are on OHP, Apple Health (in Washington), or another Medicaid plan, you might receive a letter letting you know that your medical benefits are ending. If you have questions about this letter, the fastest and best way to get help is to call the phone number in the letter. 

However, there are several ways you can update your contact information, including:

    • Online at: benefits.oregon.gov or oregon.gov/or-benefit-changes.
    • Via your coordinated care organization (CCO). Members can find their CCO contact information by visiting: CCO Plans.
    • By mail at: ONE Customer Service Center, PO Box 14015, Salem, OR 97309.
    • By phone at: 1-800-699-9075 or TTY 711. Phone lines are open Monday through Friday 7 a.m. to 6 p.m. PST. Hold times are shortest in the morning from 7 a.m. to 8 a.m.
    • By calling a toll-free language line. Interpreters are available in 16 languages.

If your medical plan is ending, we may be able to help you enroll in a medical plan through the Health Insurance Marketplace (Healthcare.gov). If you’re eligible, we may be able to enroll you in Healthcare Cost Assistance benefits through Carewell—which would pay for your monthly premium and up to $6,900 in out-of-pocket medical costs. Please call 1-844-503-7348, Monday—Friday, 8am—6pm PST to let us know that you are a care provider who is losing medical benefits. 

Enrollment 2023 Steps

Please note: Open Enrollment for 2023 coverage ended on January 15. Marketplace health insurance plans are renewed during Open Enrollment.

If you are currently enrolled in an approved Marketplace plan, and did not have an appointment during Open Enrollment with Valley Insurance Professionals (VIP), it is important to update your income.

On January 1, 2023, care providers received a raise, lifting the base wage from $16.67 to $17.77 per hour. Because of this change to your income, it is in your best interest to keep your income information up to date with the Marketplace to avoid surprises at tax time.

When you apply for health insurance on the Health Insurance Marketplace, you’re asked to estimate your income for the upcoming year and report any changes to your income throughout the year. Based on the income information you provide, the Marketplace decides the amount of subsidies you’ll receive, and determines your premiums and Advance Premium Tax Credits.  

If the income estimate on your Marketplace application is incorrect, then the amount you receive for Advance Premium Tax Credits may also be incorrect. When you file your annual tax return, the Internal Revenue Service will compare the amount of Tax Credits you received in that year with the amount of Tax Credits you should have received based on your income.  

If you have medical coverage through a Marketplace plan, we strongly recommend you update your income information with the Marketplace. Our partner insurance agents at Valley Insurance Professionals can help you: call 1-844-503-7348 to schedule an appointment or use the links below to update your income online.

 

  • Fill out the 2023 annual paperwork and Enrollment Information Form (EIF) together in one click here!
  • Fill out just the EIF (if you’ve already submitted the 2023 annual paperwork): click here.

Where can you find this information?

  • Log in to your Marketplace application at healthcare.gov.
  • Ask your health insurance carrier (like Kaiser or Providence) — they may have sent you that information by mail, or it may be available in your online portal. You can also just call — phone numbers for carriers can be found here.

Steps to enroll in Healthcare Cost Assistance benefits for the first time

Important! You must complete each step in order to enroll in Healthcare Cost Assistance benefits.

1. Fill out the annual paperwork: these forms give the Carewell SEIU 503 Benefits team and their partners permission to assist you with enrolling in and maintaining your healthcare coverage.

2. Learn more about the approved plans for your area:

a. To receive Healthcare Cost Assistance benefits, you must enroll in a plan that’s approved for your area. See list of approved plans.

b. Read through Plan Benefit Summaries to find the best fit for your health needs: See Summaries of Benefits and Coverage.

3. Call Carewell SEIU 503 at 1-844-503-7348. They can help schedule an enrollment appointment with our partner insurance agents at Valley Insurance Professionals.

4. Pay your premium before the due date. If you don’t pay your premium on time, your plan will not be activated and you may find yourself without coverage throughout 2023.

How premium payments work

You will receive a Benefit Convenience Card from Ameriflex, which you can use to pay for your monthly premiums and covered out-of-pocket health expenses.

However, this Benefit Convenience Card may not arrive in time for you to pay your first premium by the first of the month. In that case, you would have to pay your premium out of your own pocket before the deadline. Carewell SEIU 503 will send you a check to reimburse you for the first premium.

For faster reimbursement, you can sign up for Direct Deposit.

Find out more about the Benefit Convenience Card.

5. Be sure to read and respond to requests for information from the Marketplace. If you don’t respond to a Marketplace request for information, you may lose your insurance coverage, Advance Premium Tax Credits, and/or Healthcare Cost Assistance benefits.

You will know you’re enrolled in Healthcare Cost Assistance benefits when you receive the reimbursement check for your first premium, and then the Benefit Convenience Card (BCC) in the mail. From the day of your enrollment, it can take up to 20 business days for the BCC to arrive in the mail. You should also receive reimbursement for your first premium, either by check or through direct deposit, within 20 business days of your enrollment.

If you have questions about enrolling in or accessing Healthcare Cost Assistance benefits, please call 1-844-503-7348.

  

Benefit Details

Use This Benefit

Use your Benefit Convenience Card to pay for your covered:

  • Medical premiums
  • Out-of-pocket expenses (deductibles, copayments, coinsurance, and prescriptions)

You may be asked to show proof of your expenses, so keep the Explanation of Benefits you receive from your insurance carrier and all receipts.

The Benefit Convenience Card cannot be used for:

  • dental care or vision and hearing services;
  • expenses for your spouse or dependents;
  • expenses for services that your health insurance plan does not cover;
  • expenses incurred while you were not eligible for Healthcare Cost Assistance;
  • covered medical expenses from a previous calendar year. See the Reimbursements tab for more information.

If your family is on your health insurance policy, you won’t be able to use the Card for your premium payments. You will need to pay your premium using your own funds and then request a reimbursement each month. See the Reimbursements tab for more info.

Set up automatic payments with your insurance carrier

Make sure your premium is paid on time every month! Contact your insurance carrier to set up automatic payments from your Benefit Convenience Card:

Make an appointment

Before you make an appointment with a medical provider, make sure that they are in your insurance carrier’s provider network. If you receive services from out-of-network providers, you will incur much higher out-of-pocket expenses.

Keep Your Benefit

To ensure you continue receiving Healthcare Cost Assistance, please remember to:

  • Turn in your timesheets and/or payroll vouchers on a regular basis.
  • Avoid recording 0 hours of work for 2 months in a row. Going 2 months in a row with no work could cause you to lose your Carewell SEIU 503 benefits, including Healthcare Cost Assistance. In this case, you would still have your Marketplace insurance plan, but you would have to start paying for premiums yourself or look for alternative coverage like the Oregon Health Plan.
  • Keep your personal information up to date with Carewell SEIU 503 and your employer.
  • Pay your monthly premium to your insurance carrier on time, and monitor your premium payments. Your carrier may terminate your insurance plan if payments are missed.
  • Report to the Marketplace any change in your information within 60 days. We’re here to help with this. Just call 1-844-503-7348 for assistance.
  • Stay current on your tax filing.
Reimbursements

The fastest way to get your reimbursement is by completing the following forms online!

Medical Premium Reimbursement Claim Form

Medical Premium Reimbursement Claim Form (Online)

Use the Medical Premium Reimbursement Claim Form for:

  • Premium reimbursements if you are enrolled with family members on your plan. You can only claim the portion of your premium equal to your individual coverage if you are enrolled in an approved plan on a Health Insurance Marketplace. If you need help calculating your individual premium amount, contact the Marketplace (1-800-318-2596), your insurance carrier, or Valley Insurance Professionals (503-480-0499 ext. 7). Please submit this form and a copy of your premium bill each month.
  • You are eligible to receive a temporary average premium reimbursement (APR) for a non-approved plan on a Health Insurance Marketplace.

Ameriflex Reimbursement Claim Form

Ameriflex Reimbursement Claim Form (Online)

Use the Ameriflex Reimbursement Claim Form to claim reimbursement:

  • Covered Medical Out-of-Pocket expenses if you paid with your own funds. For instance, if you paid for a prescription medication out-of-pocket because you didn’t have your Benefit Convenience Card with you at the time.
  • Covered Medicare Out-of-Pocket expenses if you paid with your funds. For instance, if you paid for a prescription medication out-of-pocket because you didn’t have your Benefit Convenience Card with you at the time.
  • Medical Monthly Premium – net monthly premium for qualifying individual plans purchased through the Marketplace (not family plan, not average premium reimbursement).

To make an appointment with Valley Insurance Professionals, please call 1-844-503-7348, or email carewellseiu503benefits@risepartnership.com.

You can also call that number or email for the following reasons:

  • Assistance in determining a pathway to enroll in medical coverage
  • Assistance with OHP applications
  • Basic assistance with Carewell SEIU 503 benefits
Valley Insurance Professionals

1-503-974-8471

hcwenroll@valleyinsurancepro.com

Reasons to contact Valley Insurance Professionals:

  • Questions about the enrollment platform or assistance over the phone
  • To make any of the following changes with the Marketplace:
    • Correct any personal information (name, date of birth, income or address)
    • Add or remove dependents due to pregnancy, birth, adoption, marriage, divorce, or death
    • Change your status (disability, tax filing, citizenship, tribal, incarceration)
    • Change in health coverage (for example, if you were offered coverage through a job or you started on Medicaid)
  • For assistance with submitting documentation requested by the Marketplace

Note: Do not call Valley Insurance Professionals to make an appointment with them. Instead, please call 1-844-503-7348, or email carewellseiu503benefits@risepartnership.com.

Federal Marketplace

1-800-318-2596

healthcare.gov

Reasons to contact the federal Marketplace:

  • Find out the amounts of advance premium tax credits you may receive, as well as your gross and net health insurance premiums
  • Request copies of your annual 1095 form

Note: For enrollment and life changes, we recommend that you enroll in and report life changes through Valley Insurance Professionals to ensure your information is also reported to Carewell SEIU 503.

Insurance Carriers

Reasons to contact your insurance carrier:

  • Set up automatic payments
  • Obtain new coverage ID cards
  • Questions about billing
  • Verify if your doctor or a specific procedure is covered

Kaiser Permanente
Customer service: 1-800-813-2000
kp.org

MODA Medical
Customer service: 1-877-605-3229
Moda Health contact information

PacificSource (Oregon)
Customer service: 1-888-977-9299
pacificsource.com

Providence
Customer service: 1-888-816-1300
providence.org

Ameriflex

1-888-868-3539

When calling, please identify yourself as a homecare or personal support worker receiving Carewell SEIU 503 benefits, and also have your Benefit Convenience Card with you.

Ameriflex online portal

Click here to learn more about the Ameriflex mobile app

Reasons to contact Ameriflex:

  • Check the balance on your Benefit Convenience Card, review your payment history, order a replacement card, etc.
  • If your Benefit Convenience Card was declined and you were unable to make a payment
  • Reimbursement claims on health insurance premium or medical expenses that were submitted to Ameriflex

Frequently Asked Questions

Read common questions about the Carewell Healthcare Cost Assistance benefit for approved plans. See the FAQs page for more information.

What's a Special Enrollment Period and am I eligible for one?

A Special Enrollment Period (“SEP”) allows you to enroll in a health insurance plan outside of the regular Open Enrollment period (Nov. 1 – Dec. 15 for 2023 coverage). You may qualify for a SEP if you have experienced life changes, such as losing job based-coverage, or a change in income that makes you no longer eligible for Medicaid.

If your SEP is approved by the Marketplace, you can enroll in a Marketplace Plan but you have limited time to get enrolled, usually 60 days from the date of your qualifying life event. The Marketplace will also need proof that you qualify for a Special Enrollment Period, so you need to gather that information as soon as possible to complete your enrollment. For assistance, call 1-844-503-7348.

Do I qualify for average premium reimbursements?

You may qualify for Healthcare Cost Assistance if you became eligible for Carewell SEIU 503 benefits after the end of the last Open Enrollment period and you are enrolled in a non-approved plan on a health insurance Marketplace. In this case, you would receive a Benefit Convenience Card to pay covered out-of-pocket expenses. You would also be eligible for reimbursement of your premium costs up to either

  • the lesser of your actual premiums, or
  • the average premium amount received by eligible care providers through Healthcare Cost Assistance.

To continue receiving Healthcare Cost Assistance after the end of the year, you must enroll in an approved plan as soon as possible and no later than Open Enrollment (generally between November 1 and December 15 for coverage the next year). Otherwise, your Healthcare Cost Assistance will stop at the end of the calendar year.

Click here for more information. To check if you qualify for average premium reimbursements, call 1-844-503-7348.

What is my net health insurance premium?

Your net premium is the monthly amount that you must pay to your insurance company to maintain your insurance. For example, if your gross premium (the full cost of the premium from your insurance carrier) is $500 per month and your Advance Premium Tax Credit or APTC (the financial assistance from the Federal Government) is $200 per month, your net premium would be $300 per month.

How do I use my Benefit Convenience Card?

Your Benefit Convenience Card works just like a regular debit card, with two important differences:

1. Your card is limited in use, meaning you can only use it for the covered expenses listed under “What can I use the Benefit Convenience Card to pay for?”

2. You cannot use your card at an ATM or to obtain cash back when making a purchase.

How much money is on the Benefit Convenience Card?

There are two accounts on your Benefit Convenience Card. One account is preloaded with the annual amount for paying medical and prescription copays, deductibles, and coinsurance expenses for covered services and prescriptions. In 2023, that amount is $6,900, but this may change from year to year. The other account is preloaded with the amount necessary to pay your net monthly premium: the portion of your individual health insurance premium that is not covered by your federal advance premium tax credit (APTC).

What can I use the Benefit Convenience Card to pay for?
  • The deductible applicable to your Medicare plan. A deductible is the amount you must pay for the services that your Medicare plan covers before Medicare begins to pay. 
  • The copayments for medical services and prescriptions covered by your Medicare plan. A copayment (or copay) is a fixed amount your Medicare plan may require you to pay, and is usually due at the time that you receive the service or prescription. 
  • The coinsurance for medical services and prescriptions covered by your Medicare plan. Coinsurance is a percentage of the costs you must pay for services your Medicare plan covers. Cost sharing may range from 20% to 50% of a covered service, depending on your Medicare plan. For example, if your Medicare plan has an “80/20” coinsurance arrangement, this means that, after you pay any deductible, your Medicare plan will pay 80% of the cost of the covered medical expense and you must pay the remaining 20%. 
What is the Advance Premium Tax Credit (APTC)?

The Advance Premium Tax Credit (APTC) is a tax credit issued by the federal government that you can use to lower your monthly insurance payment (called your “premium”) when you enroll in a plan through the Health Insurance Marketplace. Your tax credit is based on the income estimate and household information you put on your Marketplace application. If your estimated income falls between 100% and 400% of the Federal Poverty Line, you qualify for a premium tax credit.

Approved Plans for 2023

You can enroll into any medical insurance plan you would like on the Marketplace. However, if you are eligible for Healthcare Cost Assistance, you must select an approved plan in order to get assistance from Carewell SEIU 503 with paying for your premium and eligible out-of-pocket medical costs.

As approved plans are decided, they will be listed here. Last Updated: November 18, 2022.

 

NEW: As of May 2022, the Board has approved a new health insurance plan for care providers residing outside the Kaiser service area. This new plan, available for new enrollments on Special Enrollment Periods, is Regence Standard Silver Plan Individual and Family Network – EPO (plan ID: 77969OR5290001). This Regence plan is available during Open Enrollment for 2023 coverage.

Oregon

Download PDF of 2023 Oregon plans by county

Download PDF of 2022 Oregon plans by county

Washington

Download PDF of 2023 Washington plans by county

Download PDF of 2022 Washington plans by county

California

Anthem Silver 70 EPO
BlueShield of California Silver 70 PPO

Idaho

PacificSource Navigator SILVER HSA 3500

 

You can see Summaries of Benefits and Coverage for approved plans here.

 

Find Your County, Find Your Plan:

Approved Plan for Multnomah County

Kaiser Permanente Oregon Silver 3500/40 Plan ID 71287OR0420011

Download Summary of Benefits and Coverage


Approved Plan for Asotin County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

Download Summary of Benefits and Coverage


Approved Plan for Washington County

Kaiser Permanente Oregon Silver 3500/40 Plan ID 71287OR0420011

Download Summary of Benefits and Coverage


Approved Plan for Lane County (inside Kaiser service area)

Kaiser Permanente Oregon Silver 3500/40 Plan ID 71287OR0420011

Download Summary of Benefits and Coverage


Approved Plans for Lane County (outside Kaiser service area)

Providence Oregon Standard Silver - Choice Network Plan ID 56707OR1330004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plans for Baker County

Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plan for Benton County (inside Kaiser service area – OR)

Kaiser Permanente Oregon Silver 3500/40 Plan ID 71287OR0420011

Download Summary of Benefits and Coverage


Approved Plans for Benton County (outside Kaiser service area – OR)

Providence Oregon Standard Silver - Choice Network Plan ID 56707OR1330004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plan for Benton County (WA)

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

Download Summary of Benefits and Coverage


Approved Plan for Clackamas County (inside Kaiser service area)

Kaiser Permanente Oregon Silver 3500/40 Plan ID 71287OR0420011

Download Summary of Benefits and Coverage


Approved Plans for Clackamas County (outside Kaiser service area)

PacificSource OR Standard Silver Plan NAV Plan ID 10091OR0750013

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plan for Clark County

Kaiser Permanente Cascade Silver (WA) Plan ID 87718WA2170014

Download Summary of Benefits and Coverage


Approved Plans for Clatsop County

Providence Oregon Standard Silver - Choice Network Plan ID 56707OR1330004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plan for Columbia County

Kaiser Permanente Oregon Silver 3500/40 Plan ID 71287OR0420011

Download Summary of Benefits and Coverage


Approved Plans for Coos County

Moda Health Beacon Silver 3000 Plan ID 39424OR1600002

Download Summary of Benefits and Coverage


Moda Health Oregon Standard Silver (Beacon) Plan ID 39424OR1610002

Download Summary of Benefits and Coverage


Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plan for Cowlitz County

Kaiser Permanente Cascade Silver (WA) Plan ID 87718WA2170014

Download Summary of Benefits and Coverage


Approved Plans for Crook County

PacificSource OR Standard Silver Plan NAV Plan ID 10091OR0750013

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plans for Curry County

Moda Health Beacon Silver 3000 Plan ID 39424OR1600002

Download Summary of Benefits and Coverage


Moda Health Oregon Standard Silver (Beacon) Plan ID 39424OR1610002

Download Summary of Benefits and Coverage


Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plans for Deschutes County

PacificSource OR Standard Silver Plan NAV Plan ID 10091OR0750013

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plans for Douglas County

Providence Oregon Standard Silver - Choice Network Plan ID 56707OR1330004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plan for Franklin County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

Download Summary of Benefits and Coverage


Approved Plans for Gilliam County

Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plans for Grant County (OR)

Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plan for Grant County (WA)

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

Download Summary of Benefits and Coverage


Approved Plans for Harney County

Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plan for Grays Harbor County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

Download Summary of Benefits and Coverage


Approved Plan for Hood River County (inside Kaiser service area)

Kaiser Permanente Oregon Silver 3500/40 Plan ID 71287OR0420011

Download Summary of Benefits and Coverage


Approved Plans for Hood River County (outside Kaiser service area)

Moda Health Beacon Silver 3000 Plan ID 39424OR1600002

Download Summary of Benefits and Coverage


Moda Health Oregon Standard Silver (Beacon) Plan ID 39424OR1610002

Download Summary of Benefits and Coverage


Providence Oregon Standard Silver - Choice Network Plan ID 56707OR1330004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plan for Island County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

Download Summary of Benefits and Coverage


Approved Plans for Jackson County

Moda Health Beacon Silver 3000 Plan ID 39424OR1600002

Download Summary of Benefits and Coverage


Moda Health Oregon Standard Silver (Beacon) Plan ID 39424OR1610002

Download Summary of Benefits and Coverage


Providence Oregon Standard Silver - Choice Network Plan ID 56707OR1330004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plans for Jefferson County

PacificSource OR Standard Silver Plan NAV Plan ID 10091OR0750013

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plans for Josephine County

Moda Health Beacon Silver 3000 Plan ID 39424OR1600002

Download Summary of Benefits and Coverage


Moda Health Oregon Standard Silver (Beacon) Plan ID 39424OR1610002

Download Summary of Benefits and Coverage


Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plan for King County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

Download Summary of Benefits and Coverage


Approved Plan for Kitsap County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

Download Summary of Benefits and Coverage


Approved Plans for Klamath County

Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plan for Klickitat County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

Download Summary of Benefits and Coverage


Approved Plans for Lake County

Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plan for Lewis County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

Download Summary of Benefits and Coverage


Approved Plans for Lincoln County

Providence Oregon Standard Silver - Choice Network Plan ID 56707OR1330004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plan for Linn County (inside Kaiser service area)

Kaiser Permanente Oregon Silver 3500/40 Plan ID 71287OR0420011

Download Summary of Benefits and Coverage


Approved Plans for Linn County (outside Kaiser service area)

Providence Oregon Standard Silver - Choice Network Plan ID 56707OR1330004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plans for Malheur County

Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plan for Marion County (inside Kaiser service area)

Kaiser Permanente Oregon Silver 3500/40 Plan ID 71287OR0420011

Download Summary of Benefits and Coverage


Approved Plans for Marion County (outside Kaiser service area)

Providence Oregon Standard Silver - Choice Network Plan ID 56707OR1330004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

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Approved Plan for Morrow County

Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

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Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

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Approved Plan for Pierce County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

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Approved Plan for Pacific County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

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Approved Plan for Polk County

Kaiser Permanente Oregon Silver 3500/40 Plan ID 71287OR0420011

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Approved Plans for Sherman County

Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

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Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

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Approved Plan for Skamania County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

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Approved Plan for Snohomish County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

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Approved Plan for Spokane County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

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Approved Plan for Thurston County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

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Approved Plans for Tillamook County

Moda Health Beacon Silver 3000 Plan ID 39424OR1600002

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Moda Health Oregon Standard Silver (Beacon) Plan ID 39424OR1610002

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Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plans for Umatilla County

Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

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Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

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Approved Plans for Union County

Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

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Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

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Approved Plan for Walla Walla County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

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Approved Plan for Wahkiakum County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

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Approved Plans for Wallowa County

Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

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Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plans for Wasco County

Moda Health Beacon Silver 3000 Plan ID 39424OR1600002

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Moda Health Oregon Standard Silver (Beacon) Plan ID 39424OR1610002

Download Summary of Benefits and Coverage


Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

Download Summary of Benefits and Coverage


Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plan for Whatcom County

Regence Cascade Silver Individual and Family Network (WA) Plan ID 23371WA1940002

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Approved Plans for Wheeler County

Providence Oregon Standard Silver - Signature Network Plan ID 56707OR1360004

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Regence Standard Silver Plan Individual and Family Network - EPO, Plan ID 77969OR5290001

Download Summary of Benefits and Coverage (PDF)


Approved Plan for Yamhill County

Kaiser Permanente Oregon Silver 3500/40 Plan ID 71287OR0420011

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