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Providers for Zip Code 97045

Obamacare 2019 Marketplace Rates For Oregon City, OR

Sunday, May 12th, 2024


The health insurance rates listed below are for calendar year 2019.

2019 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

(click here for 2017)

(click here for 2018)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Oregon City, OR.

Obamacare Providers, Plans and 2019 Rates for Clackamas County

Clackamas County is in “Rating Area 1” of Oregon.

Currently, there are 39 plans offered in Rating Area 1.

Below, you’ll find a summary of plans and rates for each of these providers. This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must complete an application at HealthCare.gov or contact the provider directly.

The table below shows premiums for the following scenarios for:

  • Individual
  • Couple
  • Couple with 1 2 or 3 children
  • Individual with 1 2 or 3 children
  • A child alone

Each scenario is covered for age

  • Age 21, 30, 40, 50
  • Age 60 (Individual and Couple only)

For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:

  • a summary of plan benefits and costs,
  • a plan brochure, and
  • a "Provider Directory" -- where you can find out which doctors and hospitals in the Oregon City, OR area accept this insurance coverage as within the plan's "network".
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PacificSource Health Plans

Local: 1-541-684-5582 | Toll Free: 1-888-977-9299

TTY: 1-800-735-2900

Plan: (PPO) Legacy Catastrophic

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-977-9299 - Provider Directory for This Plan: (PacificSource Health Plans)

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Catastrophic 21
30
40
50
60
$176.00
$200.00
$225.00
$315.00
$478.00
$352.00
$400.00
$450.00
$630.00
$956.00
$464.00
$512.00
$562.00
$742.00
$576.00
$624.00
$674.00
$854.00
$688.00
$736.00
$786.00
$966.00
$288.00
$312.00
$337.00
$427.00
$400.00
$424.00
$449.00
$539.00
$512.00
$536.00
$561.00
$651.00
$112.00

Plan: (PPO) PacificSource Oregon Standard Bronze Plan LHN

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-977-9299 - Provider Directory for This Plan: (PacificSource Health Plans)

Deductible: Individual: $6,550 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$248.00
$281.00
$317.00
$443.00
$673.00
$496.00
$562.00
$634.00
$886.00
$1,346.00
$653.00
$719.00
$791.00
$1,043.00
$810.00
$876.00
$948.00
$1,200.00
$967.00
$1,033.00
$1,105.00
$1,357.00
$405.00
$438.00
$474.00
$600.00
$562.00
$595.00
$631.00
$757.00
$719.00
$752.00
$788.00
$914.00
$157.00

Plan: (PPO) PacificSource Oregon Standard Silver Plan LHN

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-977-9299 - Provider Directory for This Plan: (PacificSource Health Plans)

Deductible: Individual: $2,850 : Family: $5,700
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$333.00
$377.00
$425.00
$594.00
$903.00
$666.00
$754.00
$850.00
$1,188.00
$1,806.00
$877.00
$965.00
$1,061.00
$1,399.00
$1,088.00
$1,176.00
$1,272.00
$1,610.00
$1,299.00
$1,387.00
$1,483.00
$1,821.00
$544.00
$588.00
$636.00
$805.00
$755.00
$799.00
$847.00
$1,016.00
$966.00
$1,010.00
$1,058.00
$1,227.00
$211.00

Plan: (PPO) PacificSource Oregon Standard Gold Plan LHN

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-977-9299 - Provider Directory for This Plan: (PacificSource Health Plans)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$394.00
$447.00
$503.00
$703.00
$1,068.00
$788.00
$894.00
$1,006.00
$1,406.00
$2,136.00
$1,038.00
$1,144.00
$1,256.00
$1,656.00
$1,288.00
$1,394.00
$1,506.00
$1,906.00
$1,538.00
$1,644.00
$1,756.00
$2,156.00
$644.00
$697.00
$753.00
$953.00
$894.00
$947.00
$1,003.00
$1,203.00
$1,144.00
$1,197.00
$1,253.00
$1,453.00
$250.00

Plan: (PPO) Legacy Bronze HSA 6650

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-977-9299 - Provider Directory for This Plan: (PacificSource Health Plans)

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: Individual: $6,650 : Family: $13,300

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$252.00
$286.00
$322.00
$451.00
$685.00
$504.00
$572.00
$644.00
$902.00
$1,370.00
$664.00
$732.00
$804.00
$1,062.00
$824.00
$892.00
$964.00
$1,222.00
$984.00
$1,052.00
$1,124.00
$1,382.00
$412.00
$446.00
$482.00
$611.00
$572.00
$606.00
$642.00
$771.00
$732.00
$766.00
$802.00
$931.00
$160.00
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Moda Health Plan, Inc.

Local: 1-888-393-2940 | Toll Free: 1-888-393-2940

TTY: 1-888-393-2940

Plan: (EPO) Moda Health Beacon Gold 1000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-393-2940 - Provider Directory for This Plan: (Moda Health Plan, Inc.)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$379.00
$430.00
$484.00
$677.00
$1,029.00
$758.00
$860.00
$968.00
$1,354.00
$2,058.00
$999.00
$1,101.00
$1,209.00
$1,595.00
$1,240.00
$1,342.00
$1,450.00
$1,836.00
$1,481.00
$1,583.00
$1,691.00
$2,077.00
$620.00
$671.00
$725.00
$918.00
$861.00
$912.00
$966.00
$1,159.00
$1,102.00
$1,153.00
$1,207.00
$1,400.00
$241.00

Plan: (EPO) Moda Health Beacon Silver 3000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-393-2940 - Provider Directory for This Plan: (Moda Health Plan, Inc.)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$350.00
$397.00
$447.00
$625.00
$949.00
$700.00
$794.00
$894.00
$1,250.00
$1,898.00
$922.00
$1,016.00
$1,116.00
$1,472.00
$1,144.00
$1,238.00
$1,338.00
$1,694.00
$1,366.00
$1,460.00
$1,560.00
$1,916.00
$572.00
$619.00
$669.00
$847.00
$794.00
$841.00
$891.00
$1,069.00
$1,016.00
$1,063.00
$1,113.00
$1,291.00
$222.00

Plan: (EPO) Moda Health Cornerstone Gold 1000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-393-2940 - Provider Directory for This Plan: (Moda Health Plan, Inc.)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$389.00
$441.00
$497.00
$695.00
$1,056.00
$778.00
$882.00
$994.00
$1,390.00
$2,112.00
$1,025.00
$1,129.00
$1,241.00
$1,637.00
$1,272.00
$1,376.00
$1,488.00
$1,884.00
$1,519.00
$1,623.00
$1,735.00
$2,131.00
$636.00
$688.00
$744.00
$942.00
$883.00
$935.00
$991.00
$1,189.00
$1,130.00
$1,182.00
$1,238.00
$1,436.00
$247.00

Plan: (EPO) Moda Health Cornerstone Silver 3000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-393-2940 - Provider Directory for This Plan: (Moda Health Plan, Inc.)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$359.00
$407.00
$459.00
$641.00
$974.00
$718.00
$814.00
$918.00
$1,282.00
$1,948.00
$946.00
$1,042.00
$1,146.00
$1,510.00
$1,174.00
$1,270.00
$1,374.00
$1,738.00
$1,402.00
$1,498.00
$1,602.00
$1,966.00
$587.00
$635.00
$687.00
$869.00
$815.00
$863.00
$915.00
$1,097.00
$1,043.00
$1,091.00
$1,143.00
$1,325.00
$228.00

Plan: (EPO) Moda Health Oregon Standard Gold (Beacon)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-393-2940 - Provider Directory for This Plan: (Moda Health Plan, Inc.)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$381.00
$432.00
$487.00
$680.00
$1,033.00
$762.00
$864.00
$974.00
$1,360.00
$2,066.00
$1,004.00
$1,106.00
$1,216.00
$1,602.00
$1,246.00
$1,348.00
$1,458.00
$1,844.00
$1,488.00
$1,590.00
$1,700.00
$2,086.00
$623.00
$674.00
$729.00
$922.00
$865.00
$916.00
$971.00
$1,164.00
$1,107.00
$1,158.00
$1,213.00
$1,406.00
$242.00

Plan: (EPO) Moda Health Oregon Standard Silver (Beacon)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-393-2940 - Provider Directory for This Plan: (Moda Health Plan, Inc.)

Deductible: Individual: $2,850 : Family: $5,700
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$352.00
$399.00
$450.00
$629.00
$955.00
$704.00
$798.00
$900.00
$1,258.00
$1,910.00
$927.00
$1,021.00
$1,123.00
$1,481.00
$1,150.00
$1,244.00
$1,346.00
$1,704.00
$1,373.00
$1,467.00
$1,569.00
$1,927.00
$575.00
$622.00
$673.00
$852.00
$798.00
$845.00
$896.00
$1,075.00
$1,021.00
$1,068.00
$1,119.00
$1,298.00
$223.00

Plan: (EPO) Moda Health Oregon Standard Bronze Plan (Beacon)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-393-2940 - Provider Directory for This Plan: (Moda Health Plan, Inc.)

Deductible: Individual: $6,550 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Expanded Bronze 21
30
40
50
60
$279.00
$317.00
$356.00
$498.00
$757.00
$558.00
$634.00
$712.00
$996.00
$1,514.00
$735.00
$811.00
$889.00
$1,173.00
$912.00
$988.00
$1,066.00
$1,350.00
$1,089.00
$1,165.00
$1,243.00
$1,527.00
$456.00
$494.00
$533.00
$675.00
$633.00
$671.00
$710.00
$852.00
$810.00
$848.00
$887.00
$1,029.00
$177.00

Plan: (EPO) Moda Health Beacon Gold 1500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-393-2940 - Provider Directory for This Plan: (Moda Health Plan, Inc.)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$358.00
$407.00
$458.00
$640.00
$972.00
$716.00
$814.00
$916.00
$1,280.00
$1,944.00
$944.00
$1,042.00
$1,144.00
$1,508.00
$1,172.00
$1,270.00
$1,372.00
$1,736.00
$1,400.00
$1,498.00
$1,600.00
$1,964.00
$586.00
$635.00
$686.00
$868.00
$814.00
$863.00
$914.00
$1,096.00
$1,042.00
$1,091.00
$1,142.00
$1,324.00
$228.00

Plan: (EPO) Moda Health Beacon Silver 3500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-393-2940 - Provider Directory for This Plan: (Moda Health Plan, Inc.)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$339.00
$385.00
$433.00
$606.00
$920.00
$678.00
$770.00
$866.00
$1,212.00
$1,840.00
$893.00
$985.00
$1,081.00
$1,427.00
$1,108.00
$1,200.00
$1,296.00
$1,642.00
$1,323.00
$1,415.00
$1,511.00
$1,857.00
$554.00
$600.00
$648.00
$821.00
$769.00
$815.00
$863.00
$1,036.00
$984.00
$1,030.00
$1,078.00
$1,251.00
$215.00

Plan: (EPO) Moda Health Beacon Bronze HSA 6000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-393-2940 - Provider Directory for This Plan: (Moda Health Plan, Inc.)

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Expanded Bronze 21
30
40
50
60
$293.00
$333.00
$375.00
$523.00
$795.00
$586.00
$666.00
$750.00
$1,046.00
$1,590.00
$772.00
$852.00
$936.00
$1,232.00
$958.00
$1,038.00
$1,122.00
$1,418.00
$1,144.00
$1,224.00
$1,308.00
$1,604.00
$479.00
$519.00
$561.00
$709.00
$665.00
$705.00
$747.00
$895.00
$851.00
$891.00
$933.00
$1,081.00
$186.00

Plan: (EPO) Moda Health Beacon Bronze 6500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-393-2940 - Provider Directory for This Plan: (Moda Health Plan, Inc.)

Deductible: Individual: $6,500 : Family: $13,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Expanded Bronze 21
30
40
50
60
$291.00
$331.00
$373.00
$521.00
$791.00
$582.00
$662.00
$746.00
$1,042.00
$1,582.00
$767.00
$847.00
$931.00
$1,227.00
$952.00
$1,032.00
$1,116.00
$1,412.00
$1,137.00
$1,217.00
$1,301.00
$1,597.00
$476.00
$516.00
$558.00
$706.00
$661.00
$701.00
$743.00
$891.00
$846.00
$886.00
$928.00
$1,076.00
$185.00

Plan: (EPO) Moda Health Cornerstone Bronze HSA 6000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-393-2940 - Provider Directory for This Plan: (Moda Health Plan, Inc.)

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Expanded Bronze 21
30
40
50
60
$301.00
$341.00
$384.00
$537.00
$816.00
$602.00
$682.00
$768.00
$1,074.00
$1,632.00
$793.00
$873.00
$959.00
$1,265.00
$984.00
$1,064.00
$1,150.00
$1,456.00
$1,175.00
$1,255.00
$1,341.00
$1,647.00
$492.00
$532.00
$575.00
$728.00
$683.00
$723.00
$766.00
$919.00
$874.00
$914.00
$957.00
$1,110.00
$191.00
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Providence Health Plan

Local: 1-503-574-5000 | Toll Free: 1-800-878-4445

TTY: 1-888-244-6642

Plan: (EPO) Providence Oregon Standard Gold Plan - Choice Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-878-4445 - Provider Directory for This Plan: (Providence Health Plan)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$389.00
$441.00
$497.00
$694.00
$1,055.00
$778.00
$882.00
$994.00
$1,388.00
$2,110.00
$1,025.00
$1,129.00
$1,241.00
$1,635.00
$1,272.00
$1,376.00
$1,488.00
$1,882.00
$1,519.00
$1,623.00
$1,735.00
$2,129.00
$636.00
$688.00
$744.00
$941.00
$883.00
$935.00
$991.00
$1,188.00
$1,130.00
$1,182.00
$1,238.00
$1,435.00
$247.00

Plan: (EPO) Providence Oregon Standard Silver Plan - Choice Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-878-4445 - Provider Directory for This Plan: (Providence Health Plan)

Deductible: Individual: $2,850 : Family: $5,700
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$342.00
$388.00
$437.00
$611.00
$928.00
$684.00
$776.00
$874.00
$1,222.00
$1,856.00
$901.00
$993.00
$1,091.00
$1,439.00
$1,118.00
$1,210.00
$1,308.00
$1,656.00
$1,335.00
$1,427.00
$1,525.00
$1,873.00
$559.00
$605.00
$654.00
$828.00
$776.00
$822.00
$871.00
$1,045.00
$993.00
$1,039.00
$1,088.00
$1,262.00
$217.00

Plan: (EPO) Connect 2500 Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-878-4445 - Provider Directory for This Plan: (Providence Health Plan)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$324.00
$367.00
$414.00
$578.00
$878.00
$648.00
$734.00
$828.00
$1,156.00
$1,756.00
$854.00
$940.00
$1,034.00
$1,362.00
$1,060.00
$1,146.00
$1,240.00
$1,568.00
$1,266.00
$1,352.00
$1,446.00
$1,774.00
$530.00
$573.00
$620.00
$784.00
$736.00
$779.00
$826.00
$990.00
$942.00
$985.00
$1,032.00
$1,196.00
$206.00

Plan: (EPO) Connect 7900 Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-878-4445 - Provider Directory for This Plan: (Providence Health Plan)

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$236.00
$268.00
$302.00
$422.00
$642.00
$472.00
$536.00
$604.00
$844.00
$1,284.00
$622.00
$686.00
$754.00
$994.00
$772.00
$836.00
$904.00
$1,144.00
$922.00
$986.00
$1,054.00
$1,294.00
$386.00
$418.00
$452.00
$572.00
$536.00
$568.00
$602.00
$722.00
$686.00
$718.00
$752.00
$872.00
$150.00

Plan: (EPO) Providence Oregon Standard Bronze Plan - Choice Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-878-4445 - Provider Directory for This Plan: (Providence Health Plan)

Deductible: Individual: $6,550 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$263.00
$299.00
$336.00
$470.00
$714.00
$526.00
$598.00
$672.00
$940.00
$1,428.00
$693.00
$765.00
$839.00
$1,107.00
$860.00
$932.00
$1,006.00
$1,274.00
$1,027.00
$1,099.00
$1,173.00
$1,441.00
$430.00
$466.00
$503.00
$637.00
$597.00
$633.00
$670.00
$804.00
$764.00
$800.00
$837.00
$971.00
$167.00

Plan: (EPO) HSA Qualified 6650 Bronze - Choice Network

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-878-4445 - Provider Directory for This Plan: (Providence Health Plan)

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: Individual: $6,650 : Family: $13,300

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$262.00
$297.00
$334.00
$467.00
$710.00
$524.00
$594.00
$668.00
$934.00
$1,420.00
$690.00
$760.00
$834.00
$1,100.00
$856.00
$926.00
$1,000.00
$1,266.00
$1,022.00
$1,092.00
$1,166.00
$1,432.00
$428.00
$463.00
$500.00
$633.00
$594.00
$629.00
$666.00
$799.00
$760.00
$795.00
$832.00
$965.00
$166.00
ADVERTISEMENT

BridgeSpan Health Company

Local: 1-855-857-9943 | Toll Free: 1-855-857-9943

TTY: 1-800-735-2900

Plan: (EPO) Bronze HDHP 6000 EPO OHSU Plus

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-857-9943 - Provider Directory for This Plan: (BridgeSpan Health Company)

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$247.96
$281.43
$316.89
$442.85
$672.96
$495.92
$562.86
$633.78
$885.70
$1,345.92
$653.37
$720.31
$791.23
$1,043.15
$810.82
$877.76
$948.68
$1,200.60
$968.27
$1,035.21
$1,106.13
$1,358.05
$405.41
$438.88
$474.34
$600.30
$562.86
$596.33
$631.79
$757.75
$720.31
$753.78
$789.24
$915.20
$157.45

Plan: (EPO) Silver HDHP 3000 EPO OHSU Plus

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-857-9943 - Provider Directory for This Plan: (BridgeSpan Health Company)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$330.45
$375.06
$422.32
$590.19
$896.85
$660.90
$750.12
$844.64
$1,180.38
$1,793.70
$870.74
$959.96
$1,054.48
$1,390.22
$1,080.58
$1,169.80
$1,264.32
$1,600.06
$1,290.42
$1,379.64
$1,474.16
$1,809.90
$540.29
$584.90
$632.16
$800.03
$750.13
$794.74
$842.00
$1,009.87
$959.97
$1,004.58
$1,051.84
$1,219.71
$209.84

Plan: (EPO) Silver Essential 4000 EPO OHSU Plus

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-857-9943 - Provider Directory for This Plan: (BridgeSpan Health Company)

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$328.25
$372.56
$419.50
$586.25
$890.86
$656.50
$745.12
$839.00
$1,172.50
$1,781.72
$864.94
$953.56
$1,047.44
$1,380.94
$1,073.38
$1,162.00
$1,255.88
$1,589.38
$1,281.82
$1,370.44
$1,464.32
$1,797.82
$536.69
$581.00
$627.94
$794.69
$745.13
$789.44
$836.38
$1,003.13
$953.57
$997.88
$1,044.82
$1,211.57
$208.44

Plan: (EPO) BridgeSpan Standard Gold Plan EPO OHSU Plus

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-857-9943 - Provider Directory for This Plan: (BridgeSpan Health Company)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$426.05
$483.57
$544.50
$760.93
$1,156.31
$852.10
$967.14
$1,089.00
$1,521.86
$2,312.62
$1,122.64
$1,237.68
$1,359.54
$1,792.40
$1,393.18
$1,508.22
$1,630.08
$2,062.94
$1,663.72
$1,778.76
$1,900.62
$2,333.48
$696.59
$754.11
$815.04
$1,031.47
$967.13
$1,024.65
$1,085.58
$1,302.01
$1,237.67
$1,295.19
$1,356.12
$1,572.55
$270.54

Plan: (EPO) BridgeSpan Standard Silver Plan EPO OHSU Plus

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-857-9943 - Provider Directory for This Plan: (BridgeSpan Health Company)

Deductible: Individual: $2,850 : Family: $5,700
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$342.48
$388.71
$437.69
$611.67
$929.49
$684.96
$777.42
$875.38
$1,223.34
$1,858.98
$902.43
$994.89
$1,092.85
$1,440.81
$1,119.90
$1,212.36
$1,310.32
$1,658.28
$1,337.37
$1,429.83
$1,527.79
$1,875.75
$559.95
$606.18
$655.16
$829.14
$777.42
$823.65
$872.63
$1,046.61
$994.89
$1,041.12
$1,090.10
$1,264.08
$217.47

Plan: (EPO) BridgeSpan Standard Bronze Plan EPO OHSU Plus

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-857-9943 - Provider Directory for This Plan: (BridgeSpan Health Company)

Deductible: Individual: $6,550 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$259.56
$294.60
$331.72
$463.58
$704.45
$519.12
$589.20
$663.44
$927.16
$1,408.90
$683.94
$754.02
$828.26
$1,091.98
$848.76
$918.84
$993.08
$1,256.80
$1,013.58
$1,083.66
$1,157.90
$1,421.62
$424.38
$459.42
$496.54
$628.40
$589.20
$624.24
$661.36
$793.22
$754.02
$789.06
$826.18
$958.04
$164.82
ADVERTISEMENT

Kaiser Foundation Healthplan of the NW

Local: 1-800-801-1270 | Toll Free: 1-800-801-1270

TTY: 1-800-735-2900

Plan: (EPO) KP OR Gold 0/20

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-801-1270 - Provider Directory for This Plan: (Kaiser Foundation Healthplan of the NW)

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $7,250 : Family: $14,500

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$366.00
$415.00
$467.00
$653.00
$993.00
$732.00
$830.00
$934.00
$1,306.00
$1,986.00
$964.00
$1,062.00
$1,166.00
$1,538.00
$1,196.00
$1,294.00
$1,398.00
$1,770.00
$1,428.00
$1,526.00
$1,630.00
$2,002.00
$598.00
$647.00
$699.00
$885.00
$830.00
$879.00
$931.00
$1,117.00
$1,062.00
$1,111.00
$1,163.00
$1,349.00
$232.00

Plan: (EPO) KP Oregon Standard Gold Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-801-1270 - Provider Directory for This Plan: (Kaiser Foundation Healthplan of the NW)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$354.00
$402.00
$453.00
$633.00
$961.00
$708.00
$804.00
$906.00
$1,266.00
$1,922.00
$933.00
$1,029.00
$1,131.00
$1,491.00
$1,158.00
$1,254.00
$1,356.00
$1,716.00
$1,383.00
$1,479.00
$1,581.00
$1,941.00
$579.00
$627.00
$678.00
$858.00
$804.00
$852.00
$903.00
$1,083.00
$1,029.00
$1,077.00
$1,128.00
$1,308.00
$225.00

Plan: (EPO) KP Oregon Standard Silver Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-801-1270 - Provider Directory for This Plan: (Kaiser Foundation Healthplan of the NW)

Deductible: Individual: $2,850 : Family: $5,700
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$324.00
$368.00
$414.00
$579.00
$879.00
$648.00
$736.00
$828.00
$1,158.00
$1,758.00
$854.00
$942.00
$1,034.00
$1,364.00
$1,060.00
$1,148.00
$1,240.00
$1,570.00
$1,266.00
$1,354.00
$1,446.00
$1,776.00
$530.00
$574.00
$620.00
$785.00
$736.00
$780.00
$826.00
$991.00
$942.00
$986.00
$1,032.00
$1,197.00
$206.00

Plan: (EPO) KP Oregon Standard Bronze Plan

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-801-1270 - Provider Directory for This Plan: (Kaiser Foundation Healthplan of the NW)

Deductible: Individual: $6,550 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$232.00
$263.00
$296.00
$414.00
$629.00
$464.00
$526.00
$592.00
$828.00
$1,258.00
$611.00
$673.00
$739.00
$975.00
$758.00
$820.00
$886.00
$1,122.00
$905.00
$967.00
$1,033.00
$1,269.00
$379.00
$410.00
$443.00
$561.00
$526.00
$557.00
$590.00
$708.00
$673.00
$704.00
$737.00
$855.00
$147.00

Plan: (EPO) KP OR Gold 1000/20

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-801-1270 - Provider Directory for This Plan: (Kaiser Foundation Healthplan of the NW)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $7,000 : Family: $14,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$344.00
$390.00
$439.00
$614.00
$932.00
$688.00
$780.00
$878.00
$1,228.00
$1,864.00
$906.00
$998.00
$1,096.00
$1,446.00
$1,124.00
$1,216.00
$1,314.00
$1,664.00
$1,342.00
$1,434.00
$1,532.00
$1,882.00
$562.00
$608.00
$657.00
$832.00
$780.00
$826.00
$875.00
$1,050.00
$998.00
$1,044.00
$1,093.00
$1,268.00
$218.00

Plan: (EPO) KP OR Catastrophic 7900/0

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-801-1270 - Provider Directory for This Plan: (Kaiser Foundation Healthplan of the NW)

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Catastrophic 21
30
40
50
60
$231.00
$262.00
$295.00
$413.00
$627.00
$462.00
$524.00
$590.00
$826.00
$1,254.00
$609.00
$671.00
$737.00
$973.00
$756.00
$818.00
$884.00
$1,120.00
$903.00
$965.00
$1,031.00
$1,267.00
$378.00
$409.00
$442.00
$560.00
$525.00
$556.00
$589.00
$707.00
$672.00
$703.00
$736.00
$854.00
$147.00

Plan: (EPO) KP OR Silver 2500/30

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-801-1270 - Provider Directory for This Plan: (Kaiser Foundation Healthplan of the NW)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $7,750 : Family: $15,500

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$332.00
$377.00
$424.00
$593.00
$901.00
$664.00
$754.00
$848.00
$1,186.00
$1,802.00
$875.00
$965.00
$1,059.00
$1,397.00
$1,086.00
$1,176.00
$1,270.00
$1,608.00
$1,297.00
$1,387.00
$1,481.00
$1,819.00
$543.00
$588.00
$635.00
$804.00
$754.00
$799.00
$846.00
$1,015.00
$965.00
$1,010.00
$1,057.00
$1,226.00
$211.00

Plan: (EPO) KP OR Silver 3500/30

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-801-1270 - Provider Directory for This Plan: (Kaiser Foundation Healthplan of the NW)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,750 : Family: $15,500

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$319.00
$363.00
$408.00
$571.00
$867.00
$638.00
$726.00
$816.00
$1,142.00
$1,734.00
$841.00
$929.00
$1,019.00
$1,345.00
$1,044.00
$1,132.00
$1,222.00
$1,548.00
$1,247.00
$1,335.00
$1,425.00
$1,751.00
$522.00
$566.00
$611.00
$774.00
$725.00
$769.00
$814.00
$977.00
$928.00
$972.00
$1,017.00
$1,180.00
$203.00

Plan: (EPO) KP OR Bronze 5000/50

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-801-1270 - Provider Directory for This Plan: (Kaiser Foundation Healthplan of the NW)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $7,750 : Family: $15,500

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Expanded Bronze 21
30
40
50
60
$243.00
$275.00
$310.00
$433.00
$658.00
$486.00
$550.00
$620.00
$866.00
$1,316.00
$640.00
$704.00
$774.00
$1,020.00
$794.00
$858.00
$928.00
$1,174.00
$948.00
$1,012.00
$1,082.00
$1,328.00
$397.00
$429.00
$464.00
$587.00
$551.00
$583.00
$618.00
$741.00
$705.00
$737.00
$772.00
$895.00
$154.00

Plan: (EPO) KP OR Bronze 6550/0% HSA

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-801-1270 - Provider Directory for This Plan: (Kaiser Foundation Healthplan of the NW)

Deductible: Individual: $6,550 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$232.00
$264.00
$297.00
$415.00
$630.00
$464.00
$528.00
$594.00
$830.00
$1,260.00
$611.00
$675.00
$741.00
$977.00
$758.00
$822.00
$888.00
$1,124.00
$905.00
$969.00
$1,035.00
$1,271.00
$379.00
$411.00
$444.00
$562.00
$526.00
$558.00
$591.00
$709.00
$673.00
$705.00
$738.00
$856.00
$147.00

‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Clackamas County here.

 

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