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Regence HSA Healthplan - $3,500 Individual Deductible

Oregon Health Insurance

    • Own your health care dollars with a tax-advantaged account that covers medical expenses beyond your health plan. Or choose to save.
    • Unlimited, up-front preventive care, plus personalized tools and support you need to make the plan your own.
    • Comprehensive wellness programs like Care Enhance® Nurseline & Regence Health CoachSM.

Coverage at a Glance


Deductible:
Annual OOP Max: $5,000 single
Lifetime Max: $2 million per member
Copay: Not applicable on this plan
Coinsurance: 20% Participating, 40% Non-Participating
Coinsurance Max: Not applicable on this plan
Network(s): Participating Network

Find a Doctor
Yes Prescription benefits
No Dental
No Vision
Yes No Referrals
No Maternity
Yes Preventive Care
Yes Alternative Care
Yes Mental Health
 

Basic Features

Cost Sharing
Deductibles: $3,500 individual
Annual OOP Max:
  • $5,000 single
  • Amount includes your deductible
  • Maximum only applies to Participating providers' services. No maximum for Non-Participating providers.
Coinsurance Max: Not applicable on this plan
Lifetime Max: $2 million paid by Regence per member
Copay: Not applicable on this plan
Coinsurance:
  • You pay 20% for most Participating providers' services.
  • You pay 40% for most Non-Participating providers' services.
Everyday Needs
Prescriptions:
  • You pay 50% at Participating and Non-Participating pharmacies.
  • Subject to deductible
Preventive Care:
  • You pay 20% for Participating providers.
  • You pay 40% for Non-Participating providers.
  • Deductible waived
  • No annual limit
Vision: Not covered
Office Visits: Deductible and coinsurance apply
Diagnostic x-ray services: Deductible and coinsurance apply
Outpatient Laboratory services: Deductible and coinsurance apply
Special Needs
Alternative care: Deductible and coinsurance apply
Maternity:  
Mental Health:
  • 12 visit limit for outpatient services annually
  • 8 day limit for inpatient services annually
  • Deductible and coinsurance apply
Other considerations
Network(s): Participating Network

Benefit Summary

Rates

Oregon Health Insurance | Individual & Family Plans
Oregon | Individual & Family Plans

Oregon Health Insurance

Plan image

Regence HSA Healthplan - Oregon only

Brings together robust preventive care benefits and protection against the unexpected, with the unique power of a tax-advantaged Health Savings Account. For individuals and families.

Blue SelectionsSM - Oregon only

Getting the right fit is important, whether you're talking about shoes or the perfect pair of jeans. For something as important as your health, you want coverage that is right for you -- something that fits you and your family. For individuals and families.

Regence HSA Comprehensive Healthplan - Clark County only

Brings together robust preventive care benefits and protection against the unexpected, with the unique power of a tax-advantaged Health Savings Account. Even includes maternity and prescription coverage. For individuals and families.

Regence HSA Healthplan - Clark County only

Brings together robust preventive care benefits and protection against the unexpected, with the unique power of a tax-advantaged Health Savings Account. For individuals and families.

Regence BreakthruSM - Clark County only

Getting the right fit is important, whether you're talking about shoes or the perfect pair of jeans. For something as important as your health, you want coverage that is right for you -- something that fits you and your family. For individuals and families.

Blue Selections PPOSM - Clark County only

A solid plan with robust coverage to serve all your health care needs:  physician and hospital services, vision, and prescriptions. For individuals and families.

InterMSM

Temporary medical coverage for unexpected accidents and illnesses, offered through our affiliate Regence Life and Health. Good for individuals and families who are between jobs, or waiting for an employer plan to start. There are restrictions on pre-existing conditions, so please check the details carefully.

Individual Dentacare

This affordable dental coverage is an option for individuals and families purchasing one of our individual and family medical plans. Services for Individual Dentacare are provided by the dentists and staff of Willamette Dental – one of the largest managed dental care groups in the nation. For individuals and families.

Individual Dollar-Based Dental

A dental plan that puts you in control of your dental health dollars, offered through our affiliate Regence Life and Health. This plan is dollar-based – a unique departure from traditional procedure-based coverage. Imagine spending your benefit dollars almost any way you choose, on care that's important to you and your family. Each year you decide to include an exam and cleaning, you are rewarded with a benefit increase the following year.

Individual Incentive Dental

Immediate access to quality, affordable dental care, offered through our affiliate Regence Life and Health. This plan is procedure-based, but unlike traditional dental plans you are rewarded for receiving routine preventive care. Each year that you visit the dentist for a checkup and cleaning, means greater benefits and less out-of-pocket expenses the next year.

This does not include all benefits, limitations, exclusions and other terms of coverage (such as eligibility and cancellation provisions) applicable to this plan. Please refer to your contract of a complete list and more in-depth explanation of benefits and the limitations and exclusions that apply.

Optional Benefits

Dental Plan

Add our Individual Dentacare dental plan to round out your coverage. It offers:

  • no deductible
  • $15 copay for each visit
  • no annual maximum for coverage

Learn more »

Medical Exclusions and Limitations

Acupuncture 12 office visits per calendar year
Alcoholism Not covered
Ambulance $5,000 annual limit
Cosmetic/Reconstructive Surgery Not covered
Custodial Care and Rest Cures Not covered
Drug Abuse/Addiction Treatment Not covered
Durable Medical Equipment $2,500 annual limit
Family Planning Not covered
Growth Hormone Benefit $20,000 annual limit
Hearing Aids Not covered
Home Health Care 130 days per calendar year
Maternity  
Mental Health Treatment Not covered
Obesity or Weight Control Not covered
Orthognathic Surgery Not covered
Rehabilitative Care (inpatient) $15,000 annual limit
Rehabilitative Care (outpatient) $1,500 annual limit
Skilled Nursing Facility 14 days per stay
Spinal Manipulation 10 office visits per calendar year
Temporomandibular Joint Disorder Not covered
Transplants
  • 12-month waiting period
  • $250,000 lifetime maximum
Tobacco Addiction Treatment Not covered
Vision Not covered
You must be covered for at least 9 months before we pay for any of the following
Allergies 9-month waiting period
Ear Infections (otitis media) 9-month waiting period
Pre-existing conditions 9-month waiting period
Removal of Tonsils and Adenoids 9-month waiting period
Sterilization 9-month waiting period
This does not contain all limitations and exclusions. Please refer to your policy for a complete list of benefits and the limitations and exclusions that apply.

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