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Providence Individual Plans 

      

Before looking at the Oregon Providence individuals plans and premiums it is important to understand the two networks in the Portland area:

Choice and Connect 'Medical Home' Networks


 MEDICAL HOME SELECTION REQUIRED: 

     The plans in the Portland area require you to select a 'Medical Home' clinic in the first 30 days of being enrolled, or they will select a clinic for you.  You must go to that clinic for Primary Care Services and get referrals to go to other contracted providers within the network.   You can change clinics at any time.  Some plans use the Connect Network and other plans use the larger Choice Network.  

 TELL PROVIDENCE YOUR MEDICAL HOME CHOICE SELECTION:   

    Once you receive your member ID card, go to www.myprovidence.com and create an online account or call customer service.  From this web page you can select your Medical Home and update payment information, as well as see online EOB's from your providers.  You can also select your Medical Home clinic by calling Customer Service.

Preview the Providence Plans for 2023

Click Here to preview plans at www.healthcare.gov 

 

Providence Plan Brochure

CLICK HERE to view Providence Plan Brochure 2023 

 

PLEASE Enroll through the  Marketplace

    IfIf you want to enroll on your own, please apply with the Marketplace at www.healthcare.gov, not direct with Providence.   If your income changed next year it could mean regret for you if you were direct written.  

you would like to set up an appointment with me to apply for Providence, you can set up a time in my calendar using the link below:

Click to make an appointment with Dan Neils

 

If you want to apply on your own

      The Marketplace application asks "Is someone helping you complete this application?"  Here I appreciate you saying yes, then adding my agent name, Dan Neils, and NPN 757811.  This allows me to be compensated at no cost to you, and appoints as your broker should you need help during the year.   

 MAKING YOUR INITIAL PAYMENT:

   After you submit your paper application, you must make payment before the policy is finalized.  After enrollment Providence will either email you or mail you information on making this first payment and they give you an application number for reference.  If you lose this information you can pay online at http://www.providence.org/billpay

Option 2 is to pay by phone by calling the Enrollment dept at 888-821-2097 and make a phone payment.   

 

HANDY CONTACT INFO

Providence customer service:   503-574-7500

Providence Free Nurse Hotline: 800-700-0481 

Dan Neils 503-650-4325  danneils@gmail.com

 

$0 copay Express Care Virtual Video-visits

     This service allows you to conveniently meet as needed with a Providence provider through a laptop, tablet with camera, or smart phone you can set up the video visit with Providence.  From a computer use the link below to set up an account.   

https://virtual.providence.org

From a smart phone, download the Providence Health & Services Washington app to install and set up an account.   If you have the Bronze HSA plan, the cost is $79.00 per visit.  This service is available to non-Providence members as well. 

 

$0 Copay Express Care Retail Clinics in Walgreens Locations

      Many plans include access to the nurses in the Walgreen's clinics at $0 copay.  Perfect if you have a cold or need to try to renew a routine prescription.    

https://www.providence.org/our-services/urgent-care/

 

VSP Vision Providers:  If your plan includes vision:  

     If you buy a plan with vision coverage, the in-network provider network is called VSP.  You can search for local providers at:          https://vsp.com

 

ADDITIONAL DISCOUNTS ON PRESCRIPTION DRUGS:

 

     Sometimes the Providence insurance discount is smaller than buying your prescription drugs through www.goodrx.com  Check to see the  price on GoodRX before filling your expensive prescription and ask for the lowest price.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Providence Plan brochure 2023

Click filename below to access file

Providence_Plan_Guide_2023.pdf