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Providence Individual Plans for 2022

      

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.

2022 Providence Medical Brochure

To view the Providence plans with premiums for 2022 please click below:

 

CLICK to view Providence Brochure 2022

 

1.  Enroll through the  Marketplace

    If 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

 

Even if you don't qualify for a tax credit, you can apply through the Federal Marketplace at http://www.healthcare.gov .   Here are 4 advantages:

1. EASE OF APPLICATION: 

    The process is paperless, and each year you can easily select a new plan.  It's easy to also put different family members on different company plans or policies.  Call me at 503-650-4235 and we can do the Marketplace application together via screen-share/phone or in person.   If you decide to do the healthcare.gov application on your own, please consult with me first as it is easy to make a costly error.

2. TAX CREDITS: 

    The Marketplace is the only way to claim the tax credits if you qualify.  Even if you don't qualify when you first enroll, you may later on in the year if your health or income changes.  I've had a few clients make costly mistakes when their income dropped mid-year.

3.  IF YOU SHOULD APPLY OR RENEW ON YOUR OWN:

   
  If you complete your Marketplace application on your own they will ask "Is someone helping you complete this application?"  Here I appreciate you saying yes, then adding my agent name, Dan Neils, and NPN number, 757811.  This allows me to be compensated at no cost to you, and appoints as your broker should you need help during the year and at renewal.  Thank you!

4.  I'M HERE TO HELP:  

   Should you like my help enrolling or completing the annual enrollment I am at your service.  Just call me at 503-650-4325 or email me at danneils@gmail.com to set up a phone time or in person.  I can complete an application in about 10-15 minutes.  I can help renew coverage in as little as 8 minutes if there are few changes.

 

Enroll Direct using my Broker Link

    Please only apply directly with Providence if you are certain you will not qualify for a tax credit in 2022.  The application will ask you if you are working with a broker.  Please click yes, and add in Dan Neils agent 175573.  This is how I am compensated at no cost to you.  Click on the link below to begin:

 

 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 2022 Brochure

Click filename below to access file

2022_Providence_plan_overview.pdf