Phpcws.providence.org

Providence Health Plan Benefits

WEBProvidence Health Plan Benefits. View options for your specific health plan benefits by clicking the View Benefits button. Your benefit package is in PDF document format.

Actived: 9 days ago

URL: https://phpcws.providence.org/members/members/displaybenefitsummaryhistory.aspx

Your Benefit Summary

WEBYour Benefit Summary. Below is the amount you pay after you have met your calendar year Deductible. Deductible does not apply. In-Network. Out-of-Network. Emergency Care …

Category: Health Go Health

Your Benefit Summary

WEBYour Benefit Summary Vision $300 Plan Benefits Your Providence Health Plan vision benefit provides coverage as follows: Adults: up to $300 per two calendar year period …

Category: Health Go Health

Your Benefit Summary

WEBYour Benefit Summary. Your Benefit Summary. Providence Health & Services 2019 OR EPO Medical Plan. Copay What You Pay In Network Calendar Year In-Network …

Category: Medical Go Health

Your Benefit Summary

WEBby the health plan and, if approved, will pay at the non-preferred brand-name drug tier. Preferred brand-name drug / Non-preferred brand-name drug Brand name drugs are …

Category: Health Go Health

Your Benefit Summary

WEBThe fixed dollar amount you pay to a health care provider for a covered service at the time care is provided. In-Network Refers to services received from an extensive network of …

Category: Health Go Health

Your Benefit Summary

WEBThe fixed dollar amount you pay to a health care provider for a covered service at the time care is provided. In-Network Refers to services received from an extensive network of …

Category: Health Go Health

Your Dental Benefit Summary

WEBunder another Providence Health Plan medical or dental plan, this Plan will not duplicate that coverage. If you receive these services from Out-of-Network Dentists, coverage is …

Category: Medical Go Health

Your Benefit Summary

WEBcovered by Providence Health Plan. Newly approved drugs will be reviewed for safety and medical necessity within 12 months following FDA approval. Prescription dispensing …

Category: Medical Go Health

Your Benefit Summary

WEBThis Benefit Summary supplements your employer group s health plan and amends your standard domestic partner coverage. Domestic Partner definition The domestic partner …

Category: Supplements Go Health

Your Dental Summary

WEBThis summary provides only highlights of your benefits. To view your plan details, register and login at www.myProvidence.com. Diagnostic and preventive services do not apply …

Category: Health Go Health

Your Benefit Summary

WEBYour Benefit Summary. Below is the amount you pay after you have met your calendar year Deductible. Deductible does not apply. In-Network. Out-of-Network. Emergency Care …

Category: Health Go Health

Your Benefit Summary

WEBcoinsurance (after deductible; UCR applies) $8,150per person. $16,300per family (2 or more) $16,300 $32,600per family (2 or more) $5,000per person. $10,000per family (2 or …

Category: Health Go Health

In-Network Out-of-Network

WEBunder another Providence Health Plan medical or dental plan, this Plan will not duplicate that coverage. If you receive these services from Out-of-Network Dentists, coverage is …

Category: Medical Go Health

Option Advantage

WEBRetail Health Clinic A walk-in health clinic, other than an office, urgent care facility, pharmacy or independent clinic that is located within a retail operation. A Retail Health …

Category: Health Go Health

Prescription Drug Plan

WEBcovered by Providence Health Plan. Newly approved drugs will be reviewed for safety and medical necessity within 12 months following FDA approval. Prescription dispensing …

Category: Medical Go Health

IMPORTANT NOTICE OF CHANGES TO YOUR BENEFITS

WEBYou can also call Customer Service to get information about a provider’s participation with Providence Health Plan and your benefits. If you have any questions about this notice, …

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Option Advantage Premium

WEBRetail Health Clinic A walk-in health clinic, other than an office, urgent care facility, pharmacy or independent clinic that is located within a retail operation. A Retail Health …

Category: Health Go Health

Option Advantage

WEBA walk-in health clinic, other than an office, urgent care facility, pharmacy or independent clinic that is located within a retail operation. A Retail Health Clinic provides same-day …

Category: Health Go Health

HSA Qualified Plan

WEBHSA Qualified Plan Benefit Highlights (continued) In-Network Coinsurance Out-of-Network Coinsurance Diagnostic Services X-ray, lab services, and testing services (includes …

Category: Health Go Health