2016 Oregon Small Group Plans

The information on this page is for small group plans beginning January 1, 2016. Small groups in Oregon are employers with one to 50 employees.

Medical Plans

All plans are available direct with PacificSource and through OregonHealthcare.gov.


 

Plan

Deductible*

OOP*

Co-insurance

HSA-eligible?

SBCs and Handbooks
by Network
Summaries
by Network
  Balance Bronze 6850
$6,850
$6,850
0%
No
Value Bronze 6450
$6,450
$6,450
0%
Yes
Value Bronze 3500
$3,500
$6,450
50%
Yes
Standard Bronze
$5,000
$6,350
50%
Yes
  Balance Silver 4000 ACV
$4,000
$6,850
30%
No
Balance Silver 2500 ACV
$2,500
$6,850
30%
No
Value Silver 3600
$3,600
$3,600
0%
Yes
Standard Silver
$2,500
$6,350
30%
No
  Balance Gold 1000 ACV
$1,000
$5,000
20%
No
PSNSCN
Standard Gold
$1,250
$6,350
10%
No

*Deductible and out-of-pocket limit amounts shown below are the costs for individuals. Amounts for families are twice the individual amounts.

Dental Plans


  Dental Advantage Core Dental Advantage Essentials Core
Dental Advantage 0-20-50 1000** Dental Advantage Essentials**
Dental Advantage 0-20-50 1500** Dental Advantage Essentials Plus**
Dental Advantage 20-20-50 1000** Dental Choice Plus 0-20-50 25-1000**
Dental Advantage 20-20-50 1500** Dental Choice Plus 0-20-50 25-1500**
Dental Advantage Plus 0-20-50 1000** Dental Choice Plus 0-20-50 50-1000**
Dental Advantage Plus 0-20-50 1500** Dental Choice Plus 0-20-50 50-1500**
  Kids Dental Advantage 0-20-50   Sample Handbook Kids Dental Advantage 20-40-50**   Sample Handbook
  Ortho 1000 WP**  

Voluntary Dental Option Plans

Our Voluntary Dental option is available to businesses with ten or more enrolled employees. For information and requirements, please see our Voluntary Dental flier.

  Dental Advantage Core Dental Advantage Essentials Core
Dental Advantage 0-20-50 1000** Dental Advantage Essentials**
Dental Advantage 0-20-50 1500** Dental Advantage Essentials Plus**
Dental Advantage 20-20-50 1000**  
Dental Advantage 20-20-50 1500**  

**Available only direct from PacificSource.

 Brochure and Forms


Visit our Oregon Forms and Materials page for more sales materials.

Network Availability


Plan availability varies depending on geographic location. All network plans are available direct with PacificSource and through OregonHealthcare.gov.

PacificSource Network (PSN)

 
 Oregon PSN

Available in the following counties:

  • All counties

Notable features:

  • Access to participating PSN providers in Oregon, Oregon, Montana, and southern counties in Washington, as well as access to a nationwide travel network of providers
  • Referrals not required for specialty care
  • Some plans qualified for health savings accounts
 

SmartChoice Network (SCN)

 
 Oregon SCN

Available in the following counties:

  • Benton
  • Clackamas
  • Coos
  • Crook
  • Curry
  • Deschutes
 
  • Douglas
  • Jackson
  • Jefferson
  • Josephine
  • Lane
  • Linn
 
  • Marion
  • Multnomah
  • Polk
  • Washington
 
 

Notable features:

  • Partner with a primary care provider (PCP)
  • Referrals not required for specialty care
  • Some plans qualified for health savings accounts