Oregon health plan · 2026

Connect 6000 Silver · 56707OR1380013

Providence Health Plans offers this marketplace health insurance plan (Plan ID 56707OR1380013) so you can compare premiums, coverage levels, and provider access against other health plan insurance options. Use the modules below to decide whether this is the best health insurance plan for your household or if another insurance health plan fits better.

Metal level: Silver Plan type: EPO CSR: Zero Cost Sharing Plan Variation Issuer: Providence Health Plans
Telehealth Data pending HSA eligible No Dental Child Vision Adult/Child
View issuer site

Issuer actuarial value: 100.00%. Expect to pay roughly 0.00% of covered costs out of pocket, based on issuer reporting.

CMS AV Calculator output: 100.00% (0.00% member share on average). Learn about AV methodology.

2026 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 02 Dec 2025 06:13 GMT). Personalize costs with your ZIP, age, and subsidies in the plan finder.

Monthly premium

$251 – $1542

Before subsidies

Estimate after subsidies

Deductible

$0

$0 per group

See deductible details

Max out-of-pocket

$0

$0 per group

Review MOOP rules

Office visits

Primary care $0.00
Specialist $0.00
HSA Not eligible

Drug tiers

Generic $0.00
Preferred brand $0.00

View formulary tiers

$539 / mo before subsidies

≈ $6464 per year before tax credits.

Start with this unsubsidized premium, then apply marketplace tax credits to see your final monthly payment.

  • Ideal for shoppers comparing Bronze vs. Silver budgets.
  • Update your Marketplace application to apply premium tax credits.

$1565 / mo before subsidies

≈ $18780 per year before tax credits.

Pre-subsidy rate for a couple with one dependent. Switch to Silver CSR plans if you qualify to reduce these numbers.

  • Compares well against PPO vs HMO networks when planning for childcare and telehealth needs.
  • This Silver tier qualifies for CSR if household income is ≤250% FPL.

$1783 / mo before subsidies

≈ $21398 per year before tax credits.

Pairs with cost-sharing reductions (CSR) when you select a Silver tier and qualify based on income.

  • Use this estimate before adding childcare, dental, or vision extras.
  • CSR Silver variants can lower deductibles dramatically for eligible incomes.
  • This Silver tier qualifies for CSR if household income is ≤250% FPL.

$1314 / mo before subsidies

≈ $15767 per year before tax credits.

Shows the combined pre-subsidy rate for two adults. Add dependents or subsidies in your application to refine it.

  • Great for households deciding between PPO and HMO networks.
  • Telehealth and HSA perks (when offered) apply to both members.
Issuer profile See benefits

Preventive Care/Screening/Immunization

$0.00

Emergency Room Services

$0.00, 0.00%

Durable Medical Equipment

0.00%

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Enrollment guidance

Stay on top of 2026 ACA deadlines

Open Enrollment window

Marketplace enrollment for 2026 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Oregon). Submit changes before the deadline to avoid a coverage gap.

  • Enroll by Dec 15 for Jan 1 starts.
  • Finalize plan switches before the window closes.

Special Enrollment Periods

You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).

  • Report the event within 60 days.
  • Keep documentation handy for Healthcare.gov or your state exchange.

CSR & subsidy reminders

Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.

  • Enter accurate income to maximize Advanced Premium Tax Credits.
  • Zero Cost Sharing Plan Variation plans like this one keep deductibles and copays lower if you qualify.

Thinking about switching?

Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.

  • Match provider networks so ongoing care isn’t disrupted.
  • Confirm prescriptions stay on-formulary or budget for tier changes.

Top covered benefits

How this plan handles key care scenarios

Preventive Care/Screening/Immunization

$0.00

Emergency Room Services

$0.00, 0.00%

Durable Medical Equipment

0.00%

Premium snapshot

Plan identifiers & filings

Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.

Plan ID 56707OR1380013
Coverage year 2026
State Oregon
Issuer Providence Health Plans
Formulary document Download formulary
Marketing materials View marketing kit
Variant ID 56707OR1380013-02
Available variants

Standard Off Exchange Plan · 56707OR1380013-00

Standard On Exchange Plan · 56707OR1380013-01

Open to Indians below 300% FPL · 56707OR1380013-02

Open to Indians above 300% FPL · 56707OR1380013-03

73% AV Silver Plan · 56707OR1380013-04

87% AV Silver Plan · 56707OR1380013-05

94% AV Silver Plan · 56707OR1380013-06
Last plan update Tue, 28 Oct 2025 00:00 GMT
Last HealthPorta import Tue, 02 Dec 2025 06:13 GMT

Network stats

Provider access snapshot

Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 02 Dec 2025 06:13 GMT).

All providers in Oregon 9238
PCPs in Oregon 748
Telehealth support Data pending
Nationwide providers 202043
9,238 doctors statewide 748 PCPs 15 OB/GYN

Provider network(s)

Providers Oregon All US states
All 9238 202043
PCP 748 1294
Allergy 3 4
OB/GYN 15 16
Dentists 5 7

Drug coverage overview

5,339 drugs tracked

Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.

Tier Covered drugs
ACA-PREVENTIVE 5,339
Prior authorization Drugs
Required 988
Not Required 4,351
Step therapy Drugs
Required 99
Not Required 5,240
Quantity limits Drugs
Has Limit 1,138
No Limit 4,201

Customer highlights

What stands out for members

  • Issuer: Providence Health Plans · Plan ID 56707OR1380013 · 2026 filing.
  • Disease management programs available: Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs.
  • Download the latest formulary directly from the issuer here.
  • Review marketing brochures and SBC PDFs via the issuer marketing repository.
  • Variant 56707OR1380013-02 (Open to Indians below 300% FPL) currently displayed.
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Benefits

Covered services & limitations

Everyday care

Office visits, preventive care, labs, imaging, and home health.

Chiropractic Care

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Limit: 20.0 Visit(s) per Year

Diabetes Education

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Home Health Care Services

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Laboratory Outpatient and Professional Services

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Other Practitioner Office Visit (Nurse, Physician Assistant)

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

$5 copay for the first three in-network Primary Care Provider visits per year. Practitioners assisting specialists will be charged at the specialist copay.

Preventive Care/Screening/Immunization

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Primary Care Visit to Treat an Injury or Illness

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

$5 copay for the first three in-network Primary Care Provider visits per year. Practitioners assisting specialists will be charged at the specialist copay.

Rehabilitative Occupational and Rehabilitative Physical Therapy

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Limit: 30.0 Visit(s) per Year

All therapies combined. Additional visits for specified conditions. Visit limit does not apply to treatment of mental health conditions.

Rehabilitative Speech Therapy

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Limit: 30.0 Visit(s) per Year

All therapies combined. Additional visits for specified conditions. Visit limit does not apply to treatment of mental health conditions.

Specialist Visit

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Telehealth - Primary Care

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

ExpressCare Virtual No Charge

Telehealth - Specialist

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Urgent Care Centers or Facilities

$0.00
Tier 1 in-network $0.00
Out-of-network $0.00

X-rays and Diagnostic Imaging

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Zero Cost Share Preventive Drugs

No Charge
Tier 1 in-network No Charge
Out-of-network 100.00%

Limit: 30.0 Days per Month

Hospital & urgent

Emergency room, inpatient stays, ambulance, and surgeries.

Chemotherapy

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Delivery and All Inpatient Services for Maternity Care

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Dialysis

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Durable Medical Equipment

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Emergency Room Services

$0.00, 0.00%
Tier 1 in-network $0.00, 0.00%
Out-of-network $0.00, 0.00%

Emergency Transportation/Ambulance

0.00%
Tier 1 in-network 0.00%
Out-of-network 0.00%

Hospice Services

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Respite care provided in a nursing facility subject to a maximum of five consecutive days and to a lifetime maximum benefit of 30 days.

Inpatient Hospital Services (e.g., Hospital Stay)

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Inpatient Physician and Surgical Services

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Mental/Behavioral Health Inpatient Services

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Mental/Behavioral Health Outpatient Services

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

$5 copay for the first three in-network Mental/Behavioral Health Outpatient and Substance Abuse Disorder Outpatient office visits combined per year.

Outpatient Facility Fee (e.g., Ambulatory Surgery Center)

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Cost share is lower at an Ambulatory Surgical Center

Outpatient Rehabilitation Services

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Limit: 30.0 Visit(s) per Year

All therapies combined. Additional visits for specified conditions. Visit limit does not apply to treatment of mental health conditions.

Outpatient Surgery Physician/Surgical Services

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Radiation

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Skilled Nursing Facility

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Limit: 60.0 Days per Year

Substance Abuse Disorder Inpatient Services

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Substance Abuse Disorder Outpatient Services

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

$5 copay for the first three in-network Mental/Behavioral Health Outpatient and Substance Abuse Disorder Outpatient office visits combined per year.

Transplant

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Pregnancy & family

Maternity, newborn, pediatric dental and vision extras.

Basic Dental Care - Child

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Hearing Aids

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Limit: 2.0 Item(s) per 3 Years

1 hearing aid per ear every 3 years.

Major Dental Care - Child

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Prenatal and Postnatal Care

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Routine Eye Exam for Children

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Well Baby Visits and Care

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Pharmacy & drugs

Generic, brand, specialty, and mail order tiers.

Generic Drugs

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Limit: 30.0 Days per Month

The cost share shown is the most common amount paid by a member for drugs in this category. Some drugs may fall under a higher or lower cost sharing amount than is listed here. For the cost share of a specific drug, see the list of covered drugs and the Summary of Benefits. Coverage is limited to a 30-day supply retail or 90-day supply mail order per fill or refill. Insulin: $35 max out of pocket for 30 day supply prior to deductible.

Medical Service Drugs

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Non-Preferred Brand Drugs

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Limit: 30.0 Days per Month

Tier 4 - 50% up to $200 per 30-day script cap. The cost share shown is the most common amount paid by a member for drugs in this category. Some drugs may fall under a higher or lower cost sharing amount than is listed here. For the cost share of a specific drug, see the list of covered drugs and the Summary of Benefits. Coverage is limited to a 30-day supply retail or 90-day supply mail order per fill or refill. Insulin: $35 max out of pocket for 30 day supply prior to deductible.

Preferred Brand Drugs

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Limit: 30.0 Days per Month

The cost share shown is the most common amount paid by a member for drugs in this category. Some drugs may fall under a higher or lower cost sharing amount than is listed here. For the cost share of a specific drug, see the list of covered drugs and the Summary of Benefits. Coverage is limited to a 30-day supply retail or 90-day supply mail order per fill or refill. Insulin: $35 max out of pocket for 30 day supply prior to deductible.

Specialty Drugs

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Limit: 30.0 Days per Month

Tier 5 Specialty Drugs - 50% up to $300 per 30-day script cap. The cost share shown is the most common amount paid by a member for drugs in this category. Some drugs may fall under a higher or lower cost sharing amount than is listed here. For the cost share of a specific drug, see the list of covered drugs and the Summary of Benefits. Coverage is limited to a 30-day supply retail or 90-day supply mail order per fill or refill. Insulin: $35 max out of pocket for 30 day supply prior to deductible.

Wellness & extras

Vision, dental, therapies, prosthetics, weight management.

Accidental Dental

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Basic Dental Care - Adult

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Dental Check-Up for Children

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Hormone Therapy

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Infusion Therapy

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Major Dental Care - Adult

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Nutritional Counseling

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Orthodontia - Adult

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Covered when medically necessary due to trauma or disease, or to correct congenital deformities and anomalies.

Orthodontia - Child

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Covered when medically necessary due to trauma or disease, or to correct congenital deformities and anomalies.

Prosthetic Devices

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Routine Dental Services (Adult)

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Weight Loss Programs

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Additional benefits

Other plan-specific services and limitations.

Abortion for Which Public Funding is Prohibited

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Acupuncture

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Limit: 12.0 Visit(s) per Year

Allergy Testing

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Bariatric Surgery

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Cosmetic Surgery

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Covered when medically necessary due to trauma or disease, or to correct congenital deformities and anomalies.

Eye Glasses for Children

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Gender Affirming Care

Coverage details pending

Gender affirming care is covered when determined by a provider as medically necessary and follows accepted standards of care. Please check with the insurance carrier for coverage information, including any limitations and exclusions.

Habilitation Services

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Limit: 30.0 Visit(s) per Year

All therapies combined. Additional visits for specified conditions. Visit limit does not apply to treatment of mental health conditions.

Imaging (CT/PET Scans, MRIs)

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Infertility Treatment

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Long-Term/Custodial Nursing Home Care

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Non-Preferred Generic

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Limit: 30.0 Days per Month

The cost share shown is the most common amount paid by a member for drugs in this category. Some drugs may fall under a higher or lower cost sharing amount than is listed here. For the cost share of a specific drug, see the list of covered drugs and the Summary of Benefits. Coverage is limited to a 30-day supply retail or 90-day supply mail order per fill or refill. Insulin: $35 max out of pocket for 30 day supply prior to deductible.

Preferred Generic

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Limit: 30.0 Days per Month

The cost share shown is the most common amount paid by a member for drugs in this category. Some drugs may fall under a higher or lower cost sharing amount than is listed here. For the cost share of a specific drug, see the list of covered drugs and the Summary of Benefits. Coverage is limited to a 30-day supply retail or 90-day supply mail order per fill or refill. Insulin: $35 max out of pocket for 30 day supply prior to deductible.

Private-Duty Nursing

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Reconstructive Surgery

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Covered when medically necessary due to trauma or disease, or to correct congenital deformities and anomalies.

Routine Eye Exam (Adult)

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Limit: 1.0 Visit(s) per Year

Exam Only

Routine Foot Care

0.00%
Tier 1 in-network 0.00%
Out-of-network 100.00%

Covered for patients with diabetes mellitus.

Treatment for Temporomandibular Joint Disorders

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Variant attributes

Connect 6000 Silver · Variant 56707OR1380013-02

Plan identifiers & tier

Issuer-provided metadata for this variant.

Business Year

2026

CSR Variation Type

Zero Cost Sharing Plan Variation

HIOS Product ID

56707OR138

Metal Level

Silver

Plan ID (Standard Component ID with Variant)

56707OR1380013-02

Plan Marketing Name

Connect 6000 Silver

Plan Variant Marketing Name

Connect 6000 Silver

Issuer & service area

Issuer-provided metadata for this variant.

Issuer Actuarial Value

100.00%

Issuer ID

56707

Issuer Marketplace Marketing Name

Providence Health Plan

Market Coverage

Individual

Multiple In Network Tiers

No

National Network

No

Network ID

ORN002

Out of Country Coverage

Yes

Out of Country Coverage Description

Emergency Only

Out of Service Area Coverage

Yes

Out of Service Area Coverage Description

Emergency Care and Urgent Care

Service Area ID

ORS002

State Code

OR

URL for Summary of Benefits & Coverage

Open link

Cost sharing & actuarial values

Issuer-provided metadata for this variant.

AV Calculator Output Number

1

Begin Primary Care Deductible Coinsurance After Number Of Copays

0

Inpatient Copayment Maximum Days

0

Medical Drug Deductibles Integrated

Yes

Medical Drug Maximum Out of Pocket Integrated

Yes

SBC Scenario, Having a Baby, Coinsurance

$0

SBC Scenario, Having a Baby, Copayment

$0

SBC Scenario, Having a Baby, Deductible

$0

SBC Scenario, Having Diabetes, Coinsurance

$0

SBC Scenario, Having Diabetes, Copayment

$0

SBC Scenario, Having Diabetes, Deductible

$0

SBC Scenario, Treatment of a Simple Fracture, Coinsurance

$0

SBC Scenario, Treatment of a Simple Fracture, Copayment

$0

SBC Scenario, Treatment of a Simple Fracture, Deductible

$0

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Group

per group not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Person

per person not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual

Not Applicable

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance

0.00%

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Group

$0 per group

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Person

$0 per person

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual

$0

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Group

per group not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Person

per person not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual

Not Applicable

Enrollment & documents

Issuer-provided metadata for this variant.

Formulary ID

ORF006

Formulary URL

Open link

Plan Brochure

Open link

SBC Scenario, Having a Baby, Limit

$0

SBC Scenario, Having Diabetes, Limit

$0

SBC Scenario, Treatment of a Simple Fracture, Limit

$0

Additional attributes

Issuer-provided metadata for this variant.

Begin Primary Care Cost-Sharing After Number Of Visits

0

Child-Only Offering

Allows Adult and Child-Only

Composite Rating Offered

No

Dental Only Plan

No

Design Type

Not Applicable

Disease Management Programs Offered

Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs

EHB Percent of Total Premium

0.9995

First Tier Utilization

100%

Import Date

10/28/2025

Limited Cost Sharing Plan Variation - Estimated Advanced Payment

$0.00

HSA Eligible

No

New/Existing Plan

Existing

Notice Required for Pregnancy

No

Is a Referral Required for Specialist?

No

Plan Effective Date

1/1/2026

Plan Expiration Date

12/31/2026

Plan Type

EPO

QHP/Non QHP

Both

Source Name

SERFF

Plan ID

56707OR1380013

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Group

per group not applicable

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Person

per person not applicable

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual

Not Applicable

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Group

$0 per group

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Person

$0 per person

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual

$0

Combined Medical and Drug EHB Deductible, Out of Network, Family Per Group

per group not applicable

Combined Medical and Drug EHB Deductible, Out of Network, Family Per Person

per person not applicable

Combined Medical and Drug EHB Deductible, Out of Network, Individual

Not Applicable

Unique Plan Design

Yes

Wellness Program Offered

No

Copay & coinsurance

Pharmacy cost sharing by tier

Drug tier Pharmacy type Copay amount Copay option Coinsurance rate Coinsurance option Mail order

Questions & answers

Frequently asked questions

How do I choose the right ACA plan in Oregon?

Connect 6000 Silver (56707OR1380013) is a Silver EPO from Providence Health Plans in Oregon for the 2026 coverage year.

Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.

Does Connect 6000 Silver support telehealth or virtual urgent care?

The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.

Is Connect 6000 Silver HSA-eligible and does it include dental or vision coverage?

It is not marked as HSA-eligible, so confirm with the issuer before relying on tax-advantaged savings.

Dental add-ons: Child.

Vision add-ons: Adult, Child.

Does Connect 6000 Silver support mail-order prescriptions?

Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.

Which disease management programs come with Connect 6000 Silver?

The issuer lists disease management resources for: Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs.

Is there out-of-country coverage for Connect 6000 Silver?

Yes, limited out-of-country coverage is available. Review the Summary of Benefits for reimbursement steps. Details: Emergency Only

Does Connect 6000 Silver cover care outside the service area?

Yes, you have limited out-of-area coverage. See the plan documents for referral and prior authorization rules. Details: Emergency Care and Urgent Care

Disclaimer: Based on the Tue, 02 Dec 2025 06:13 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
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