SimpliveraCoverage Companion

Regence Cascade Silver Individual Connect Network

Regence BlueCross BlueShield of Oregon · 2027 plan year

Silver
Ind. deductible
$2,800
Family deductible
$5,600
Ind. OOP max
$11,200
Family OOP max
$22,400

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan87% AV Level Silver Plan94% AV Level Silver PlanStandard Silver Off Exchange PlanStandard Silver On Exchange PlanZero Cost Sharing Plan Variation

More Regence BlueCross BlueShield of Oregon plans in WA

Regence Cascade Complete Gold Legacy NetworkBronze Essential 9000 Legacy Network

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$20.00

Specialist

BenefitIn-network
Specialist Visit$65.00

Hospital

BenefitIn-network
Emergency Room Services$800.00 Copay after deductible
Inpatient Hospital Services (e.g., Hospital Stay)$800.00 Copay per Day after deductible
Outpatient Surgery Physician/Surgical Services$200.00 Copay after deductible
Urgent Care Centers or Facilities$65.00

Pharmacy

BenefitIn-network
Preferred Brand Drugs$75.00
Generic Drugs$25.00
Non-Preferred Brand Drugs$250.00 Copay after deductible
Specialty Drugs$250.00 Copay after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$800.00 Copay per Day after deductible
Mental/Behavioral Health Outpatient Services$20.00

Other

BenefitIn-network
Prenatal and Postnatal CareNo charge
Prosthetic Devices30.00% Coinsurance after deductible
Radiation$200.00 Copay after deductible
Reconstructive Surgery$800.00 Copay after deductible
Abortion for Which Public Funding is ProhibitedNo charge
Accidental Dental30.00% Coinsurance after deductible
Acupuncture$20.00
Allergy Testing30.00% Coinsurance after deductible
Chemotherapy$200.00 Copay after deductible
Chiropractic Care$20.00
Cosmetic Surgery30.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care$800.00 Copay after deductible
Dental Anesthesia30.00% Coinsurance after deductible
Diabetes Care ManagementNo charge
Diabetes EducationNo charge
Dialysis30.00% Coinsurance after deductible
Durable Medical Equipment30.00% Coinsurance after deductible
Emergency Transportation/Ambulance$375.00
Eye Glasses for ChildrenNo charge
Gender Affirming Care30.00% Coinsurance after deductible
Habilitation Services$40.00
Hearing Aids30.00%
Hearing Exams30.00%
Home Health Care Services$30.00
Hospice Services$30.00
Imaging (CT/PET Scans, MRIs)30.00% Coinsurance after deductible
Infertility Treatment30.00% Coinsurance after deductible
Infusion Therapy30.00% Coinsurance after deductible
Inherited Metabolic Disorder - PKU30.00% Coinsurance after deductible
Inpatient Physician and Surgical ServicesNo Charge after deductible
Laboratory Outpatient and Professional Services$40.00
Nutritional CounselingNo charge
Other Practitioner Office Visit (Nurse, Physician Assistant)$20.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$600.00 Copay after deductible
Outpatient Rehabilitation Services$40.00
Rehabilitative Occupational and Rehabilitative Physical Therapy$40.00
Rehabilitative Speech Therapy$40.00
Routine Eye Exam for ChildrenNo charge
Routine Foot Care30.00% Coinsurance after deductible
Skilled Nursing Facility$800.00 Copay per Day after deductible
Substance Abuse Disorder Inpatient Services$800.00 Copay per Day after deductible
Substance Abuse Disorder Outpatient Services$20.00
Transplant$800.00 Copay after deductible
Treatment for Temporomandibular Joint Disorders30.00% Coinsurance after deductible
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$65.00

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