Regence PROV Bronze Essential 9500 With 4 Copay No Deductible Office Visits
Regence BlueCross BlueShield of Oregon · 2027 plan year
Expanded BronzeHSA eligible
- Ind. deductible
- $9,500
- Family deductible
- $19,000
- Ind. OOP max
- $12,000
- Family OOP max
- $24,000
Compare with other Expanded Bronze plans in OR
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More Regence BlueCross BlueShield of Oregon plans in OR
Monthly premiums by age
Rating Area 1
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $258 | $258 |
| 21 | $406 | $467 |
| 30 | $461 | $530 |
| 40 | $519 | $597 |
| 50 | $726 | $834 |
| 60 | $1,103 | $1,268 |
| 64 and over | $1,219 | $1,402 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $60.00 + 10.00% Coinsurance after deductible |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $60.00 + 10.00% Coinsurance after deductible |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | 10.00% Coinsurance after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | 10.00% Coinsurance after deductible |
| Outpatient Surgery Physician/Surgical Services | 10.00% Coinsurance after deductible |
| Urgent Care Centers or Facilities | $60.00 + 10.00% Coinsurance after deductible |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $15.00 |
| Non-Preferred Brand Drugs | 40.00% Coinsurance after deductible |
| Preferred Brand Drugs | 30.00% Coinsurance after deductible |
| Specialty Drugs | 50.00% Coinsurance after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | 10.00% Coinsurance after deductible |
| Mental/Behavioral Health Outpatient Services | 10.00% Coinsurance after deductible |
Other
| Benefit | In-network |
|---|---|
| Abortion for Which Public Funding is Prohibited | No charge |
| Accidental Dental | 10.00% Coinsurance after deductible |
| Acupuncture | 10.00% Coinsurance after deductible |
| Allergy Testing | 10.00% Coinsurance after deductible |
| Basic Dental Care - Child | 20.00% |
| Chemotherapy | 10.00% Coinsurance after deductible |
| Chiropractic Care | 10.00% Coinsurance after deductible |
| Cosmetic Surgery | 10.00% Coinsurance after deductible |
| Delivery and All Inpatient Services for Maternity Care | 10.00% Coinsurance after deductible |
| Dental Check-Up for Children | No charge |
| Diabetes Education | No charge |
| Dialysis | 10.00% Coinsurance after deductible |
| Durable Medical Equipment | 10.00% Coinsurance after deductible |
| Emergency Transportation/Ambulance | 10.00% Coinsurance after deductible |
| Eye Glasses for Children | No charge |
| Habilitation Services | 10.00% Coinsurance after deductible |
| Hearing Aids | 10.00% |
| Home Health Care Services | 10.00% Coinsurance after deductible |
| Hospice Services | 10.00% Coinsurance after deductible |
| Imaging (CT/PET Scans, MRIs) | 10.00% Coinsurance after deductible |
| Infusion Therapy | 10.00% Coinsurance after deductible |
| Inpatient Physician and Surgical Services | 10.00% Coinsurance after deductible |
| Laboratory Outpatient and Professional Services | 10.00% Coinsurance after deductible |
| Major Dental Care - Child | 50.00% |
| Nutritional Counseling | 10.00% Coinsurance after deductible |
| Orthodontia - Child | 50.00% |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $60.00 + 10.00% Coinsurance after deductible |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 10.00% Coinsurance after deductible |
| Outpatient Rehabilitation Services | 10.00% Coinsurance after deductible |
| Prenatal and Postnatal Care | 10.00% Coinsurance after deductible |
| Prosthetic Devices | 10.00% Coinsurance after deductible |
| Radiation | 10.00% Coinsurance after deductible |
| Reconstructive Surgery | 10.00% Coinsurance after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | 10.00% Coinsurance after deductible |
| Rehabilitative Speech Therapy | 10.00% Coinsurance after deductible |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | 10.00% Coinsurance after deductible |
| Skilled Nursing Facility | 10.00% Coinsurance after deductible |
| Substance Abuse Disorder Inpatient Services | 10.00% Coinsurance after deductible |
| Substance Abuse Disorder Outpatient Services | 10.00% Coinsurance after deductible |
| Telehealth - Primary Care | No charge |
| Telehealth - Specialist | $60.00 + 10.00% Coinsurance after deductible |
| Transplant | 10.00% Coinsurance after deductible |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | 10.00% Coinsurance after deductible |
Service area
This plan covers 3 geographic areas.
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