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  2. Summary of Benefits and Coverage. The Summary of Benefits and Coverage (SBC) is a federally mandated document designed to allow "apples to apples" comparisons of health plan options.

  3. With the most robust level of coverage, Total Enhanced plans offer employees best-in-class benefits with full access to the Providence Signature Network for the ultimate flexibility. 2024 Total Enhanced plans - All plans are SHOP-qualified (all plans available direct and via the marketplace)

  4. You’re part of a community of care, focused on your health and well-being. To help you make the right health care decisions, we’re providing this summary of benefits, a succinct guide that breaks down what we would cover and what you would pay if you joined our Providence Medicare Flex Group Plan + Rx (HMO-POS) plan.

  5. Providence Health Plan offers commercial group, individual health coverage and ASO services. Providence Health Assurance is an HMO, HMO‐POS and HMO SNP with Medicare and Oregon Health Plan contracts.

  6. How to use your benefits. The following is designed to help you better understand your health plan coverage. For additional information, refer to your member materials available in the Providence Health Plan secure member portal, myProvidence.

  7. Benefits are based on Usual, Customary & Reasonable charges (UCR). Some services and penalties do not apply to out-of-pocket maximums. This plan summary highlights some of the features of this Providence medical plan. This summary does not include all plan rules and details. The terms of your benefit plans are governed by legal documents.

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