Providence Oregon Standard Gold Plan - Choice Network
Gold · EPO · Providence Health Plan · Oregon
At age 40 it costs between $680.20 and $884.25 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 56707OR1320004 |
|---|---|
| Insurer | Providence Health Plan |
| Metal level | Gold |
| Plan type | EPO |
| Standardised design | Design 3 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $1,800 |
| Deductible (family) | $3,600 |
| Drug deductible | $0 |
| Most you could pay in a year | $8,150 |
| Family maximum | $16,300 |
| Primary care visit | $20 |
| Specialist visit | $40 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $10 |
| Preferred brand drugs | $30 |
| Specialty drugs | 50% |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 99.95% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-800-878-4445 · TTY 1-888-244-6642 |
Where it is sold, and what it costs there
17 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Clackamas County | $532.25 | $604.10 | $680.20 | $950.60 | $1,444.50 |
| Multnomah County | $532.25 | $604.10 | $680.20 | $950.60 | $1,444.50 |
| Washington County | $532.25 | $604.10 | $680.20 | $950.60 | $1,444.50 |
| Yamhill County | $532.25 | $604.10 | $680.20 | $950.60 | $1,444.50 |
| Benton County | $585.45 | $664.50 | $748.25 | $1,045.65 | $1,588.95 |
| Deschutes County | $585.45 | $664.50 | $748.25 | $1,045.65 | $1,588.95 |
| Lane County | $585.45 | $664.50 | $748.25 | $1,045.65 | $1,588.95 |
| Linn County | $585.45 | $664.50 | $748.25 | $1,045.65 | $1,588.95 |
| Marion County | $585.45 | $664.50 | $748.25 | $1,045.65 | $1,588.95 |
| Polk County | $585.45 | $664.50 | $748.25 | $1,045.65 | $1,588.95 |
| Douglas County | $612.10 | $694.70 | $782.25 | $1,093.20 | $1,661.20 |
| Jackson County | $612.10 | $694.70 | $782.25 | $1,093.20 | $1,661.20 |
| Clatsop County | $638.70 | $724.90 | $816.25 | $1,140.70 | $1,733.40 |
| Lincoln County | $638.70 | $724.90 | $816.25 | $1,140.70 | $1,733.40 |
| Crook County | $691.90 | $785.35 | $884.25 | $1,235.75 | $1,877.85 |
| Hood River County | $691.90 | $785.35 | $884.25 | $1,235.75 | $1,877.85 |
| Jefferson County | $691.90 | $785.35 | $884.25 | $1,235.75 | $1,877.85 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.