Providence Oregon Standard Silver Plan - Choice Network
Silver · EPO · Providence Health Plan · Oregon
At age 40 it costs between $585.10 and $760.65 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $6,100 | $9,200 | $40 | $15 |
| up to 150% of the federal poverty level | $150 | $1,175 | $10 | $5 |
| 150% to 200% | $1,175 | $3,350 | $15 | $10 |
| 200% to 250% | $5,000 | $8,050 | $40 | $15 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 56707OR1330004 |
|---|---|
| Insurer | Providence Health Plan |
| Metal level | Silver |
| Plan type | EPO |
| Standardised design | Design 3 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $6,100 |
| Deductible (family) | $12,200 |
| Drug deductible | $0 |
| Most you could pay in a year | $9,200 |
| Family maximum | $18,400 |
| Primary care visit | $40 |
| Specialist visit | $100 |
| Emergency room | 30% Coinsurance after deductible |
| Inpatient stay | 30% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $60 |
| 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 | $457.85 | $519.65 | $585.10 | $817.70 | $1,242.60 |
| Multnomah County | $457.85 | $519.65 | $585.10 | $817.70 | $1,242.60 |
| Washington County | $457.85 | $519.65 | $585.10 | $817.70 | $1,242.60 |
| Yamhill County | $457.85 | $519.65 | $585.10 | $817.70 | $1,242.60 |
| Benton County | $503.60 | $571.60 | $643.65 | $899.45 | $1,366.85 |
| Deschutes County | $503.60 | $571.60 | $643.65 | $899.45 | $1,366.85 |
| Lane County | $503.60 | $571.60 | $643.65 | $899.45 | $1,366.85 |
| Linn County | $503.60 | $571.60 | $643.65 | $899.45 | $1,366.85 |
| Marion County | $503.60 | $571.60 | $643.65 | $899.45 | $1,366.85 |
| Polk County | $503.60 | $571.60 | $643.65 | $899.45 | $1,366.85 |
| Douglas County | $526.50 | $597.60 | $672.90 | $940.35 | $1,428.95 |
| Jackson County | $526.50 | $597.60 | $672.90 | $940.35 | $1,428.95 |
| Clatsop County | $549.40 | $623.60 | $702.15 | $981.25 | $1,491.10 |
| Lincoln County | $549.40 | $623.60 | $702.15 | $981.25 | $1,491.10 |
| Crook County | $595.20 | $675.55 | $760.65 | $1,063 | $1,615.35 |
| Hood River County | $595.20 | $675.55 | $760.65 | $1,063 | $1,615.35 |
| Jefferson County | $595.20 | $675.55 | $760.65 | $1,063 | $1,615.35 |
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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When this plan’s price or benefits change.
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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.