Providence Oregon Standard Gold Plan - Signature Network
Gold · EPO · Providence Health Plan · Oregon
At age 40 it costs between $727.50 and $945.75 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 | 56707OR1350004 |
|---|---|
| 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
36 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 | $569.25 | $646.10 | $727.50 | $1,016.70 | $1,544.95 |
| Multnomah County | $569.25 | $646.10 | $727.50 | $1,016.70 | $1,544.95 |
| Washington County | $569.25 | $646.10 | $727.50 | $1,016.70 | $1,544.95 |
| Yamhill County | $569.25 | $646.10 | $727.50 | $1,016.70 | $1,544.95 |
| Benton County | $626.15 | $710.70 | $800.25 | $1,118.35 | $1,699.45 |
| Deschutes County | $626.15 | $710.70 | $800.25 | $1,118.35 | $1,699.45 |
| Klamath County | $626.15 | $710.70 | $800.25 | $1,118.35 | $1,699.45 |
| Lake County | $626.15 | $710.70 | $800.25 | $1,118.35 | $1,699.45 |
| Lane County | $626.15 | $710.70 | $800.25 | $1,118.35 | $1,699.45 |
| Linn County | $626.15 | $710.70 | $800.25 | $1,118.35 | $1,699.45 |
| Marion County | $626.15 | $710.70 | $800.25 | $1,118.35 | $1,699.45 |
| Polk County | $626.15 | $710.70 | $800.25 | $1,118.35 | $1,699.45 |
| Douglas County | $654.65 | $743 | $836.60 | $1,169.20 | $1,776.70 |
| Jackson County | $654.65 | $743 | $836.60 | $1,169.20 | $1,776.70 |
| Josephine County | $654.65 | $743 | $836.60 | $1,169.20 | $1,776.70 |
| Clatsop County | $683.10 | $775.30 | $873 | $1,220 | $1,853.95 |
| Columbia County | $683.10 | $775.30 | $873 | $1,220 | $1,853.95 |
| Coos County | $683.10 | $775.30 | $873 | $1,220 | $1,853.95 |
| Curry County | $683.10 | $775.30 | $873 | $1,220 | $1,853.95 |
| Lincoln County | $683.10 | $775.30 | $873 | $1,220 | $1,853.95 |
| Tillamook County | $683.10 | $775.30 | $873 | $1,220 | $1,853.95 |
| Baker County | $740 | $839.90 | $945.75 | $1,321.70 | $2,008.40 |
| Crook County | $740 | $839.90 | $945.75 | $1,321.70 | $2,008.40 |
| Gilliam County | $740 | $839.90 | $945.75 | $1,321.70 | $2,008.40 |
| Grant County | $740 | $839.90 | $945.75 | $1,321.70 | $2,008.40 |
| Harney County | $740 | $839.90 | $945.75 | $1,321.70 | $2,008.40 |
| Hood River County | $740 | $839.90 | $945.75 | $1,321.70 | $2,008.40 |
| Jefferson County | $740 | $839.90 | $945.75 | $1,321.70 | $2,008.40 |
| Malheur County | $740 | $839.90 | $945.75 | $1,321.70 | $2,008.40 |
| Morrow County | $740 | $839.90 | $945.75 | $1,321.70 | $2,008.40 |
| Sherman County | $740 | $839.90 | $945.75 | $1,321.70 | $2,008.40 |
| Umatilla County | $740 | $839.90 | $945.75 | $1,321.70 | $2,008.40 |
| Union County | $740 | $839.90 | $945.75 | $1,321.70 | $2,008.40 |
| Wallowa County | $740 | $839.90 | $945.75 | $1,321.70 | $2,008.40 |
| Wasco County | $740 | $839.90 | $945.75 | $1,321.70 | $2,008.40 |
| Wheeler County | $740 | $839.90 | $945.75 | $1,321.70 | $2,008.40 |
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.