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Individual Medical Plans at a Glance

All of our plan designs give you the freedom to see any licensed provider you choose, but with a better benefit if you access a preferred providerA provider contracted within a network. By choosing a preferred provider, the member's out-of-pocket expenses will be less than if he or she chooses a physician outside the network. from our statewide network. Coverage varies from plan to plan, so look for the features that best fit your healthcare preferences.

Click on deductible amount to see benefit summary for that plan.

Apply Online Now! or download paper application (PDF)

Rates Maximizer (PPO)
Deductible Choices Co-PayThe insured patient's share of the total medical bill, usually expressed as a specific dollar amount paid for a given service, product or treatment. For example, the patient might pay $20 for each doctor's office visit. The patient is usually responsible for payment at the time of the treatment or service. Office Visit Pharmacy
$1,000
$2,500
$5,000		 $20 $20 $15 generics or
50% brand
Rates Beneficial Rx (PPO)
Deductible Choices Co-PayThe insured patient's share of the total medical bill, usually expressed as a specific dollar amount paid for a given service, product or treatment. For example, the patient might pay $20 for each doctor's office visit. The patient is usually responsible for payment at the time of the treatment or service. Office Visit Pharmacy
$1,000
$2,500
$5,000		 $15 First 3 at $15 $15 generics or
50% brand
Rates Beneficial Value (PPO)
Deductible Choices Co-PayThe insured patient's share of the total medical bill, usually expressed as a specific dollar amount paid for a given service, product or treatment. For example, the patient might pay $20 for each doctor's office visit. The patient is usually responsible for payment at the time of the treatment or service. Office Visit Pharmacy

$1,000
$2,500
$5,000
$7,500

 $25 First 3 at $25 Optional1
1If selected, prescription rider provides $15 generic/50% brand name up to $2000 maximum benefit per plan year. View Rx Rider rates
Rates Health Savings Account (HSA) 3000
Deductible Co-PayThe insured patient's share of the total medical bill, usually expressed as a specific dollar amount paid for a given service, product or treatment. For example, the patient might pay $20 for each doctor's office visit. The patient is usually responsible for payment at the time of the treatment or service. Office Visit Pharmacy
$3,000 (individual)
$6,000 (family)		 0 0 0
Rates Health Savings Account (HSA) Value
Deductible Co-PayThe insured patient's share of the total medical bill, usually expressed as a specific dollar amount paid for a given service, product or treatment. For example, the patient might pay $20 for each doctor's office visit. The patient is usually responsible for payment at the time of the treatment or service. Office Visit Pharmacy
$2,800 (individual)
$5,600 (family)		 50% 50% 50%

VALUE-ADDED SERVICES

OUR PROVIDER NETWORK

All of our health plans include access to the largest directly contracted PPO network in Oregon, the ODS Plus Network.

PERSONALIZED MEMBER WEBSITE

ODS members can access all insurance-related information at one convenient online location with myODS,which provides access to member handbooks, claims status and history, detailed benefit information, health tools and more.

These additional services are provided to ODS medical plans at no additional cost.

YOUR PARTNER IN HEALTH

Through our medical management and health coaching programs, clinical professionals will work with you to help you manage your health. With their help, you’ll identify, plan and achieve the goals that are essential in helping you feel your best.

FREE ONLINE HEALTH ADVICE 24/7

A variety of helpful tools, both online and via the phone, are available around the clock to help you improve your health, including:

  • E-mail answers from physicians, psychologists, dentists, pharmacists, dietitians and fitness experts
  • Phone advice from a registered nurse
  • Online tools to track healthy living habits
  • Web-based health and symptom evaluator
  • Medication-specific pricing information
  • Health assessments
  • Online medical library
  • Health news articles, forums and more

PHARMACY DISCOUNT CARD

Save on brand name and generic prescription drugs. View Details