Oregon Select network availability expanding to groups of 2 to 99

January 23, 2012

In 2011, we created the Oregon Select Networks—five Portland-metro area provider networks,
each centered around a major health care delivery system. These networks were previously available only to groups of 100+. In 2012, we will expand their availability groups of 2 to 99 in Multnomah, Washington and Clackamas counties on the following products:

• 2-50 groups
• Regence Employee Choice℠ (up to eight product configurations)
• Regence Innova®
• Regence HSA Healthplan 2.0℠
• 51-99 groups
• Regence Innova®
• Regence HSA Healthplan 2.0℠

Product & Network Options: Groups 2-50
Groups of 2 to 50 can pair one product or up to eight product configurations within the Employee Choice portfolio with one of the following network options for Category 1 coverage:

• Oregon Select Adventist
• Oregon Select Tuality
• Preferred (PPO)

Product & Network Options: Groups 51-99
Groups of 51 to 99 can pair one product with up to two network options (with the subscriber choosing his or her preferred network option if the employer offers two) or two products with one network option. Network options available to groups of 51 to 99 are:

• Oregon Select Providence
• Oregon Select Legacy Health
• Oregon Select OHSU
• Oregon Select Adventist
• Oregon Select Tuality
• Preferred (PPO)

Category 1 Coverage: Important Note
To receive Category 1 benefits¹, members must see a provider within their network, regardless of where the member lives or works. All of the Oregon Select networks are geographically centered within the Portland-metro area.While these networks can provide significant savings to employers in this area, they may not be suitable for employers with a large employee base outside the area.

¹With the exception of a true emergency, in which case the member may visit any Emergency Room

Categories 2 & 3 Coverage: Groups 2-99
Regardless of which network is selected for Category 1 coverage, members enjoy broad-based Category 2 coverage through Regence’s participating network (containing 93% of all providers in Oregon). Members travelling outside Oregon but within Regence’s four-state coverage area have Category 2 coverage through our participating networks in Idaho, Utah and Washington. Subscribers travelling outside Regence’s coverage area can access national and international coverage through the BlueCard® Program (also covered at Category 2).

For Category 3, Regence pays non-participating allowed rates, with balance billing (no hold-harmless).

2-99 network expansion at-a-glance

• Available only to groups in Multnomah, Washington and Clackamas counties
• ER visits are covered as Category 1 at any hospital in a true emergency
• Dental and prescription drug options remain the same
• Effective date: April 1, 2012
• Open for quoting
  • (51+): 1/1/12
  • (2-50): 2/1/12

For more information, please contact your Regence sales representative. 

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