Oregon Health Insurance | Regence HSA Healthplan 2.0 Information for Agents

Regence HSA Healthplan 2.0^SM
For Oregon

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Unique Features

A simple way to pay for life’s medical expenses. It’s a comprehensive health plan and a tax-free savings account all rolled into one.
Personalized wellness programs encourage and reward the insured for reaching their health goals.
Enhanced support and interactive tools make this plan easy to understand and use.

Coverage at a Glance

Your coverage depends on the deductible you choose...

Deductible Options:

Individual: $1,500 / $2,500 / $3,500 / $5,000

Family: $3,000 / $5,000 / $7,000 / $10,000

Family (with Embedded Individual): $5,000 ($3,000) / $7,000 ($3,000)

Please choose a deductible from the options above to see its coverage at a glance.

Type of Plan:	Consumer Directed	Alternative care Emergency Room Hospital Maternity Mental Health No Referrals Office Visits Prescriptions Preventive Care Wellness Programs
Deductible:
Annual OOP Max:
Coinsurance Max:	not applicable
Lifetime Max:	$2,000,000
Copay:	none
Coinsurance:
Providers:	Category 1, 2 and 3 Find a Doctor

Benefit Summaries, Exclusions & Limitations

Exclusions and limitations are inside each benefit summary PDF below.

Deductible	Effective 01/01/11 – 12/31/11	Effective 01/01/12 & Beyond
Individual $1,500 / $2,500 / $3,500 Family $3,000 / $5,000 / $7,000	(PDF)	(PDF)
Individual $5,000 Family $10,000	(PDF)	(PDF)
Embedded deductible option: Family $5,000 / $7,000 with $3000 individual deductible	(PDF)	(PDF)

Banking

You can work with one of Regence’s preferred banking partners or choose your own bank.

Wellness Programs

Our health-focused plans come with comprehensive wellness resources. These programs are not insurance, but they are offered in addition to your medical plan to help your employees get information and support when they need it.

Integrated Care Management

Integrated Care Management provides specialized, targeted attention and support for employees who need assistance in managing their care. A Personal Care Team of clinical experts is ready to assist employees and their families with an ongoing medical condition, or serious illness or injury. The program provides easy access to one-on-one support focused on closing care gaps. Learn more about the program.

CareEnhance^®

A 24-hour nurse hotline staffed by registered nurses. CareEnhance is a great way for members to get medical questions answered without having to make an appointment with a doctor or visit an urgent care clinic. By explaining symptoms or concerns, members can get advice on what they can do on their own—or get a nurse’s opinion on whether they should see a doctor right away.

Regence Rare Disease Condition Management Program

The Regence Rare Disease Condition Management Program, in collaboration with Accordant®, is a valuable service that provides a personal health care support system to members with rare, complex, chronic conditions. Members who are affected by select conditions have 24/7 access to specially trained nurses who can answer questions and provide guidance.

This program is designed to meet unique health care needs and help coordinate care by working with you, your doctors and designated family members to obtain the best possible care in the most efficient manner.
Learn more about the Rare Disease Condition Management Program.

Regence Advantages

Members-only discount program offers your employees savings from a number of nationally recognized, health-related companis. Learn more about Regence Advantages.

Optional Benefits

You can round out the benefits your employees will enjoy by adding optional plan benefits. To learn more about these options, contact us » or your agent.

Vision

100% coverage for annual eye exam (Category 1 & 2, Category 3 may be subject to balance billing)
Up to $150 in hardware annually
Not subject to deductible

Dental
Three plans that offer something for everyone. Available as stand-alone coverage or paired with Regence HSA Healthplan 2.0.

Dental Options: Encore^SM, Expressions^SM & Radiance^SM

Employee Assistance Program (EAP)
A service that helps employees deal with the challenges they face in any of their many roles: employee, parent, spouse, child, friend, partner, and even consumer.

24-hour crisis assistance
Up to 4 face-to-face counseling sessions per incident
Legal and financial services
Parenting services and Adult and Elder care
read more

Critical Illness Insurance
Employees can cover most or all of their HSA deductible when a critical illness strikes. This unique plan is available through group voluntary coverage at no cost to the employer:

Lump sum benefit of $5,000 to $100,000 on diagnosis of a specified critical illness
Employees can use the benefit to pay all or part of deductible
No restrictions on how to spend this benefit

Life and Disability
To learn about Life and Disability plans, visit our partner, Regence Life and Health.