Providence Choice Plan (Medical Home)
Coordinated care from your dedicated health team
Providence Choice is a medical home plan. A medical home is a team-based health care model led by your primary care provider (PCP). They work with other health professionals to coordinate your care – like nurses, specialists, and pharmacists – this is called your “health care team.” The members of your team work together to make sure they’re all on the same page when it comes to your health.
Medical homes are located in Clark, Klickitat and Skamania counties in southwest Washington and most counties in Oregon. Refer to the provider directory to locate a medical home, or learn more about how a medical home works.
- Your choice of more than 400 medical homes*
- With a referral from a Medical Home, access a broad selection of local Choice network providers, or national health care providers through the Cigna PPO** Network
- In-network benefits apply for covered services provided or arranged by the medical home (with referral)
- Coverage for urgent/emergent services away from home
- Covered alternative care services include massage therapy
For more plan features, check out your member handbook
*Members must choose a medical home and notify the health plan of that choice to receive in-network benefits for covered services. See how to inform the plan of your medical home selection.
**The Cigna PPO network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO for Shared Administration.
Cigna is an independent company and not affiliated with Providence Health Plan. Access to the Cigna PPO Network is available through Cigna's contractual relationship with Providence Health Plan. All Cigna products are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
What you pay for certain services
- $250 individual deductible; $750 family deductible
- Out of pocket maximum: $1,500 individual; $4,500 family
- Primary care: $10 copay, first four visits ($0 deductible)
- Specialty care: $10 copay (with referral)
- Preventive services, in-network at no cost ($0 deductible)
- Virtual visits, in-network at no cost ($0 deductible)
- Chiropractic manipulation, acupuncture and massage therapy: $10 copay
We respect the privacy of your protected health information. Your health care is a personal matter, and we are committed to protecting your confidentiality. We may share your protected health information with others as part of your treatment, to provide payment for your treatment, or during our business operations. Learn more about how we protect your health information.