Call 800.884.2343 or
541.434.9613
FAX - 541.284.2994
Plan Benefits:
Plan 500 | Plan 750 | Plan 1000 | Plan 1500 | FMIP 500 | FMIP 750
Plan Rates:
OMIP 500 | OMIP 750 | OMIP 1000 | OMIP 1500 | FMIP 500 | FMIP 750
LifeWise Health Plans of Oregon
Regence BC BS of OR
ODS Health Plans
PacificSource
Providence Health Plans
HealthNet of Oregon
Kaiser Permanente
Oregon Medical Insurance Pool
Medicare Supplement Plans
- Medicare Plans Overview
- Medicare Supplements
- Medicare Advantage
- Medicare Part D
- AARP
- American Republic
- Humana
- Lifewise
- ODS Senior Select
- Regence
- United of Omaha
- UCT
- Woodmen
Other Insurance
Oregon Medical Insurance > Oregon Medical Insurance Pool - OMIP > Plan 1000 Benefits
|
Medical Plan 1000 Benefit Summary |
||
| Lifetime Maximum Benefit |
$2,000,000 |
|
| Pre-existing Waiting Period, Including Pregnancy |
6 months |
|
|
In Network you pay |
Out of Network you pay |
|
| Annual Medical Deductible |
$1,000 |
|
| Maximum Annual Medical Out of Pocket, excluding medical deductible, per individual1 |
$4,000 |
$8,000 |
| Doctor Visits |
20% |
40% |
| Hospital |
20% |
40% |
| Outpatient Surgery |
20% |
40% |
| Skilled Nursing Care - limited to 60 days |
20% |
|
| Home Health Care - limited to 60 visits |
20% |
40% |
| Emergency Room2 |
20% + $100 copay |
20% + $100 copay |
| Ambulance |
20% |
|
| Maternity |
20% |
40% |
| Diagnostic X-Ray/Lab |
20% |
40% |
| Transplant2 |
0% |
40% |
| Hospice |
20% |
40% |
| Rehabilitation Inpatient - limited to 60 days |
20% |
40% |
| Rehabilitation Outpatient - limited to 60 days |
20% |
40% |
| Durable Medical Equipment |
20% |
|
| Mental Health |
20% |
40% |
| Chemical Dependency |
20% |
40% |
| Womens Health Care Services3 |
20% |
Not Covered |
| Mens Health Care Services3 |
20% |
Not Covered |
| Immunizations3 |
20% |
Not Covered |
| Well Baby Care3 |
20% |
Not Covered |
| Well Child Care3 |
20% |
Not Covered |
| Prescription Drugs: No out of pocket maximum on prescription drugs2 & $0 Rx deductible | ||
| Generic Coinsurance4 | up to $5 |
|
| Preferred Brand Coinsurance4 | up to $40 |
|
| Non-Prefered Brand Coinsurance | up to $70 |
|
1) This is the maximum amount you will pay for covered medical services per individual, per calendar year, excluding the deductibles, before OMIP will begin paying 100% for covered services. This Health Benefit Plan Summary is intended only as a brief summary of our benefit plans. Please refer to the OMIP Contract for specific details. Exact terms, conditions, provisions, exclusions, and limitations are defined in the OMIP contract. |
||