Welcome Archdiocese plan members

We're proud to serve as your health plan administrator and appreciate our shared values.

Founded in the Northwest in 1856 by the Sisters of Providence, our ministry serves the common good and is informed by Catholic social teachings and the Ethical and Religious Directives of the United States Conference of Catholic Bishops.

Learn more about the history of Providence Health & Services in the Northwest.

Benefits effective July 1, 2011

Archdiocese plan members have two different medical plan options. Both plans feature preventive care and urgent care with no deductible. You can also choose your doctor and see a specialist without a referral on either plan.

New this year

There are important new benefits effective this plan year, some are as a result of Health Care Reform:

• Preventive care will be covered in full; you do not need to meet a deductible before the plan pays for certain preventive care services. View preventive services that are covered in full (PDF).
• Expanded coverage for adult children. Adult dependent children up to age 26 are eligible for coverage even if they are not a full-time student, no longer live with you, or are not dependents on your tax return or are married.
• The lifetime maximum will be eliminated. The lifetime dollar limit on essential health benefits is eliminated. Essential benefits include most major medical services such as doctor care, hospital care and prescription drugs.

View your 2011 medical and prescription benefit summaries below.

• Open Option Medical 300 Plan (PDF)
• Open Option Medical 300 Plan - Spanish (PDF)
• Open Option Medical 600 Plan (PDF)
• Open Option Medical 600 Plan - Spanish (PDF)
• Prescription Drug Plan (PDF)
• Prescription Drug Plan (PDF) - Spanish (PDF)
• Comparison of medical plans (PDF)

View your 2011 member handbook below.

• 2011 Open Option Handbook (PDF)

Please note: retired priests who are eligible for Medicare will have prescription drug coverage only through Providence Health Plan. View this prescription benefit summary and member handbook below:

• 2011 Prescription Drug Plan Summary (PDF)
• 2011 Prescription Drug Handbook (PDF)

We encourage you and any covered family members to learn more about Providence Health Plan and your medical plan options (effective July 1, 2011) by viewing our online presentation. (PDF)

Are you currently receiving care for a medical condition?

If you are new to our health plan, it is very important for us to understand any special health needs or medical conditions you or your family members may have. You may be eligible for transition of care benefits. Review and complete the attached form if the criteria applies to you.

• New members: transition of care form (PDF)

More information for members

For information about urgent care, travel outside the United States, definitions or other member services, visit our member website. You can also view benefit information unique to your plan by logging into myProvidence. Use your unique ID number found on your identification card to access secure online tools.

Are you a new Providence Health Plan member with the Archdiocese?

New members will receive an identification (ID) cards. Your card will have a unique ID number that will allow participating pharmacies and providers to access benefit information through secure online tools. Visit the many member resources to take full advantage of your Providence Health Plan benefits.