Text Size: Take a closer look
Value-based plans save employees money on many in-plan services compared to our standard open option plans. On all our plans, we waive the deductible on all the following services.
| Value Based Open Option | Open Option | |
|---|---|---|
| In-plan | In-plan | |
| Office visits | $20 per visit | $20 per visit |
| Periodic health exams, well-baby care, annual gynecological exams | $10 per visit | $20 per visit |
| Routine immunizations and flu shots | Covered in full | $20 per visit |
| Cholesterol and glucose screening during a health maintenance exam | Covered in full | 30% |
| Nutritional counseling for weight loss (two visits per calendar year) | $10 per visit | $20 per visit |
| Annual prostate screening exam | $10 per visit | $20 per visit |
| Colorectal exam | $10 per visit | $20 per visit |
| Mammograms | Covered in full | $20 |
| Glycosylated hemoglobin and urine screening for members with diabetes | Covered in full | 30% |
| Urgent care services | $25 | $25 |
Out-of-plan benefits available with coinsurance on all of our open option plans, including Value Based Open Option. The money employees pay in coinsurance applies to their out-of-pocket maximum.
The comparison above is drawn from two Oregon large group plans: VBOP $10/$20/30%/40%/$3000 $250CD and OP $20/30%/40%/$2000 $250CD. See summary of benefits and member handbook for full details.