Essential Gold 500
Essential Gold 1000
Essential Silver 2000
Essential Silver CSR1 2000
Essential Silver CSR2 2000
Essential Silver CSR3 2000
Essential Silver 3000 EPO
Essential Silver CSR1 3000 EPO
Essential Silver CSR2 3000 EPO
Essential Silver CSR3 3000 EPO
Essential Bronze 5250 HSA EPO
Essential Bronze 6350 EPO
Oregon Standard Gold 1250 EPO
Oregon Standard Silver 2500 EPO
Oregon Standard Silver CSR1 2500 EPO
Oregon Standard Silver CSR2 2500 EPO
Oregon Standard Silver CSR3 2500 EPO
Oregon Standard Bronze 5000 EPO
Essential Gold 500, Gold 1000, Silver 2000 (Area 1)
Essential Gold 500, Gold 1000, Silver 2000 (Area 4)
Essential Gold 500, Gold 1000, Silver 2000 (Area 2,3,5,6,7)
Essential EPO Rates
Essential EPO Plans Silver 3000, Bronze 5250 HSA, Bronze 6350 (Area 1)
Essential EPO Plans Silver 3000, Bronze 5250 HSA, Bronze 6350 (Area 4)
Essential EPO Plans Silver 3000, Bronze 5250 HSA, Bronze 6350 (Area 2,3,5,6,7)
Standard EPO Rates
Oregon Standard EPO Plans Gold 1250, Silver 2500, Bronze 5000 (Area 1)
Oregon Standard EPO Plans Gold 1250, Silver 2500, Bronze 5000 (Area 4)
Oregon Standard EPO Plans Gold 1250, Silver 2500, Bronze 5000 (Area 2,3,5,6,7)
2016 Grandfathered Rate Sheet
2015 Grandfathered Rate Sheet
Our qualified high deductible health plan with HSA offers your clients great basic coverage and a chance to save money and invest it for future healthcare expenses. It also allows your clients to reduce their taxable income.
We make it easy to enroll in and to manage both the health plan and the savings account.
HSAs offer a triple tax advantage:
They also enjoy:
We offer integrated banking through ConnectYourCare, so that your clients who enroll in an individual HSA-qualified health plan can make the most of their HSA accounts. An account offers:
HSA accounts set up through ConnectYourCare give your clients the ability to maintain records either through our mobile app or by scanning documents to the ConnectYourCare website. This makes it easier to store their records in one place for future reference, such as filing taxes or responding to an IRS audit. In addition, the ConnectYourCare site gives them access to tips for making the best use of their accounts for investments, contributions, and paying for expenses.
*UMB Bank n.a., is a member of the FDIC. Founded in 1913, UMB Bank is one of the largest independent banks in America.
Automatic Funds Transfer Authorization
Preventive Screening Services
Preventive Screening Services
Health, Allergy & Medication Questionnaire
Express Scripts Home Delivery Mail-Order Form
Prescription Drug Reimbursement Form
Authorization for Release of Healthcare Information and Records
Authorization for Release of Psychotherapy Notes
Disclosure Accounting Request
Request for Amendment of Records
Request for Inspection of Records
HSA Authorization Form for UMB Bank
Producer of Record Change Form
Want products and services that save you money and support your healthy lifestyle?
We offer member-only discounts on gym memberships, travel, and more.
We also offer benefits for wellness related classes offered through local hospitals with topics like:
Log in to see these member discounts and more.
Save on alternative care services such as chiropractic, licensed acupuncturists, licensed massage therapists, naturopathic physicians, dietetic and nutrition services.
Special low prices on weight-loss programs including Jenny Craig, and Bestlife, the award-winning diet and fitness plan from Oprah's trainer, Bob Greene.
Receive special savings on your next eye exam and on name brand vision hardware and contact lenses.
LifeWise offers discounted membership and waived initiation fees at LA Fitness.
Save money on hearing aids and screening exams.
Save on umbilical cord blood banking and safety products for your child and home.