Jeffrey Wade
If you're looking for medical insurance in Gresham, Oregon, there are a few options to consider. The first is Health Share of Oregon, which covers Oregon Health Plan members in Clackamas, Multnomah, and Washington counties. Kaiser Permanente is another popular option, known for its quality coverage and service, and is the only company with a five-star rating from HealthCare.gov in Oregon. Regence BlueCross BlueShield of Oregon offers the cheapest quotes in Portland and its suburbs, including Gresham. Additionally, Gresham has several free and low-cost clinics that provide affordable medical care for those without insurance, with fees based on an income-sliding scale.
| Characteristics | Values |
|---|---|
| Average cost of medical insurance in Oregon | $610 per month or $164 per month after discounts based on income |
| Cheapest insurance provider in Portland and its suburbs | Regence BlueCross BlueShield of Oregon |
| Best health insurance company in Oregon | Kaiser Permanente |
| Best rates in Oregon's larger cities | Kaiser Permanente (in Eugene, Salem and Corvallis) |
| In-home urgent medical care in Gresham, OR | DispatchHealth |
| Cost of urgent medical care with DispatchHealth | $375 flat rate if not insured or not contracted with your insurance company |
| Free and low-cost medical clinics in Gresham, Oregon | Over 14,000 |
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What You'll Learn
- Kaiser Permanente: the only company with a 5-star rating from HealthCare.gov in Oregon
- Regence BlueCross BlueShield: the cheapest quotes in Portland and its suburbs
- PacificSource Health Plans: the only company selling PPO plans in Oregon
- EPO plans: slightly cheaper than PPOs, but restricted to a network of doctors
- Income-based sliding scale clinics: provide free or low-cost medical care for those without insurance
Kaiser Permanente: the only company with a 5-star rating from HealthCare.gov in Oregon
Kaiser Permanente is a top-rated health insurance company that offers a range of plans to meet the needs of individuals and families. One of the standout features of Kaiser Permanente is its commitment to providing high-quality care, as evidenced by its 5-star rating from HealthCare.gov in Oregon. In fact, it is the only company in Oregon to achieve this distinction.
Kaiser Permanente's Medicare plans have consistently earned high ratings, including 4.5 out of 5 stars in the Centers for Medicare & Medicaid Services' 2024 annual ratings. This above-average rating prompted U.S. News & World Report to name Kaiser Permanente in Colorado to its 2024 Best Insurance Companies for Medicare Advantage list. The National Committee for Quality Assurance's annual report in 2023 also listed Kaiser Permanente's Medicare plan as the highest-rated in the state for the fifth year in a row, achieving 4.5 out of 5 stars.
Kaiser Permanente's commercial plans have also received top marks, with its plan in Colorado being among the top-rated in the state, receiving 4 out of 5 stars. The company's California health plans have been recognized for their superior quality, receiving 5 out of 5 stars for overall quality of care from the Office of the Patient Advocate and Covered California. Additionally, Kaiser Permanente's California plans received 5 out of 5 stars in each of the three subcategories: members' care experience, getting the right care, and plan services for members.
Kaiser Permanente offers four different types of metal tiers (bronze, silver, gold, and platinum) on the Affordable Care Act (ACA) marketplace, providing more choice than many other companies. The company's ACA plans are available on HealthCare.gov, and open enrollment typically runs from November 1 to January 15 each year. Kaiser Permanente's plans are known for their seamless integrated health system, low complaint levels, and superb digital experience, making it a top choice for those seeking comprehensive and convenient health insurance coverage.
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$199.95 $245.95
Regence BlueCross BlueShield: the cheapest quotes in Portland and its suburbs
If you're looking for affordable health insurance in Gresham, Oregon, or the wider Portland area, Regence BlueCross BlueShield is a good option to consider. Regence BlueCross BlueShield offers the cheapest quotes in Portland and its major suburbs, including Gresham, Hillsboro, and Beaverton.
The cost of health insurance in Oregon varies depending on the company and the specific plan you choose. Short-term health plans, for example, are typically a few hundred dollars per month, but only if you're young and healthy. These plans are often cheaper than Obamacare plans, but they don't provide the same level of coverage or protection. It's important to consider your financial situation and health needs when choosing a plan.
Regence BlueCross BlueShield offers a range of affordable plans with the added benefit of quality customer support. Their award-winning customer service team is known for its compassion and reliability, ensuring you're not alone in navigating your health and well-being. They can assist you in finding the right therapist and saving money on medications.
When comparing health insurance companies in Oregon, it's worth noting that Kaiser Permanente stands out for its quality coverage and service. They are the most popular health insurance company in the state and the only one with a perfect five-star rating from HealthCare.gov in Oregon. However, their services are primarily accessible through their own hospitals and clinics, which may be inconvenient for those not living near a Kaiser facility.
In summary, Regence BlueCross BlueShield provides the most affordable quotes in the Portland area, including Gresham. They offer a supportive network and a range of plans to suit your needs. However, it's always advisable to research multiple options, considering factors like plan coverage, deductibles, out-of-pocket maximums, and customer satisfaction, to make an informed decision that best suits your health and financial situation.
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PacificSource Health Plans: the only company selling PPO plans in Oregon
If you're looking for medical insurance in Gresham, Oregon, one option to consider is PacificSource Health Plans. This company has been in the business for almost 80 years and currently has over 275,000 individual members, working with nearly 4,000 employers.
PacificSource is the only company selling PPO plans in Oregon. They are a not-for-profit health insurance provider, which means they focus on helping you get the care you need, rather than prioritising financial benefits for shareholders. This makes them a unique option in the Oregon health insurance market.
PacificSource offers a range of health insurance plans, including individual health insurance, Medicare Advantage, Medicaid, group health, dental, vision, and prescription coverage. Their plans are divided into two coverage networks: SmartChoice and Legacy Health, with bronze, silver, gold, and catastrophic coverage options available. They also offer stand-alone dental coverage for individuals and families.
With PacificSource, you can access a comprehensive network of 34,000 participating providers throughout Oregon, Idaho, and southwestern Washington. This includes comprehensive network coverage in Montana through InterWest Health Network and throughout the rest of the US through the First Health Network.
PacificSource is committed to delivering high-quality, affordable healthcare. They build strong partnerships with hospitals and healthcare professionals in your community, ensuring that you have access to the best possible care. They also offer human customer service, with real people on the other end of the phone to help you with any queries or challenges you may face.
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EPO plans: slightly cheaper than PPOs, but restricted to a network of doctors
When considering health insurance plans, it's important to understand the differences between various plans, such as EPO and PPO, to make an informed decision. An Exclusive Provider Organization (EPO) plan is a health insurance plan that offers a middle ground between the stringent network limits of Health Maintenance Organization (HMO) plans and the broader options of Preferred Provider Organization (PPO) plans. EPO plans typically have lower premiums than PPOs, but they restrict you to a specific network of doctors, hospitals, and other healthcare providers with whom the insurance company has negotiated lower rates.
EPO plans provide coverage only for in-network care, which means you must use the healthcare providers within the EPO's network for all non-emergency care. Each EPO plan has a different network, so it's important to verify that your preferred doctors and hospitals are included in the plan's network. EPOs generally do not require referrals from a primary care physician, allowing direct access to specialists within the network, which can be highly beneficial for those who need specialized care without delays.
While EPO plans offer lower premiums, they may result in higher out-of-pocket expenses if extensive medical care is needed. It's important to review the plan's deductibles, co-pays, and coinsurance to estimate potential healthcare spending. Additionally, EPO plans may have limited or no coverage for out-of-network care, except in emergency situations. This means that if you choose to see an out-of-network provider for non-emergency care, you may have to pay the full cost yourself.
When considering an EPO plan, it is crucial to investigate the provider network thoroughly. Confirm that your preferred doctors, hospitals, and clinics are included in the network and that they are conveniently located. Ensure that the network is broad enough to cover all the types of medical services you might need. It is also essential to compare the cost-effectiveness of the plan by considering both the premiums and potential out-of-pocket expenses.
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Income-based sliding scale clinics: provide free or low-cost medical care for those without insurance
If you live in Gresham, Oregon, and are looking for medical insurance, there are a few options for income-based sliding scale clinics that provide free or low-cost medical care for those without insurance. These clinics offer a range of services, including urgent medical care, primary care, chronic and acute care, vaccinations, and more.
One such option is The Wallace Medical Concern, which has been providing medical care to the uninsured, homeless, and low-income residents of Portland and Gresham, Oregon, for over 40 years. They offer a sliding fee discount program based on income and family size, and they treat patients regardless of their ability to pay. They provide high-quality, low-cost primary care and have a care team that helps patients with appointments and referrals to specialists and community resources.
In addition to The Wallace Medical Concern, there are a number of other free and income-based clinics in and around Gresham, Oregon. These clinics serve low-income residents of Multnomah County who are uninsured, offering primary care, chronic and acute care, and vaccinations. Some of these clinics have wait times for new patients, and some are closed on holidays, so it is important to call ahead and confirm their hours and availability.
One specific clinic located in Gresham, OR - 97030, offers a sliding fee scale based on income and family size for patients with no health insurance. They provide urgent medical care for all ages and are open Monday through Friday, 8 am-5 pm. They offer a range of services, including adult healthcare, children's care, women's health, prenatal care, birth control, and pregnancy testing.
Another clinic, located in Portland, OR - 97211, provides low-cost family healthcare to underserved, low-income, and uninsured individuals. They offer a range of services, including adult healthcare, children's care, women's health, birth control, pregnancy testing, prenatal care, mental health services, drug and alcohol assessment, and refugee screening. This clinic is open Monday through Friday, 8 am-6 pm.
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Frequently asked questions
The average cost of medical insurance in Oregon is $610 per month or $164 per month after discounts based on your income.
Kaiser Permanente is considered the best health insurance company in Oregon due to its quality coverage and service. It is also the most popular health insurance company in the state and the only company with a perfect five-star rating from HealthCare.gov in Oregon.
There are over 14,000 free and income-based medical clinics throughout the United States, many of which are located in Gresham, Oregon. These clinics provide affordable medical care for those in need, without insurance. Additionally, DispatchHealth provides in-home urgent treatment for a wide range of non-life-threatening medical conditions and accepts most major insurance plans, including Medicare Advantage and Managed Medicaid.
When choosing a health insurance plan in Oregon, consider factors such as cost, coverage, and convenience. Compare the monthly premiums, deductibles, and co-pays of different plans, as well as the network of providers available to you. Also, consider whether you prefer a PPO or EPO plan, which offer more flexibility in choosing your healthcare providers but may come at a higher cost.
Yes, four out of five people who buy Obamacare plans in Oregon are eligible for discounts, called subsidies or premium tax credits. These discounts are based on your income, with lower-income individuals typically receiving larger discounts. About 15% of Oregonians pay less than $10 per month for Affordable Care Act (ACA) coverage, and you can apply ACA subsidies to any Bronze, Silver, or Gold plan sold on the Oregon health insurance exchange.
