Oregon Health Insurance-Independent Health Insurance Agents

Portland (503)231-6399  Toll Free (888)426-9544

ODS Maximizer

 

 

 

Apply for ODS Insurance OnLine

ODS  Application (paper)

 

ODS-has been marketing Health Plans for over 45 years in Oregon.

Maximizer (PPO)

The Maximizer plan is ideal for individuals who want broad coverage for a range of services, including pharmacy benefits. The Maximizer includes a $20 co-payment for doctor office visits, alternative care and urgent care centers.

Benefit Summary
Plan year deductible options $1,000 / $2,500 / $5,000
  Member Responsibility
In Network Out of Network
Out-of-pocket maximum, per person (after deductible) $5,000 $10,000
Preventive Care
Annual women's exam - pap, pelvic, breast $20co-pay* 50%
Women's routine mammogram $20 co-pay* 50%
Well-baby care $20 co-pay* Not covered
Routine physical exams $20 co-pay* Not covered
Immunizations $0 co-pay* Not covered

*Deductible waived.

 
Professional Services
Office visits $20 co-pay* 50%
Alternative Care ($1000 Annual Benefit Maximum):
Chiropractic, Naturopathic and Acupuncture		 $20 co-pay* 50%
Maternity
All pre/post office visits and doctor delivery; hospital charges 30% 50%
Hospital Services
Inpatient and outpatient surgery; room, ancillary and
physician charges; skilled nursing facility care		 30% 50%
Emergency Services
Urgent care $20 co-pay* 40% after
$50 co-pay
Emergency room (deductible applies) 30% after
$100 co-pay
Ambulance 30%
Other Facilities and Services
Lab and X-ray services; rehabilitation services; medical supplies and devices; in-hospital care; home healthcare 30% 50%
Prescription services $15 generics or 50% brand*; $5,000 annual maximum benefit

Lifetime maximum

 $2,000,000 ($250,000 out-of-network)
Accident benefit Deductible waived for treatment completed within 90 days of accident.
Value Added Services

When you join ODS, you get health plans enhanced by a wide variety of helpful value added services. Medical members have access to:

  • myODS, a personalized website allowing you to manage your own plan.
  • eDocAmerica a secure account for emailing health questions and concerns directly to a physician.
  • Registered Nurse Advice Line, a toll free number providing access to a nurse's advice 24 hours a day.

In addition to these tools, you'll discover benefit plans that are actually easy to understand. And teams of ODS Health Professionals dedicated to your healthy, happy life.

Maximizer (PPO) Rates 

Maximizer - $1,000 Deductible
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective November 1, 2008 through October 31, 2009
Monthly family rates are based on the age of primary applicant
0 - 19 $85 $169 $235 $146
20 - 24 124 246 343 212
25 - 29 135 285 402 249
30 - 34 157 333 460 286
35 - 39 171 362 479 308
40 - 44 211 420 561 350
45 - 49 250 498 612 360
50 - 54 297 589 707 406
55 - 59 352 698 816 457
60 - 64 411 819 878 492
Maximizer - $2,500 Deductible
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective November 1, 2008 through October 31, 2009
Monthly family rates are based on the age of primary applicant
0 - 19 $70 $137 $192 $119
20 - 24 101 201 280 174
25 - 29 110 233 329 204
30 - 34 129 272 376 234
35 - 39 139 296 392 252
40 - 44 173 344 458 285
45 - 49 205 407 500 294
50 - 54 243 482 577 332
55 - 59 287 571 666 374
60 - 64 335 670 718 403
Maximizer - $5,000 Deductible
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective November 1, 2008 through October 31, 2009
Monthly family rates are based on the age of primary applicant
0 - 19 $56 $110 $154 $96
20 - 24 82 161 224 139
25 - 29 88 187 264 163
30 - 34 102 219 302 188
35 - 39 112 237 314 201
40 - 44 139 276 368 229
45 - 49 164 327 401 236
50 - 54 195 387 463 267
55 - 59 231 458 535 299
60 - 64 269 537 576 322

 

 

Apply for ODS Insurance OnLine

ODS  Application (paper)

 

 

 

 

Privacy Statement- This request will be absolutely confidential.  The information will not be sold, given away or used for any other purpose but to mail or email requested information.

Information Request Form

This is not an application for insurance.  In the state of Oregon, Individual Health Insurance plans must be approved in the underwriting stage of the insurance application.  This might take a few weeks to complete.  Please leave your name address and questions and any information that you would like.

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