FINAL PREMIUM EXAMPLES FOR 2021

Key• Bronze plans pay an estimated 60 percent of medical costs• Silver plans pay an estimated 70 percent of medical costs• Gold plans pay an estimated 80 percent of medical costs• Catastrophic plans pay less than 60 percent of medical costs

All plans meet the requirements of the Affordable Care Act.N/A indicates a company that may not have plans in this area or does not have this type of plan.If you use tobacco, the rates shown here could increase up to 50 percent, depending on the company.

Learn about the information in these tables at http://dfr.oregon.gov/healthrates/Documents/explanation.pdf.Learn more about federal financial help to lower these costs at HealthCare.gov.

Individual PlansPortland Area21-year-old..................................... 240-year-old..................................... 360-year-old..................................... 4Eugene Area21-year-old..................................... 540-year-old..................................... 660-year-old..................................... 7

Salem Area21-year-old..................................... 840-year-old..................................... 960-year-old..................................... 10

Bend Area21-year-old..................................... 1140-year-old..................................... 1260-year-old..................................... 13

North Coast Area21-year-old..................................... 1440-year-old..................................... 1560-year-old..................................... 16

Pendelton-Hermiston Area21-year-old..................................... 1740-year-old..................................... 1860-year-old..................................... 19

Medford Area21-year-old..................................... 2040-year-old..................................... 2160-year-old..................................... 22

Small Group PlansPortland Area21-year-old..................................... 2340-year-old..................................... 2460-year-old..................................... 25Eugene Area21-year-old..................................... 2640-year-old..................................... 2760-year-old..................................... 28

Salem Area21-year-old..................................... 2940-year-old..................................... 3060-year-old..................................... 31

Bend Area21-year-old..................................... 3240-year-old..................................... 3360-year-old..................................... 34

North Coast Area21-year-old..................................... 3540-year-old..................................... 3660-year-old..................................... 37

Pendelton-Hermiston Area21-year-old..................................... 3840-year-old..................................... 3960-year-old..................................... 40

Medford Area21-year-old..................................... 4140-year-old..................................... 4260-year-old..................................... 43

Division of Financial Regulation

1

http://dfr.oregon.gov/healthrates/Documents/explanation.pdfhttp://dfr.oregon.gov/healthrates/Documents/explanation.pdfhttps://www.healthcare.gov/

2020 2021 Change 2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company N/A N/A N/A $274 $265 -3% $349 $365 4% $444 $421 -5%

Kaiser Foundation Health Plan of the Northwest $229 N/A N/A $261 $239 -8% $345 $333 -3% $363 $344 -5%

Moda Health Plan, Inc. N/A N/A N/A $256 $265 4% $349 $346 -1% $381 $395 4%

PacificSource Health Plans $177 $185 5% $266 $274 3% $341 $360 6% $411 $399 -3%

Providence Health Plan N/A N/A N/A $272 $275 1% $349 $351 1% $391 $398 2%

Regence BlueCross BlueShield of Oregon N/A N/A N/A $278 $258 -7% $353 $355 1% N/A $410 N/A

Portland Area Final Premium Examples

2021 Individual Non-Grandfathered ACA Compliant Plans

Clackamas, Multnomah, Washington, Yamhill Counties

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

Catastrophic Plan

21-year-old, single, non-

tobacco user

Standard Silver PlanStandard Bronze Plan Standard Gold Plan

Carrier Name

2

2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company $350 $339 -3% $445 $466 5% $567 $537 -5%

Kaiser Foundation Health Plan of the Northwest $333 $305 -8% $441 $425 -4% $464 $440 -5%

Moda Health Plan, Inc. $328 $338 3% $446 $442 -1% $487 $505 4%

PacificSource Health Plans $339 $350 3% $436 $460 6% $526 $510 -3%

Providence Health Plan $348 $352 1% $445 $449 1% $500 $509 2%Regence BlueCross BlueShield of Oregon $355 $330 -7% $452 $454 0% N/A $523 N/A

Carrier Name

Portland Area Final Premium Examples

2021 Individual Non-Grandfathered ACA Compliant Plans

Clackamas, Multnomah, Washington, Yamhill Counties

40-year-old, single, non-

tobacco user

40-year-old, single, non-

tobacco user

40-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

3

2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company $745 $719 -3% $946 $989 5% $1,204 $1,141 -5%

Kaiser Foundation Health Plan of the Northwest $708 $648 -8% $936 $903 -4% $986 $934 -5%

Moda Health Plan, Inc. $696 $718 3% $948 $938 -1% $1,035 $1,073 4%

PacificSource Health Plans $721 $744 3% $927 $976 5% $1,117 $1,083 -3%

Providence Health Plan $738 $747 1% $946 $954 1% $1,062 $1,081 2%Regence BlueCross BlueShield of Oregon $754 $700 -7% $959 $963 0% N/A $1,112 N/A

Carrier Name

Portland Area Final Premium Examples

2021 Individual Non-Grandfathered ACA Compliant Plans

Clackamas, Multnomah, Washington, Yamhill Counties

60-year-old, single, non-

tobacco user

60-year-old, single, non-

tobacco user

60-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

4

2020 2021 Change 2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company N/A N/A N/A $298 $297 0% $379 $409 8% $482 $471 -2%

Kaiser Foundation Health Plan of the Northwest1

$241 N/A N/A $274 $251 -8% $362 $349 -4% $382 $362 -5%

Moda Health Plan, Inc.2

N/A N/A N/A $270 $299 11% $351 $387 10% $401 $439 9%

PacificSource Health Plans $189 $198 5% $284 $293 3% $365 $384 5% $439 $426 -3%

Providence Health Plan N/A N/A N/A $299 $289 -3% $383 $369 -4% $431 $418 -3%Regence BlueCross BlueShield of Oregon N/A N/A N/A $302 $289 N/A $384 $398 N/A N/A $459 N/A

2Rates do not include Benton or Linn Counties.

34

1Partial County coverage in Lane, Linn and Benton Counties.

Eugene Area Final Premium Examples

2021 Individual Non-Grandfathered ACA Compliant Plans

Benton, Lane, Linn Counties

Catastrophic Plan

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

5

2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company $381 $379 0% $485 $522 8% $617 $602 -2%

Kaiser Foundation Health Plan of the Northwest1 $350 $320 -9% $463 $446 -4% $488 $462 -5%

Moda Health Plan, Inc.2 $346 $383 11% $448 $495 10% $512 $561 10%

PacificSource Health Plans $363 $374 3% $466 $491 5% $562 $545 -3%

Providence Health Plan $382 $369 -3% $490 $472 -4% $550 $535 -3%Regence BlueCross BlueShield of Oregon $386 $369 N/A $491 $508 N/A N/A $587 N/A

2Rates do not include Benton or Linn Counties.

Eugene Area Final Premium Examples

2021 Individual Non-Grandfathered ACA Compliant Plans

Benton, Lane, Linn Counties

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

1Partial County coverage in Lane, Linn and Benton Counties.

Carrier Name

40-year-old, single, non-

tobacco user

40-year-old, single, non-

tobacco user

40-year-old, single, non-

tobacco user

6

2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company $809 $806 0% $1,029 $1,109 8% $1,309 $1,279 -2%

Kaiser Foundation Health Plan of the Northwest1 $743 $680 -8% $983 $948 -4% $1,036 $981 -5%

Moda Health Plan, Inc.2 $734 $812 11% $951 $1,051 11% $1,087 $1,192 10%

PacificSource Health Plans $770 $795 3% $990 $1,043 5% $1,193 $1,157 -3%

Providence Health Plan $812 $784 -3% $1,041 $1,002 -4% $1,168 $1,135 -3%Regence BlueCross BlueShield of Oregon $820 $785 N/A $1,043 $1,080 N/A N/A $1,246 N/A

2Rates do not include Benton or Linn Counties.

Eugene Area Final Premium Examples

2021 Individual Non-Grandfathered ACA Compliant Plans

Benton, Lane, Linn Counties

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

1Partial County coverage in Lane, Linn and Benton Counties.

Carrier Name

60-year-old, single, non-

tobacco user

60-year-old, single, non-

tobacco user

60-year-old, single, non-

tobacco user

7

2020 2021 Change 2020 2021 Change 2020 2021 Change 2019 2020 ChangeBridgeSpan Health Company N/A N/A N/A N/A $290 N/A N/A $400 N/A N/A $461 N/A

Kaiser Foundation Health Plan of the Northwest $229 N/A N/A $261 $239 -8% $345 $333 -3% $363 $344 -5%

Moda Health Plan, Inc. N/A N/A N/A $262 $292 11% $356 $378 6% $389 $428 10%

PacificSource Health Plans N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Providence Health Plan N/A N/A N/A $280 $286 2% $359 $366 2% $403 $414 3%Regence BlueCross BlueShield of Oregon N/A N/A N/A N/A $283 N/A N/A $389 N/A N/A $449 N/A

Salem Area Final Premium Examples

2021 Individual Non-Grandfathered ACA Compliant Plans

Marion, Polk Counties

Catastrophic Plan

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

8

2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company N/A $371 N/A N/A $511 N/A N/A $589 N/A

Kaiser Foundation Health Plan of the Northwest $333 $305 -8% $441 $425 -4% $464 $440 -5%

Moda Health Plan, Inc. $334 $373 12% $455 $483 6% $497 $548 10%

PacificSource Health Plans N/A N/A N/A N/A N/A N/A N/A N/A N/A

Providence Health Plan $358 $366 2% $459 $467 2% $515 $530 3%Regence BlueCross BlueShield of Oregon N/A $361 N/A N/A $497 N/A N/A $574 N/A

Carrier Name

Salem Area Final Premium Examples2021 Individual Non-Grandfathered ACA Compliant Plans

Marion, Polk Counties

40-year-old, single, non-

tobacco user

40-year-old, single, non-

tobacco user

40-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

9

2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company N/A $788 N/A N/A $1,084 N/A N/A $1,251 N/A

Kaiser Foundation Health Plan of the Northwest $708 $648 -8% $936 $903 -4% $986 $934 -5%

Moda Health Plan, Inc. $710 $793 12% $967 $1,025 6% $1,055 $1,163 10%

PacificSource Health Plans N/A N/A N/A N/A N/A N/A N/A N/A N/A

Providence Health Plan $760 $776 2% $974 $992 2% $1,094 $1,125 3%Regence BlueCross BlueShield of Oregon N/A $767 N/A N/A $1,056 N/A N/A $1,218 N/A

Carrier Name

Salem Area Final Premium Examples2021 Individual Non-Grandfathered ACA Compliant Plans

Marion, Polk Counties

60-year-old, single, non-

tobacco user

60-year-old, single, non-

tobacco user

60-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

10

2020 2021 Change 2020 2021 Change 2020 2021 Change 2019 2020 Change

BridgeSpan Health Company N/A N/A N/A $290 $288 -1% $370 $397 7% $470 $458 -3%

Kaiser Foundation Health Plan of the Northwest N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Moda Health Plan, Inc. N/A N/A N/A $291 $321 10% $377 $416 10% $431 $471 9%

PacificSource Health Plans1

$184 $193 5% $277 $286 3% $356 $375 5% $429 $416 -3%

Providence Health Plan N/A N/A N/A $286 $283 -1% $366 $362 -1% $411 $410 0%Regence BlueCross BlueShield of Oregon N/A N/A N/A $295 $281 N/A $375 $386 N/A N/A $446 N/A

1Rates do not include Klamath or Lake Counties.

Bend Area Final Premium Examples

2021 Individual Non-Grandfathered ACA Compliant Plans

Deschutes, Klamath, and Lake Counties

Catastrophic Plan

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

11

2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company $371 $368 -1% $472 $507 7% $601 $585 -3%

Kaiser Foundation Health Plan of the Northwest N/A N/A N/A N/A N/A N/A N/A N/A N/A

Moda Health Plan, Inc. $372 $411 10% $482 $531 10% $551 $602 9%

PacificSource Health Plans1 $354 $365 3% $455 $479 5% $548 $532 -3%

Providence Health Plan $365 $362 -1% $486 $463 -5% $525 $524 0%

Regence BlueCross BlueShield of Oregon $376 $359 N/A $479 $494 N/A N/A $570 N/A

1Rates do not include Klamath or Lake Counties.

Carrier Name

Bend Area Final Premium Examples2021 Individual Non-Grandfathered ACA Compliant Plans

Deschutes, Klamath, and Lake Counties

40-year-old, single, non-

tobacco user

40-year-old, single, non-

tobacco user

40-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

12

2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company $788 $782 -1% $1,003 $1,077 7% $1,276 $1,242 -3%

Kaiser Foundation Health Plan of the Northwest N/A N/A N/A N/A N/A N/A N/A N/A N/A

Moda Health Plan, Inc. $790 $872 10% $1,024 $1,128 10% $1,170 $1,279 9%

PacificSource Health Plans1 $751 $776 3% $966 $1,017 5% $1,164 $1,129 -3%

Providence Health Plan $775 $769 -1% $993 $983 -1% $1,115 $1,114 0%Regence BlueCross BlueShield of Oregon $799 $762 N/A $1,016 $1,049 N/A N/A $1,210 N/A

1Rates do not include Klamath or Lake Counties.

Carrier Name

Bend Area Final Premium Examples2021 Individual Non-Grandfathered ACA Compliant Plans

Deschutes, Klamath, and Lake Counties

60-year-old, single, non-

tobacco user

60-year-old, single, non-

tobacco user

60-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

13

2020 2021 Change 2020 2021 Change 2020 2021 Change 2019 2020 Change

BridgeSpan Health Company N/A N/A N/A $338 $335 -1% $430 $461 7% $547 $532 -3%

Kaiser Foundation Health Plan of the Northwest1

$229 N/A N/A $261 $239 -8% $345 $333 -3% $363 $344 -5%

Moda Health Plan, Inc.2

N/A N/A N/A $272 $281 3% $370 $366 -1% $404 $419 4%

PacificSource Health Plans N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Providence Health Plan N/A N/A N/A $326 $330 1% $418 $422 1% $470 $478 2%Regence BlueCross BlueShield of Oregon N/A N/A N/A $342 $326 N/A $436 $449 N/A N/A $518 N/A

1Rates only include Columbia County.

2Rates do not include Lincoln County.

North Coast Area Final Premium Examples

2021 Individual Non-Grandfathered ACA Compliant Plans

Clatsop, Columbia, Coos, Curry, Lincoln, and Tillamook Counties

Catastrophic Plan

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

14

2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company $432 $428 -1% $549 $590 7% $699 $680 -3%

Kaiser Foundation Health Plan of the Northwest1 $333 $305 -8% $441 $425 -4% $464 $440 -5%

Moda Health Plan, Inc.2 $347 $358 3% $473 $468 -1% $516 $536 4%

PacificSource Health Plans N/A N/A N/A N/A N/A N/A N/A N/A N/A

Providence Health Plan $417 $422 1% $535 $539 1% $600 $611 2%Regence BlueCross BlueShield of Oregon $438 $417 -5% $557 $574 N/A N/A $662 N/A

1Rates only include Columbia County.

2Rates do not include Lincoln County.

Carrier Name

North Coast Area Final Premium Examples2021 Individual Non-Grandfathered ACA Compliant Plans

Clatsop, Columbia, Coos, Curry, Lincoln, and Tillamook Counties

40-year-old, single, non-

tobacco user

40-year-old, single, non-

tobacco user

40-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

15

2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company $917 $910 -1% $1,166 $1,252 7% $1,484 $1,444 -3%

Kaiser Foundation Health Plan of the Northwest1 $708 $648 -8% $936 $903 -4% $986 $934 -5%

Moda Health Plan, Inc.2 $738 $761 3% $1,005 $995 -1% $1,097 $1,137 4%

PacificSource Health Plans N/A N/A N/A N/A N/A N/A N/A N/A N/A

Providence Health Plan $886 $896 1% $1,135 $1,145 1% $1,275 $1,298 2%Regence BlueCross BlueShield of Oregon $929 $886 N/A $1,182 $1,219 N/A N/A $1,406 N/A

1Rates only include Columbia County.

2Rates do not include Lincoln County.

Carrier Name

North Coast Area Final Premium Examples2021 Individual Non-Grandfathered ACA Compliant Plans

Clatsop, Columbia, Coos, Curry, Lincoln, and Tillamook Counties

60-year-old, single, non-

tobacco user

60-year-old, single, non-

tobacco user

60-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

16

2020 2021 Change 2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company N/A N/A N/A $326 $330 1% $414 $454 10% N/A $524 N/A

Kaiser Foundation Health Plan of the Northwest1

$229 N/A N/A $261 $239 -8% $345 $333 -3% $363 $344 -5%

Moda Health Plan, Inc. N/A N/A N/A $282 $291 3% $384 $380 -1% $419 $435 4%

PacificSource Health Plans2

$184 $193 5% $277 $286 3% $356 $375 5% $429 $416 -3%

Providence Health Plan N/A N/A N/A $340 $344 1% $436 $439 1% $489 $498 2%Regence BlueCross BlueShield of Oregon N/A N/A N/A $330 $321 -3% $420 $442 5% N/A $510 N/A

1Rates only include partial coverage in Hood River County.

2Rates only include Crook and Jefferson Counties.

Pendleton-Hermiston Area Final Premium Examples

2021 Individual Non-Grandfathered ACA Compliant PlansBaker, Crook, Gilliam, Grant, Harney, Hood River, Jefferson, Malheur, Morrow, Sherman, Umatilla,

Union, Wallowa, Wasco, and Wheeler Counties

Catastrophic Plan

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

17

2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company $416 $422 1% $529 $580 10% N/A $669 N/A

Kaiser Foundation Health Plan of the Northwest1 $333 $305 -8% $441 $425 -4% $464 $440 -5%

Moda Health Plan, Inc. $360 $372 3% $491 $486 -1% $536 $556 4%

PacificSource Health Plans2 $354 $365 3% $455 $479 5% $548 $532 -3%

Providence Health Plan $434 $439 1% $557 $562 1% $625 $636 2%Regence BlueCross BlueShield of Oregon $422 $411 -3% $536 $565 5% N/A $652 N/A

1Rates only include partial coverage in Hood River County.

2Rates only include Crook and Jefferson Counties.

Carrier Name

Pendleton-Hermiston Area Final Premium Examples2021 Individual Non-Grandfathered ACA Compliant Plans

Baker, Crook, Gilliam, Grant, Harney, Hood River, Jefferson, Malheur, Morrow,

Sherman, Umatilla, Union, Wallowa, Wasco, and Wheeler Counties

40-year-old, single, non-

tobacco user

40-year-old, single, non-

tobacco user

40-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

18

2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company $884 $895 1% $1,124 $1,232 10% N/A $1,421 N/A

Kaiser Foundation Health Plan of the Northwest1 $708 $648 -8% $936 $903 -4% $986 $934 -5%

Moda Health Plan, Inc. $765 $790 3% $1,043 $1,032 -1% $1,138 $1,180 4%

PacificSource Health Plans2 $751 $776 3% $966 $1,017 5% $1,164 $1,129 -3%

Providence Health Plan $922 $933 1% $1,183 $1,192 1% $1,328 $1,352 2%Regence BlueCross BlueShield of Oregon $895 $872 -3% $1,139 $1,200 5% N/A $1,384 N/A

1Rates only include partial coverage in Hood River County.

2Rates only include Crook and Jefferson Counties.

Carrier Name

Pendleton-Hermiston Area Final Premium Examples2021 Individual Non-Grandfathered ACA Compliant Plans

Baker, Crook, Gilliam, Grant, Harney, Hood River, Jefferson, Malheur, Morrow,

Sherman, Umatilla, Union, Wallowa, Wasco, and Wheeler Counties

60-year-old, single, non-

tobacco user

60-year-old, single, non-

tobacco user

60-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

19

2020 2021 Change 2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company N/A N/A N/A N/A $327 N/A N/A $450 N/A N/A $519 N/A

Kaiser Foundation Health Plan of the Northwest N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Moda Health Plan, Inc. N/A N/A N/A $300 $310 3% $409 $404 -1% $446 $463 4%

PacificSource Health Plans N/A $210 N/A N/A $311 N/A N/A $408 N/A N/A $453 N/A

Providence Health Plan N/A N/A N/A $326 $330 1% $418 $422 1% $470 $478 2%Regence BlueCross BlueShield of Oregon N/A N/A N/A N/A $318 N/A N/A $438 N/A N/A $505 N/A

Medford Area Final Premium Examples

2021 Individual Non-Grandfathered ACA Compliant Plans

Douglas, Jackson, and Josephine Counties

Catastrophic Plan

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

21-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

20

2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company N/A $417 N/A N/A $574 N/A N/A $663 N/A

Kaiser Foundation Health Plan of the Northwest N/A N/A N/A N/A N/A N/A N/A N/A N/A

Moda Health Plan, Inc. $383 $396 3% $522 $517 -1% $570 $591 4%

PacificSource Health Plans N/A $397 N/A N/A $521 N/A N/A $578 N/A

Providence Health Plan $417 $422 1% $535 $539 1% $600 $611 2%Regence BlueCross BlueShield of Oregon N/A $407 N/A N/A $559 N/A N/A $645 N/A

Carrier Name

Medford Area Final Premium Examples2021 Individual Non-Grandfathered ACA Compliant Plans

Douglas, Jackson, and Josephine Counties

40-year-old, single, non-

tobacco user

40-year-old, single, non-

tobacco user

40-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

21

2020 2021 Change 2020 2021 Change 2020 2021 Change

BridgeSpan Health Company N/A $886 N/A N/A $1,220 N/A N/A $1,407 N/A

Kaiser Foundation Health Plan of the Northwest N/A N/A N/A N/A N/A N/A N/A N/A N/A

Moda Health Plan, Inc. $814 $840 3% $1,109 $1,098 -1% $1,211 $1,255 4%

PacificSource Health Plans N/A $844 N/A N/A $1,107 N/A N/A $1,228 N/A

Providence Health Plan $886 $896 1% $1,135 $1,145 1% $1,275 $1,298 2%Regence BlueCross BlueShield of Oregon N/A $863 N/A N/A $1,188 N/A N/A $1,371 N/A

Carrier Name

Medford Area Final Premium Examples2021 Individual Non-Grandfathered ACA Compliant Plans

Douglas, Jackson, and Josephine Counties

60-year-old, single, non-

tobacco user

60-year-old, single, non-

tobacco user

60-year-old, single, non-

tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

22

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $260 $233 -10% $282 $283 0% $310 $333 7%

Kaiser Foundation Health Plan of the Northwest $220 $224 2% $251 $262 4% $302 $310 3%

Moda Health Plan, Inc. $251 $272 8% $302 $314 4% $373 $373 0%

PacificSource Health Plans $263 $268 2% $308 $317 3% $407 $389 -4%

Providence Health Plan $247 $251 2% $280 $284 1% $342 $358 5%

Regence BlueCross BlueShield of Oregon $230 $232 1% $265 $278 5% N/A N/A N/A

Samaritan Health Plans, Inc. $257 N/A N/A $292 N/A N/A N/A N/A N/A

UnitedHealthcare Insurance Company $272 $292 7% $293 $311 6% N/A N/A N/AUnitedHealthcare of Oregon, Inc. $272 $292 7% $293 $311 6% N/A N/A

Portland Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Clackamas, Multnomah, Washington, Yamhill Counties

21-year-old, single, non-tobacco user 21-year-old, single, non-tobacco user 21-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

23

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $332 $298 -10% $360 $361 0% $396 $426 7%

Kaiser Foundation Health Plan of the Northwest $281 $286 2% $321 $335 4% $386 $396 3%

Moda Health Plan, Inc. $321 $348 8% $386 $401 4% $477 $477 0%

PacificSource Health Plans $336 $342 2% $394 $405 3% $520 $498 -4%

Providence Health Plan $316 $321 2% $357 $363 2% $438 $457 4%

Regence BlueCross BlueShield of Oregon $294 $296 1% $339 $355 5% N/A N/A N/A

Samaritan Health Plans, Inc. $329 N/A N/A $374 N/A N/A N/A N/A N/A

UnitedHealthcare Insurance Company $348 $373 7% $375 $398 6% N/A N/A N/AUnitedHealthcare of Oregon, Inc. $348 $373 7% $375 $398 6% N/A N/A

Portland Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Clackamas, Multnomah, Washington, Yamhill Counties

40-year-old, single, non-tobacco user 40-year-old, single, non-tobacco user 40-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

24

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $705 $632 -10% $765 $767 0% $841 $904 7%

Kaiser Foundation Health Plan of the Northwest $597 $608 2% $681 $711 4% $820 $841 3%

Moda Health Plan, Inc. $682 $739 8% $820 $852 4% $1,012 $1,013 0%

PacificSource Health Plans $713 $726 2% $836 $861 3% $1,104 $1,057 -4%

Providence Health Plan $671 $682 2% $759 $771 2% $929 $971 4%

Regence BlueCross BlueShield of Oregon $625 $629 1% $721 $754 5% N/A N/A N/A

Samaritan Health Plans, Inc. $698 N/A N/A $793 N/A N/A N/A N/A N/A

UnitedHealthcare Insurance Company $740 $792 7% $796 $845 6% N/A N/A N/AUnitedHealthcare of Oregon, Inc. $740 $792 7% $796 $845 6% N/A N/A

Portland Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Clackamas, Multnomah, Washington, Yamhill Counties

60-year-old, single, non-tobacco user 60-year-old, single, non-tobacco user 60-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

25

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $267 $241 -10% $289 $293 1% $318 $345 8%

Kaiser Foundation Health Plan of the Northwest $220 $224 2% $251 $262 4% $302 $310 3%

Moda Health Plan, Inc. $264 $286 8% $317 $330 4% $392 $392 0%

PacificSource Health Plans $279 $284 2% $327 $337 3% $432 $414 -4%

Providence Health Plan $272 $264 -3% $308 $298 -3% $377 $376 0%

Regence BlueCross BlueShield of Oregon $249 $247 -1% $287 $296 3% N/A N/A N/A

Samaritan Health Plans, Inc. $276 $268 -3% $314 $304 -3% N/A N/A N/A

UnitedHealthcare Insurance Company $302 $312 3% $325 $333 2% N/A N/A N/AUnitedHealthcare of Oregon, Inc. $302 $312 3% $325 $333 2% N/A N/A

Eugene Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Benton, Lane, Linn Counties

21-year-old, single, non-tobacco user 21-year-old, single, non-tobacco user 21-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

26

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $341 $308 -10% $370 $374 1% $406 $441 9%

Kaiser Foundation Health Plan of the Northwest $281 $286 2% $321 $335 4% $386 $396 3%

Moda Health Plan, Inc. $337 $365 8% $405 $421 4% $500 $501 0%

PacificSource Health Plans $357 $363 2% $418 $431 3% $553 $529 -4%

Providence Health Plan $348 $337 -3% $393 $381 -3% $481 $480 0%

Regence BlueCross BlueShield of Oregon $319 $315 -1% $367 $378 3% N/A N/A N/A

Samaritan Health Plans, Inc. $353 $343 -3% $401 $389 -3% N/A N/A N/A

UnitedHealthcare Insurance Company $385 $399 4% $415 $426 3% N/A N/A N/AUnitedHealthcare of Oregon, Inc. $385 $399 4% $415 $426 3% N/A N/A

40-year-old, single, non-tobacco user 40-year-old, single, non-tobacco user 40-year-old, single, non-tobacco user

Eugene Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Benton, Lane, Linn Counties

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

27

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $723 $655 -9% $785 $795 1% $862 $936 9%

Kaiser Foundation Health Plan of the Northwest $597 $608 2% $681 $711 4% $820 $841 3%

Moda Health Plan, Inc. $716 $776 8% $861 $895 4% $1,063 $1,064 0%

PacificSource Health Plans $758 $772 2% $889 $915 3% $1,174 $1,123 -4%

Providence Health Plan $739 $716 -3% $835 $809 -3% $1,022 $1,019 0%

Regence BlueCross BlueShield of Oregon $676 $670 -1% $780 $803 3% N/A N/A N/A

Samaritan Health Plans, Inc. $749 $728 -3% $851 $825 -3% N/A N/A N/A

UnitedHealthcare Insurance Company $818 $848 4% $881 $904 3% N/A N/A N/AUnitedHealthcare of Oregon, Inc. $818 $848 4% $881 $904 3% N/A N/A

60-year-old, single, non-tobacco user 60-year-old, single, non-tobacco user 60-year-old, single, non-tobacco user

Eugene Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Benton, Lane, Linn Counties

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

28

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $263 $236 -10% $286 $286 0% $314 $337 7%

Kaiser Foundation Health Plan of the Northwest $209 $213 2% $239 $249 4% $287 $294 2%

Moda Health Plan, Inc. $254 $275 8% $305 $317 4% $377 $377 0%

PacificSource Health Plans $279 $284 2% $327 $337 3% $432 $414 -4%

Providence Health Plan $255 $261 2% $288 $295 3% $353 $372 5%

Regence BlueCross BlueShield of Oregon $242 $241 0% $280 $289 3% N/A N/A N/A

Samaritan Health Plans, Inc. $260 N/A N/A $295 N/A N/A N/A N/A N/A

UnitedHealthcare Insurance Company $280 $307 10% $302 $328 9% N/A N/A N/AUnitedHealthcare of Oregon, Inc. $280 $307 10% $302 $328 9% N/A N/A

Salem Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Marion, Polk Counties

21-year-old, single, non-tobacco user 21-year-old, single, non-tobacco user 21-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

29

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $337 $302 -11% $365 $366 0% $401 $431 8%

Kaiser Foundation Health Plan of the Northwest $267 $272 2% $305 $318 4% $367 $376 2%

Moda Health Plan, Inc. $324 $351 8% $390 $405 4% $481 $482 0%

PacificSource Health Plans $357 $363 2% $418 $431 3% $553 $529 -4%

Providence Health Plan $326 $334 2% $368 $377 3% $451 $475 5%

Regence BlueCross BlueShield of Oregon $310 $308 -1% $357 $370 4% N/A N/A N/A

Samaritan Health Plans, Inc. $332 N/A N/A $377 N/A N/A N/A N/A N/A

UnitedHealthcare Insurance Company $358 $393 10% $386 $419 9% N/A N/A N/AUnitedHealthcare of Oregon, Inc. $358 $393 10% $386 $419 9% N/A N/A

Salem Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Marion, Polk Counties

40-year-old, single, non-tobacco user 40-year-old, single, non-tobacco user 40-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

30

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $715 $640 -10% $776 $777 0% $852 $916 7%

Kaiser Foundation Health Plan of the Northwest $567 $578 2% $649 $676 4% $779 $798 2%

Moda Health Plan, Inc. $688 $746 8% $828 $861 4% $1,022 $1,023 0%

PacificSource Health Plans $758 $772 2% $889 $915 3% $1,174 $1,123 -4%

Providence Health Plan $692 $709 2% $781 $801 3% $957 $1,010 5%

Regence BlueCross BlueShield of Oregon $658 $655 0% $759 $786 4% N/A N/A N/A

Samaritan Health Plans, Inc. $704 N/A N/A $801 N/A N/A N/A N/A N/A

UnitedHealthcare Insurance Company $761 $834 10% $819 $889 9% N/A N/A N/AUnitedHealthcare of Oregon, Inc. $761 $834 10% $819 $889 9% N/A N/A

Salem Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Marion, Polk Counties

60-year-old, single, non-tobacco user 60-year-old, single, non-tobacco user 60-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

31

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $305 $261 -15% $331 $316 -4% $364 $372 2%

Kaiser Foundation Health Plan of the Northwest N/A N/A N/A N/A N/A N/A N/A N/A N/A

Moda Health Plan, Inc. $276 $291 6% $332 $336 1% $410 $399 -3%

PacificSource Health Plans $274 $279 2% $321 $331 3% $424 $406 -4%

Providence Health Plan $272 $269 -1% $308 $304 -1% $377 $383 2%

Regence BlueCross BlueShield of Oregon $256 $252 -1% $295 $303 3% N/A N/A N/A

Samaritan Health Plans, Inc. $266 N/A N/A $302 N/A N/A N/A N/A N/A

UnitedHealthcare Insurance Company $318 $343 8% $343 $366 7% N/A N/A N/AUnitedHealthcare of Oregon, Inc. N/A N/A N/A N/A N/A N/A N/A N/A N/A

Bend Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Deschutes, Klamath, and Lake Counties

21-year-old, single, non-tobacco user 21-year-old, single, non-tobacco user 21-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

32

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $390 $333 -15% $423 $404 -4% $465 $476 2%

Kaiser Foundation Health Plan of the Northwest N/A N/A N/A N/A N/A N/A N/A N/A N/A

Moda Health Plan, Inc. $353 $372 5% $425 $429 1% $524 $510 -3%

PacificSource Health Plans $350 $356 2% $410 $422 3% $542 $519 -4%

Providence Health Plan $348 $343 -1% $393 $388 -1% $481 $489 2%

Regence BlueCross BlueShield of Oregon $327 $322 -1% $377 $387 3% N/A N/A N/A

Samaritan Health Plans, Inc. $340 N/A N/A $386 N/A N/A N/A N/A N/A

UnitedHealthcare Insurance Company $407 $438 8% $438 $467 7% N/A N/A N/AUnitedHealthcare of Oregon, Inc. N/A N/A N/A N/A N/A N/A N/A N/A N/A

Bend Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Deschutes, Klamath, and Lake Counties

40-year-old, single, non-tobacco user 40-year-old, single, non-tobacco user 40-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

33

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $828 $707 -15% $899 $858 -5% $987 $1,011 2%

Kaiser Foundation Health Plan of the Northwest N/A N/A N/A N/A N/A N/A N/A N/A N/A

Moda Health Plan, Inc. $750 $790 5% $902 $912 1% $1,113 $1,084 -3%

PacificSource Health Plans $743 $757 2% $871 $897 3% $1,150 $1,101 -4%

Providence Health Plan $739 $729 -1% $835 $825 -1% $1,022 $1,039 2%

Regence BlueCross BlueShield of Oregon $694 $685 -1% $801 $822 3% N/A N/A N/A

Samaritan Health Plans, Inc. $721 N/A N/A $820 N/A N/A N/A N/A N/A

UnitedHealthcare Insurance Company $864 $931 8% $930 $993 7% N/A N/A N/AUnitedHealthcare of Oregon, Inc. N/A N/A N/A N/A N/A N/A N/A N/A N/A

Bend Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Deschutes, Klamath, and Lake Counties

60-year-old, single, non-tobacco user 60-year-old, single, non-tobacco user 60-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

34

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $292 $264 -10% $317 $320 1% $348 $377 8%

Kaiser Foundation Health Plan of the Northwest $220 $224 2% $251 $262 4% $302 $310 3%

Moda Health Plan, Inc. $276 $291 6% $332 $336 1% $410 $399 -3%

PacificSource Health Plans $290 $296 2% $340 $351 3% $450 $430 -4%

Providence Health Plan $297 $301 1% $335 $341 2% $411 $429 4%

Regence BlueCross BlueShield of Oregon $282 $279 -1% $326 $334 3% N/A N/A N/A

Samaritan Health Plans, Inc. $276 $280 1% $314 $317 1% N/A N/A N/A

UnitedHealthcare Insurance Company $286 $316 10% $308 $337 9% N/A N/A N/AUnitedHealthcare of Oregon, Inc. N/A N/A N/A N/A N/A N/A N/A N/A N/A

North Coast Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Clatsop, Columbia, Coos, Curry, Lincoln, and Tillamook Counties

21-year-old, single, non-tobacco user 21-year-old, single, non-tobacco user 21-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

35

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $373 $337 -10% $405 $409 1% $444 $482 8%

Kaiser Foundation Health Plan of the Northwest $281 $286 2% $321 $335 4% $386 $396 3%

Moda Health Plan, Inc. $353 $372 5% $425 $429 1% $524 $510 -3%

PacificSource Health Plans $371 $378 2% $435 $448 3% $575 $550 -4%

Providence Health Plan $379 $385 2% $429 $435 1% $525 $549 4%

Regence BlueCross BlueShield of Oregon $361 $356 -1% $416 $427 3% N/A N/A N/A

Samaritan Health Plans, Inc. $353 $358 1% $401 $406 1% N/A N/A N/A

UnitedHealthcare Insurance Company $366 $403 10% $394 $430 9% N/A N/A N/AUnitedHealthcare of Oregon, Inc. N/A N/A N/A N/A N/A N/A N/A N/A N/A

North Coast Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Clatsop, Columbia, Coos, Curry, Lincoln, and Tillamook Counties

40-year-old, single, non-tobacco user 40-year-old, single, non-tobacco user 40-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

36

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $792 $715 -10% $859 $868 1% $943 $1,023 8%

Kaiser Foundation Health Plan of the Northwest $597 $608 2% $681 $711 4% $820 $841 3%

Moda Health Plan, Inc. $750 $790 5% $902 $912 1% $1,113 $1,084 -3%

PacificSource Health Plans $788 $802 2% $924 $951 3% $1,220 $1,168 -4%

Providence Health Plan $806 $818 1% $910 $925 2% $1,115 $1,165 4%

Regence BlueCross BlueShield of Oregon $767 $756 -1% $884 $907 3% N/A N/A N/A

Samaritan Health Plans, Inc. $749 $759 1% $851 $861 1% N/A N/A N/A

UnitedHealthcare Insurance Company $777 $857 10% $837 $914 9% N/A N/A N/AUnitedHealthcare of Oregon, Inc. N/A N/A N/A N/A N/A N/A N/A N/A N/A

North Coast Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Clatsop, Columbia, Coos, Curry, Lincoln, and Tillamook Counties

60-year-old, single, non-tobacco user 60-year-old, single, non-tobacco user 60-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

37

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $307 $274 -11% $333 $333 0% $365 $392 8%

Kaiser Foundation Health Plan of the Northwest $220 $224 2% $251 $262 4% $302 $310 3%

Moda Health Plan, Inc. $274 $297 8% $329 $342 4% $407 $407 0%

PacificSource Health Plans $285 $290 2% $334 $344 3% $441 $422 -4%

Providence Health Plan $309 $314 2% $349 $355 2% $428 $447 4%

Regence BlueCross BlueShield of Oregon $272 $274 1% $314 $329 5% N/A N/A N/A

Samaritan Health Plans, Inc. $276 N/A N/A $314 N/A N/A N/A N/A N/A

UnitedHealthcare Insurance Company $304 $348 14% $327 $371 13% N/A N/A N/AUnitedHealthcare of Oregon, Inc. N/A N/A N/A N/A N/A N/A N/A N/A N/A

Pendleton-Hermiston Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Baker, Crook, Gilliam, Grant, Harney, Hood River, Jefferson, Malheur, Morrow, Sherman, Umatilla, Union, Wallowa,

Wasco, and Wheeler Counties

21-year-old, single, non-tobacco user 21-year-old, single, non-tobacco user 21-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

38

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $392 $351 -11% $425 $426 0% $467 $501 7%

Kaiser Foundation Health Plan of the Northwest $281 $286 2% $321 $335 4% $386 $396 3%

Moda Health Plan, Inc. $350 $379 8% $421 $437 4% $520 $520 0%

PacificSource Health Plans $364 $371 2% $427 $439 3% $564 $539 -4%

Providence Health Plan $395 $401 2% $447 $454 1% $547 $571 4%

Regence BlueCross BlueShield of Oregon $348 $350 1% $401 $420 5% N/A N/A N/A

Samaritan Health Plans, Inc. $353 N/A N/A $401 N/A N/A N/A N/A N/A

UnitedHealthcare Insurance Company $388 $445 15% $418 $474 13% N/A N/A N/AUnitedHealthcare of Oregon, Inc. N/A N/A N/A N/A N/A N/A N/A N/A N/A

Pendleton-Hermiston Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Baker, Crook, Gilliam, Grant, Harney, Hood River, Jefferson, Malheur, Morrow, Sherman, Umatilla, Union,

Wallowa, Wasco, and Wheeler Counties

40-year-old, single, non-tobacco user 40-year-old, single, non-tobacco user 40-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

39

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $832 $745 -10% $903 $904 0% $991 $1,065 7%

Kaiser Foundation Health Plan of the Northwest $597 $608 2% $681 $711 4% $820 $841 3%

Moda Health Plan, Inc. $743 $805 8% $893 $929 4% $1,103 $1,104 0%

PacificSource Health Plans $773 $787 2% $906 $933 3% $1,197 $1,146 -4%

Providence Health Plan $839 $852 2% $948 $963 2% $1,162 $1,213 4%

Regence BlueCross BlueShield of Oregon $739 $744 1% $852 $893 5% N/A N/A N/A

Samaritan Health Plans, Inc. $749 N/A N/A $851 N/A N/A N/A N/A N/A

UnitedHealthcare Insurance Company $825 $944 14% $888 $1,007 13% N/A N/A N/AUnitedHealthcare of Oregon, Inc. N/A N/A N/A N/A N/A N/A N/A N/A N/A

Pendleton-Hermiston Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Baker, Crook, Gilliam, Grant, Harney, Hood River, Jefferson, Malheur, Morrow, Sherman, Umatilla, Union,

Wallowa, Wasco, and Wheeler Counties

60-year-old, single, non-tobacco user 60-year-old, single, non-tobacco user 60-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

40

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $289 $259 -11% $313 $314 0% $344 $370 7%

Kaiser Foundation Health Plan of the Northwest N/A N/A N/A N/A N/A N/A N/A N/A N/A

Moda Health Plan, Inc. $276 $299 8% $332 $345 4% $410 $411 0%

PacificSource Health Plans $285 $290 2% $334 $344 3% $441 $422 -4%

Providence Health Plan $309 $301 -2% $349 $341 -2% $428 $429 0%

Regence BlueCross BlueShield of Oregon $268 $271 1% $309 $326 5% N/A N/A N/A

Samaritan Health Plans, Inc. $288 N/A N/A $328 N/A N/A N/A N/A N/A

UnitedHealthcare Insurance Company $329 $354 8% $354 $378 7% N/A N/A N/AUnitedHealthcare of Oregon, Inc. N/A N/A N/A N/A N/A N/A N/A N/A N/A

Medford Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Douglas, Jackson, and Josephine Counties

21-year-old, single, non-tobacco user 21-year-old, single, non-tobacco user 21-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

41

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $369 $330 -10% $400 $401 0% $440 $472 7%

Kaiser Foundation Health Plan of the Northwest N/A N/A N/A N/A N/A N/A N/A N/A N/A

Moda Health Plan, Inc. $353 $383 8% $425 $441 4% $524 $525 0%

PacificSource Health Plans $364 $371 2% $427 $439 3% $564 $539 -4%

Providence Health Plan $395 $385 -3% $447 $435 -3% $547 $549 0%

Regence BlueCross BlueShield of Oregon $343 $347 1% $395 $416 5% N/A N/A N/A

Samaritan Health Plans, Inc. $369 N/A N/A $419 N/A N/A N/A N/A N/A

UnitedHealthcare Insurance Company $420 $453 8% $453 $483 7% N/A N/A N/AUnitedHealthcare of Oregon, Inc. N/A N/A N/A N/A N/A N/A N/A N/A N/A

Medford Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Douglas, Jackson, and Josephine Counties

40-year-old, single, non-tobacco user 40-year-old, single, non-tobacco user 40-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

42

2020 2021 Change 2020 2021 Change 2020 2021 Change

Health Net Health Plan of Oregon, Inc. $784 $702 -11% $850 $851 0% $934 $1,003 7%

Kaiser Foundation Health Plan of the Northwest N/A N/A N/A N/A N/A N/A N/A N/A N/A

Moda Health Plan, Inc. $750 $813 8% $902 $937 4% $1,113 $1,114 0%

PacificSource Health Plans $773 $787 2% $906 $933 3% $1,197 $1,146 -4%

Providence Health Plan $839 $818 -3% $948 $925 -2% $1,162 $1,165 0%

Regence BlueCross BlueShield of Oregon $727 $737 1% $839 $884 5% N/A N/A N/A

Samaritan Health Plans, Inc. $783 N/A N/A $890 N/A N/A N/A N/A N/A

UnitedHealthcare Insurance Company $893 $962 8% $961 $1,026 7% N/A N/A N/AUnitedHealthcare of Oregon, Inc. N/A N/A N/A N/A N/A N/A N/A N/A N/A

Medford Area Final Premium Examples

2021 Small Group Non-Grandfathered Plans

Douglas, Jackson, and Josephine Counties

60-year-old, single, non-tobacco user 60-year-old, single, non-tobacco user 60-year-old, single, non-tobacco user

Standard Bronze Plan Standard Silver Plan Standard Gold Plan

Carrier Name

43

Binder1.pdf2020-final-rate-examples.pdfFinal Premium Examples by Age and Rating Area

Final Indiv - 2020 HBP by Area.pdf1-211-401-602-212-402-603-213-403-604-214-404-605-215-405-606-216-406-607-217-407-60

SG Final 2020 HBP by Area.pdf1-211-401-602-212-402-603-213-403-604-214-404-605-215-405-606-216-406-607-217-407-60