PEBB (Public Employees' Benefit Board) Home
PEBB 2022 Enrollment Guide
PEBB 2022 Summary of Benefits
Insurance navigation information for transgender employees
Comparison of PEBB Medical Plans (Full-time & Part-time Plans)
“Full-time” plans are available to: Unclassified employees (.50-1.00FTE); Classified employees (full-time and part-time); and Retirees
“Part-time” plans are only available to: Classified Part-time employees (.50-.74FTE) and Retirees
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Plans are designed specifically for part-time employees in an effort to keep plans more affordable.
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Part-time classified employees may choose from any of the plans offered: Full-time or Part-time.
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Part-time classified employees that enroll in a part-time medical plan receive an additional “part-time subsidy” to help cover the cost of the premium. Part-time employees that enroll in a full-time medical plan will receive an additional monthly premium subsidy of $40 if their base salary rate is less than or equal to $3,016. The base salary rate is determined by the salary schedule (Step/Column) and is based on the full-time equivalent.
PEBB Medical Plans - Overview
PEBB Statewide (Full-time & Part-time Plans)
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PPO plan
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You have lower costs when you use providers in the plan’s network (including specialists, facilities and pharmacies)
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You may self-refer to specialists
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When you access primary care from a Patient Centered Primary Care Home (PCPCH), you have a lower coinsurance level
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Service Area: Statewide and Nationwide
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PEBB Statewide website
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Plan Summary and Member Handbooks
Moda Health (Full-time & Part-time Plans)
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Coordinated care model plan. Members must pick a PCP 360. A PCP 360 delivers full-circle care, coordinating your care with other providers, as needed. They are high-quality primary care providers who are willing to partner with you and be accountable for your health.
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You must notify Moda of your PCP 360 before seeking medical care to receive In-network coverage
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Your PCP 360 coordinates your medical care
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You may have higher costs when you access care outside your medical home and without a referral from your medical home
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Moda Health does not require referrals for specialists.
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Text a doctor and mobile therapy options
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Moda Health website
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Plan Summary
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Member Handbooks
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Virtual Visits
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Active&Fit Direct Program
Providence Choice (Full-time & Part-time Plans)
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Medical home plan built around the coordinated care model
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You select a medical home from the plan’s network
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You must notify the plan of your medical home before seeking medical care to receive In-network coverage
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Access medical care through that medical home, including referrals to specialists
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You have higher costs if you access care out of your medical home
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Providence Choice website
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Plan Summary and Member Handbooks
Kaiser HMO & Kaiser Deductible (Full-time & Part-time Plans)
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Facilities are located in the Eugene, Salem and Portland areas
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You access care only through Kaiser providers and facilities
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The HMO plan has lower out-of-pocket costs than the deductible plan, which has a lower premium.
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Both plans offer a medical home in which your primary care provider directs all your care, including specialist care.
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Service Area – Zip Codes in: Oregon – Benton, Clackamas, Columbia, Hood River, Linn, Marion, Multnomah, Polk, Washington and Yamhill; Washington – Clark, Cowlitz, Lewis, Skamania, Wahkiakum
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Kaiser HMO & Kaiser Deductible website
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Plan Summary and Member Handbooks