The OSU PEBB Agency number is 58030.
Medical, Vision and Dental
| Medical Plan | Group Number | Telephone Number | Address & Website |
|---|---|---|---|
| Kaiser Permanente HMO | 7029 | (800) 813-2000 (503) 813-2000 |
500 NE Multnomah, Suite 100 |
|
Moda Health |
10002802
|
(877) 605-3229 |
P.O. Box 40384 |
| PEBB Statewide Plan | 108601 | (800) 423-9470 |
Administered by: Providence Health Plan https://www.providencehealthplan.com/public-employees-benefits-board-pebb/statewide-plan-members |
|
Providence Choice PPO
|
106528 | (800) 423-9470 |
Providence Health Plan https://healthplans.providence.org/members/member-groups/pebb/statewide… |
| Vision Plan | Group Number | Telephone Number | Address & Website |
|---|---|---|---|
|
VSP Your ID# is your PEBB issued “P” number (eight digits) |
12179989 | (800) 877-7195 |
PO Box 997105 |
| Dental Plan | Group Number | Telephone Number | Address & Website |
|---|---|---|---|
| Delta Dental Premier | DF14-20 | (877) 277-7280 |
601 SW Second Avenue |
| Delta Dental PPO (Preferred) | DF15-20 | (877) 277-7280 |
601 SW Second Avenue |
| Delta Dental Part-Time | DF16-20 | (877) 277-7280 |
601 SW Second Avenue |
| Kaiser Permanente | 7029 | (800) 813-2000 (503) 813-2000 |
500 NE Multnomah, Suite 100 |
| Willamette Dental | Z250I | 1-855-433-6825 (503) 644-6444 |
14025 SW Farmington Road, Suite 300 |
| Life & Disability Plans | Group Number | Telephone Number | Address & Website |
|---|---|---|---|
| Optional Life | 606814-B | (800) 842-1707 | The Standard PO Box 2800 Portland OR 97208-2800 https://www.standard.com/mybenefits/pebb/ |
| AD&D | 603073-A | (800) 842-1707 | |
| Short-term Disability | 442210-C | (800) 842-1707 | |
| Long-term Disability | 606717-A | (800) 842-1707 |
| Travel Assistance | Telephone Number | Website |
|---|---|---|
| US, Canada, Puerto Rico, Bermuda, US Virgin Islands | (800) 872-1414 | State of Oregon PEBB | The Standard |
| All Other Countries (Call collect.) | 1-609-986-1234 | State of Oregon PEBB | The Standard |
| Long-Term Care | Plan Number | Telephone Number | Address & Website |
|---|---|---|---|
| UNUM | 025758 | 800.227.4165 |
2211 Congress Street |
| Mail Order Pharmacy – Statewide & Providence Choice Plans |
Telephone Number | Website |
|---|---|---|
| Walgreens | 800-635-3070 or 800-797-3345 |
https://www.walgreens.com/rx-settings/home-delivery-pharmacy |
| Postal Prescription Services | 503-797-2100 or 800-552-6694 |
www.ppsrx.com |
| Wellpartner | 877-935-5797 | www.wellpartner.com |
| Flexible Spending Account – Medical, Dependent Care, Commuter |
Telephone Number | Website | Address |
|---|---|---|---|
| ASIFlex | 800.659.3035 | http://orpebb.asiflex.com/ | PO Box 6044 Columbia, MO 65205-6044 |