190 0 obj <> endobj 4 Benefits payments increase by 10% each plan year provided the member has visited a Delta Dental PPO provider at least once during the plan year. �r��lr�����~12rUr�d��f;�������1�Tladc\t� �������� (g� �`�ex�yB���@>c1�c&�j����t���͌��b��8MĒ����4�?�R�f����3�z����h)�6�0�Tl 0000010574 00000 n 0000053109 00000 n 0000015869 00000 n If anything in these charts conflicts with the plan’s certificate of coverage (COC), the COC takes precedence and prevails. Copays and coinsurance may apply; some copays and coinsurance do not … PEBB benefits? A PPO refers to a preferred-provider organization (network). 2019 SUMMARY OF BENEFITS 500 Summer Street NE Salem, OR 97301-1063. www.PEBBinfo.com This information gives a high-level summary only. PEBB will mail the Summary of Benefits tool that provides a side by side comparison of the Medical, Dental and Vision plans. 0000044017 00000 n This plan is similar Compare ... Health plans with health savings accounts (HSAs) Contact HCA. This video includes information on Public Employees Benefits Board (PEBB) for retirees eligible for benefits. trailer 2. 2020 PEBB Vision Plans Summary Comparison Your PEBB Benefits for 2017 Retiree Enrollment Guide Monthly Premiums Pages 7-9 Eligibility Summary Pages 10-12 How PEBB Plans with Prescription Drug Coverage Compare to Medicare Part D Page 30 Benefits Comparisons Pages 35-42 Enrollment Forms Starting on back cover HCA 51-205 (11/16) v�Y��WmUm�h7�&��&�����gLL��u 0000031361 00000 n This guide provides a general summary of employee eligibility for PEBB benefits. 0000007662 00000 n 0000004021 00000 n Medical FSA vs. HSA Comparison Medical Flexible Spending Arrangement (FSA) and Health Savings Account (HSA) Benefits Comparison MEDICAL FSA HSA Eligibility to contribute You do not have to enroll in a specific insurance plan in order to be eligible for the Medical FSA. UMP Plus–UW Medicine Accountable Care Network (ACN) UMP Plus–Puget Sound High Value Network (PSHVN) UMP Classic . 0000092356 00000 n endstream endobj 279 0 obj <>/Filter/FlateDecode/Index[7 183]/Length 29/Size 190/Type/XRef/W[1 1 1]>>stream The PEBB Program provides medical benefits for more than 212,000 employees and around 174,000 dependents. 5 For implant surgery only 6 Benefits for implant surgery have a benefit maximum. The PEBB Program’s purchasing authority covers over 400 separate employers including over 100 0000124333 00000 n 0000070339 00000 n 2019 Medical Benefits Cost Comparison The chart below briefly compares the per-visit costs of some in-network benefits for PEBB medical plans. 4 Benefits payments increase by 10% each plan year provided the member has visited a Delta Dental PPO provider at least once during the plan year. startxref 0000075018 00000 n 0000032096 00000 n The medical benefits are administered by Regence BlueShield, and the prescription drug benefits are administered by Washington State Rx Services (WSRxS). 0000000016 00000 n 0000004708 00000 n 0000023823 00000 n The Affordable Care Act (ACA) requires that we ask for and provide this information to the IRS. 0000026723 00000 n H��W�nG}�Ẉ�A�!粻���.vТiDAP4E�:v��V_���˹�H+k��@`Z-g���!�. v�\~�+{�� ���+D�T�v�� The intent is to allow an “apples to apples” comparison of medical health plan benefits across carriers. 0000044087 00000 n 0000089843 00000 n 2. 2021 PEBB Dental Benefits Comparison For information on specific benefits and exclusions, refer to the dental plan’s certificate of coverage or contact the plan directly. PEBB Statewide plan Benefit information. The purpose is to match up provisions of the ACA with employer-provided health care benefits. PEBB is mailing all members of our self-insured plans - Moda, PEBB Statewide and Providence Choice - a letter requesting SSNs of their covered dependents. 0000026907 00000 n 0000010331 00000 n 0000009739 00000 n 0000005255 00000 n 0000006598 00000 n %%EOF 0000059508 00000 n TierWhat’s changing in 2021? HCA 51-205B (11/11) Correction Notice Please note the following corrections to … Go To 2021 Plan Benefits Comparison--> Log in to PEBB Benefits; Back to Step 1; View 2020 Comparison Table; View 2020 Comparison as Chart 1. a) Select Employment Type: State Employee University Employee b) Select Employment Status: Full-Time Part-Time. 0000033447 00000 n 0000059212 00000 n 2021. startxref 0000031833 00000 n Note: the estimator may not work if using Internet Explorer 8 or earlier. 2021 PEBB medical benefits comparison. 0000015604 00000 n 0000002675 00000 n Oregon PEBB - Plan Year 2021: Plan Benefits Comparison Go To Benefit Deduction Estimator; Log in to PEBB Benefits; ... AllCare PEBB Full-Time Kaiser HMO Full-Time Kaiser Deductible Full-Time Moda Summit Full-Time Moda Synergy Full-Time PEBB Statewide Full-Time Providence Choice Full-Time. 0000006998 00000 n Skip to Main Content. %PDF-1.4 %���� 0000004180 00000 n Benefits & coverage by plan. PEBB Payroll Deduction Estimator. 0000002724 00000 n 0000057546 00000 n The PEBB Board is using PEBB stabilization funds to offset the employee-share increases for employees enrolled in an Employee and Family tier. 0000096358 00000 n 0000043391 00000 n In this booklet, employees are also called “subscribers.” Your employer will determine if you are eligible based on your specific employment circumstances, and whether you qualify for the employer contribution (see WAC 182-12-114 and 182-12-131). 0000053664 00000 n 0000048743 00000 n 0000008341 00000 n 0000059933 00000 n 0000004301 00000 n %%EOF 0000075303 00000 n 0000058918 00000 n 0000010051 00000 n 0000105734 00000 n 0000048834 00000 n UMP Plan Comparisons . Welcome to PEBB's payroll deduction estimator. We provide high quality health plans and other benefits … 0000054127 00000 n Before making your final enrollment decision, always refer to the individual FEHB brochures. 0000101731 00000 n Public Employees Benefits Board (PEBB) Program. 0000004444 00000 n 0000053691 00000 n 0000018197 00000 n 0000006424 00000 n See plan documents for details. 0000002855 00000 n 0000002157 00000 n The chart below briefly compares the medical deductibles and per-visit out-of-pocket costs of some in-network benefits for PEBB medical plans. 0000124698 00000 n For more information about SBCs, visit HealthCare.gov. 0000063052 00000 n SEBB medical benefits comparison. h�bbbd`b``Ń3� �`� �� 0000005062 00000 n xref Annual costs (what you pay) 0000024797 00000 n A comparison of PEBB plans and other medical plan offers that seem to cost less than PEBB coverage. 0000002584 00000 n Plan Year 2021 Payroll Deduction Estimator . endstream endobj 191 0 obj <>/Metadata 5 0 R/Names 192 0 R/Pages 4 0 R/StructTreeRoot 7 0 R/Type/Catalog/ViewerPreferences<>>> endobj 192 0 obj <> endobj 193 0 obj >/PageWidthList<0 612.0>>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 194 0 obj <> endobj 195 0 obj <> endobj 196 0 obj <> endobj 197 0 obj <> endobj 198 0 obj <> endobj 199 0 obj <> endobj 200 0 obj <> endobj 201 0 obj <> endobj 202 0 obj <> endobj 203 0 obj [/Separation/PANTONE#20375#20C/DeviceRGB<>] endobj 204 0 obj <>stream 0000081709 00000 n 0000003420 00000 n 0000101422 00000 n 0000033934 00000 n 0000003272 00000 n 2021. 0000002496 00000 n 0000005321 00000 n Your PEBB Benefits for 2013 Benefits Comparison Pages 34-37 Enrollment Forms Back cover Monthly Rates Pages 12-13 Eligibility Summary Pages 14-15 Notice of Creditable Prescription Drug Coverage Page 20. 0000003247 00000 n 0000048673 00000 n 0000037675 00000 n trailer Plan Provider h�b``g`�����$���,���%��1,cLg����0�})�"� 0000124084 00000 n 0000059535 00000 n 0000092259 00000 n 0000001476 00000 n %PDF-1.5 %���� 2 Blue ink indicates information only for subscribers who have PEBB dental, life, and long-term disability coverage. 2020 PEBB Benefits www.PEBBinfo.com Medical Vision Dental Optional Enroll at www.PEBBenroll.com You must enroll between Oct. 1 and Oct. 31, 2019 0000090125 00000 n On average, the contributions for employee-only coverage in Washington and California ranges from 0 to 23 percent and 31 to 45 percent for employees with dependents. 0000096037 00000 n 0000048108 00000 n This booklet contains information you need about benefits, This information gives a high-level summary only. <<731976996ECCE24FB791C716D6298C55>]/Prev 166641/XRefStm 2496>> 0000021115 00000 n 23 0 obj <> endobj 0000083819 00000 n 0000033474 00000 n �|�*6�. 0000010062 00000 n Total Monthly Employee Cost - Core Benefits VSP Plus [info] Employees pay the employee share percent multiplied by the VSP basic premium amount, plus the total premium difference between VSP Basic and VSP Plus if they choose VSP Plus. 0000004873 00000 n Some copays and coinsurance do not apply until after you have paid your annual deductible. 0000043418 00000 n 0000002845 00000 n 0000033153 00000 n 0000048313 00000 n In sum, PEBB and SEBB program enrollment amounts to just under 650,000 covered lives in the two Programs’ medical benefits. 0000002087 00000 n 0000017994 00000 n h�b```b``3f`c`��� Ā B@16�@NA�A�Fv&f�]��N]U�@$�'yq���4��\��)*�p�墬-�^̗-�v�E�}nMP�ʆ�@��o��)gLl Oregon's Public Employees' Benefit Board contracts for and administers benefits for eligible state employees. 0000007890 00000 n 0000008797 00000 n 0000007234 00000 n xref <]/Prev 172931>> If anything in these charts conflicts 0000069764 00000 n 0000092425 00000 n 0000033864 00000 n Which year would you like information on? 0 0000003532 00000 n 0000101143 00000 n 0000027018 00000 n 0000099873 00000 n You are eligible only if you enroll in a consumer-directed health plan […] 0000063440 00000 n 0000010198 00000 n 0000010344 00000 n Plan Year 2021 Benefit Comparison Tool . Call the plans directly for more information on specific 0000002879 00000 n 0000070025 00000 n Plan Year 2020 Payroll Deduction Estimator. Your PEBB Benefits for 2017 Forms Inside. 0000028118 00000 n 0000047825 00000 n PEBB and OEBB administer health care benefits to over 301,000 Oregonians Most states, like Oregon, have a dedicated agency to manage state employee health care plans, ... 1 Milliman Report “Comparison of Health Benefits Offered to State Employees and Teachers.” January 4, 2019. Welcome Public Employees' Benefit Board Members. 0000075600 00000 n 0000009489 00000 n 81 0 obj <>stream Standard Insurance Company is pleased to provide group Life, Accidental Death and Dismemberment (AD&D), Short Term Disability (STD) and Long Term Disability (LTD) insurance to eligible agencies, universities or local governments of the Public Employees' Benefit Board (PEBB). 0000021518 00000 n Your PEBB Benefits for 2015. 2 Blue ink indicates information only for subscribers who have PEBB dental, life, and long-term disability coverage. 0000034042 00000 n 2019 PEBB Dental Plans Summary Comparison. Your PEBB Benefits for 2012 Monthly Rates Pages 8-9 Eligibility Summary Pages 10-11 Notice of Creditable Prescription Drug Coverage Page 16 Benefits Comparison Pages 30-33 . Employee-Share increases for Employees enrolled in an Employee and Family tier decision, always refer the! 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