| 2008 Medical Plans Overview |
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| Medical Plans Overview |
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For 2008, PEBB offers three types of medical plans -- health maintenance organization (HMO), preferred provider organization (PPO) and point of service (POS). Select the links below to review the plans' descriptions and service areas to see which one best fits your and your family’s healthcare needs.
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| HMO plans |
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HMO plans offer a high level of service and benefits. To get benefits, you must use the providers and facilities that are part of the plan. You select a primary care provider who guides your care. If you seek care elsewhere, the plan may not pay or may pay a reduced amount. For 2008, PEBB sponsors the following HMO plans:
Kaiser Permanente (pdf) for those who live or work in the Kaiser Permanente service area.
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| PPO plans |
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PPO plans offer services and benefits at two coverage levels — from preferred providers and from non-preferred providers. In a PPO, you may use any doctors you wish. If you use doctors who are preferred, you pay less. If you use providers who are not preferred, you pay more. For 2008, PEBB sponsors the following PPO plans:
Providence Choice (pdf) for those who live or work in Mulnomah, Clackamas, Washington and Yamhill couties.
Regence BlueCross BlueShield of Oregon (pdf) no matter where you live or work
Samaritan Select (pdf) for those who live in Linn, Benton and Lincoln counties.
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| POS plans |
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POS plans have three tiers of providers: HMO, in-network, and out-of-network. You can seek care outside the HMO, but at reduced coverage levels. You must get prior authorization review before getting surgical or inpatient services from in-network and out-of-network providers. For 2008, PEBB sponsors the following POS plans:
Kaiser Added Choice (pdf) plans for those who live or work in the Kaiser Permanente service area.
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| Compare plan coverage |
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Select the links below to view side-by-side comparisons of coverage in each plan.
Full-time medical plans (available to all eligible members)
Medical benefits (pdf)
Prescription drug benefits (pdf)
Routine vision care benefits(pdf)
Part-time and Retiree plans (available only to eligible part-time employees and retirees)
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| Compare premium rates |
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This link opens a PDF with monthly premium rates for all 2008 medical and dental plans (including retiree, COBRA and other self-pay participant rates).
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