COBRA OE: Local 88, Non-Represented, MCCDA, Painters

Plan Comparison Charts for 2019

Annual deductible now $400 per individual up to $1,200 max per family (was $300/$900).
Max out-of-pocket costs increasing to $2,000 individual up to $6,000 max for family (was $1,900/$5,700).
Cost changes for in-network non-preventive, care office visits (new structure):
- Now members do not need to pay coinsurance costs or meet deductible for these visits, only copays (unless additional services provided).
- Primary Care copay: $20
- Specialist copay: $40
Moda 400 Chronic Condition Management Summary (996.7 KB)
- No deductible or office visit copays for certain chronic conditions:
  - Up to 12 visits combined for asthma, diabetes, heart disease, high cholesterol and high blood pressure.
  - Up to 12 visits combined for mental health and chemical dependency.
2021 Moda PPO 400 Summary of Benefits and Coverage SBC (1.84 MB)
2020 Moda 400 - Platinum Medical Side-by-Side Comparison (157.15 KB)

Annual deductible increasing to $50 per individual up to $150 maximum for family (was $25/$75).
Annual maximum plan benefit increasing to $2,000 per individual (was $1,500).
New Delta Dental 50 Side-by-Side Comparison (1.75 MB)

Changes apply to all Kaiser plans.

Reproductive Health: Interrupted pregnancy and vasectomy are now covered in full.
Pediatric Vision: Professional service for cosmetic contact lens fitting and care included for children.
Rehabilitative Therapy Services: Comprehensive and long-term rehabilitation now included.
Gender Affirming: Breast augmentation now covered as medically necessary for transitioning members.

Changes apply to all Moda plans.

Reproductive Health: Mandated contraceptives, interrupted pregnancy and vasectomy are now covered in full.
Mental Health: Qualified Mental Health Associates and Certification Peer Support Specialists now covered providers.
Out-of-Network Care: Out-of-network charges at an in-network facility will be covered as in-network (not of member's choice).