Plan Comparison Charts for 2019

    Costs for Medical/Dental for 2019

    Open Enrollment Forms

    • Changes were required by Wednesday October 31st.

    Plan Changes for 2019

    New Medical Plans: Kaiser 10/20 & Moda PPO 400

    Kaiser 10/20 plan replaces Kaiser plan.

    Moda PPO 400 plan replaces Moda Platinum plan.

    • 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
    • Chronic Condition Management benefit:
      • 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.
    • Summary of Benefits and Coverage
    • 2019 Moda Medical Changes Side-by-Side Comparison.

    New Dental Plans: Kaiser Dental 15 & Delta Dental 50

    Kaiser Dental 15 replaces Kaiser Dental.

    Delta Dental 50 replaces Delta Dental

    Premium Cost Changes

    • Kaiser 10/20: +0.82%
    • Kaiser Maintenance: +1.8%
    • Kaiser Dental 15: +2.9%
    • Moda PPO 400: -0.6%
    • Moda Major Medical: +0.7%
    • Delta Dental 50: +11.3%
    • Willamette Dental: 0%

    Kaiser Medical Plan Changes:

    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.

    Moda Medical Plan Changes:

    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).