Plan Comparison Charts for 2021
2021 Medical Plan Comparison Chart (pdf)
2021 Dental Plan Comparison Chart (pdf)
2021 Medical/Dental Costs
These are the amounts taken from your paycheck every pay period.
2021 Medical/Dental Plan Costs for Physicians (pdf)
Plan Changes for 2021
New Medical Plans: Kaiser 10/20 & Moda PPO 400
Kaiser 10/20 plan replaces Kaiser plan.
- Copay changes:
- Specialist visits - $20 (was $10)
- Urgent care - $30 (was $10).
- Inpatient Hospital - $50 per day up to $250 max per admission (was $0).
- Outpatient surgery - $25 (was $10).
- Brand prescriptions - $20 (was $10)
- Kaiser 10/20 Summary of Benefits and Coverage.pdf
- Kaiser Medical Changes Side-by-Side Comparison.
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:
- Asthma, diabetes, heart disease, high cholesterol and high blood pressure.
- Mental health and chemical dependency.
- No deductible or office visit copays for certain chronic conditions:
- Moda PPO 400 Summary of Benefits and Coverage.pdf
- Moda Medical Side-by-Side Comparison
New Dental Plans: Kaiser Dental 15 & Delta Dental 50
Kaiser Dental 15 replaces Kaiser Dental.
- Office visit copay: $15, including Orthodontia visits (was $10).
- Kaiser Dental Changes Side-by-Side Comparison.
Delta Dental 50 replaces Delta Dental
- 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).
- Delta Dental Changes Side-by-Side Comparison
Premium Cost Changes
- Kaiser 10/20 Medical: +6.7% increased from 2020 Kaiser Standard costs
- Kaiser Maintenance Medical: +7.7%
- Kaiser Dental 15: -1.5%, and you now pay more of the cost share by +2.0% (was 5% of total premium, now 7%).
- Moda PPO 400 Medical: +7.9% increased from 2020 Moda Platinum costs
- Moda Major Medical: +8.5%
- Delta Dental 50: +10.3%, you now pay more of the cost share by +2.0% (was 5% of total premium, now 7%).
- Willamette Dental: 0%, you now pay more of the cost share by +2.0% (was 5% of total premium, now 7%).
Kaiser Medical Plan Changes:
- Insulin: Cost of insulin is not subject to the deductible and will not exceed $100 per 30-day supply.
- Continuous glucose monitors are now covered under durable medical equipment.
- Infertility treatments now apply to your Out-of-Pocket Maximum.
Moda Medical Plan Changes:
- Infusion therapy now only covered at preferred treatment centers as directed by new service: MagellanRx.
Dental Plan Changes:
- No significant plan changes for any of our dental plans.
Increase your Supplemental Life Insurance
- If you have less than $200,000 Supplemental life insurance you have an opportunity during open enrollment to increase your own coverage without providing medical information.
- Only applies for up to $30,000 more than you have now to a total of $200,000.
- Enroll during Open Enrollment in Workday.
- You can apply for Supplemental Life insurance at any time throughout the year up to $500,000, but must supply medical information for approval.
Flexible Spending Accounts: MERP/DCAP/TRP
- Medical Expense FSA maximum increasing to $2,750 per year.
- New MERP rollover amount of $550 (began in 2020).
- TRP Transit maximum increasing to $170 per month.
- TRP Parking maximum increasing to $270 per month.
More Information
- Check your current benefits in the Workday Benefits application.
- You must submit changes by November 18th.