Open Enrollment 2024, Oct 25-Nov15Open Enrollment is here!

This is your opportunity to:

  1. Change your medical or dental plan.
  2. Add or remove family members.

Plan Comparison Charts for 2025

2025 Medical/Dental Costs

If you are enrolled in COBRA, you will receive Open Enrollment forms from PacificSource Administrators

Medical and Dental Rate Updates

  • Kaiser 10/20 Medical: 4.13% increase from last year's costs
  • Kaiser Maintenance Medical: 4.13% increase from last year's costs
  • Kaiser Dental 15: 0.9% increase from last year's costs
  • Moda PPO 400 Medical: 10% increase from last year's costs
  • Moda Major Medical: 10% increase from last year's costs
  • Delta Dental 50: 4.6% increase from last year's costs
  • Willamette Dental: 3% decrease from last year's costs

Benefit Changes for 2025

  • Kaiser Medical Plans:
    • Bariatric surgery services may be performed as an inpatient or outpatient procedure. Previously limited to inpatient
    • Members without a designated primary care provider will automatically be assigned to a Kaiser Permanente primary care provider
  • Kaiser Dental Plan:
    • The custom lab-made night guard benefit is changing from a 10% coinsurance to a 35% coinsurance (member pays), limited to one custom lab-made night guard every five years. Kaiser offers a high-quality over the counter night guard option for members at $20 per night guard
  • Moda Medical Plans:
    • The Pharmacy Benefit Manager (PBM) is changing from WellDyne to Moda
      • NOTE: CVS pharmacies are not included on this plan.
      • Learn more about this change.
    • Insulin maximum cost share is decreased from $85 to $35 per 30 day supply and from $255 to $105 per 90 day supply
    • Colonoscopy, including polyp removal, is covered for members age 45 and over as preventive care (100%) as recommended by their provider. Previously limited to every 10 years
  • Moda Delta Dental Plan:
    • Sedation Services are now covered under restorative benefits at 80% for members with intellectual or developmental disabilities
  • Willamette Dental Plan:
    • No changes

Questions?

503-988-3477
Multnomah County Benefits Office
501 SE Hawthorne Blvd, Suite 320
Portland, OR 97214