Open Enrollment is here!
This is your opportunity to:
- Change your medical or dental plan.
- Add or remove family members.
Plan Comparison Charts for 2025
- 2025 Medical Plan Comparison (137.09 KB)
- 2025 Dental Plan Comparison (849.59 KB)
2025 Medical/Dental Costs
- 2025 COBRA Medical and Dental Costs (78.41 KB)
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
- The Pharmacy Benefit Manager (PBM) is changing from WellDyne to Moda
- 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