Retiree Open Enrollment

Retiree Open Enrollment information. Has change forms, costs, plan comparisons and explanations of plan changes effective January 1, 2025.

On this page

  1. Plan Comparison Charts for 2025
  2. 2025 Medical/Dental Costs
  3. Open Enrollment Forms
  4. 2025 Plan Changes

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Open Enrollment has ended!

Started on: Wednesday, October 30th

Ended: Wednesday, November 20th

Plan Comparison Charts for 2025

2025 Medical/Dental Costs

Open Enrollment Forms

2025 Plan Changes

Premium Cost Changes:

  • Moda Medical Plans: +10.0%
  • Kaiser Medical Plans: +4.13%
  • Kaiser Senior Advantage: +1.7%
  • Delta Dental 50: +4.6%
  • Kaiser Dental 15: +0.9%
  • Willamette Dental: -3.0%

Moda Medicare Advantage Plan:

  • Multnomah County will no longer have a Medicare Advantage option through Moda. If you are currently enrolled in the Moda Medicare Advantage plan, you will need to enroll in a different Medicare plan beginning January 1, 2025.

Moda Medical Plans:

  • The Pharmacy Benefit Manager (PBM) is changing from WellDyne to Moda.
    • NOTE: CVS pharmacies are now excluded 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

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 Senior Advantage (KSA):

  • The Senior Advantage fitness vendor will transition from Silver & Fit to the One Pass fitness program
  • Medicare will have a $2,000 prescription (Part D) maximum out-of-pocket. Multnomah County's KSA plan has very low co-pays for prescription drugs, so it is highly unlikely that any members will be impacted by this change
  • Members without a designated primary care provider will be assigned to a Kaiser Permanente care provider

Moda Delta Dental Plan:

  • Sedation Services are now covered under restorative benefits at 80% for members with intellectual or developmental disabilities

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

    Willamette Dental Plan:

    • No changes

    Questions?

    Retiree.Benefits@multco.us

    503-988-5651
    Multnomah County Retiree Benefits
    501 SE Hawthorne Blvd, Suite 320
    Portland, OR 97214

    Last reviewed November 21, 2024

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