Retiree Open Enrollment

open-enrollment-logo-dates-2025.pngOpen Enrollment is Here!

Starts on: Wednesday, October 30th

Ends: 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 perscription (Part D) maximum out-of-pocket. Multnomah County's KSA plan has very low co-pays for perscription 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