Open Enrollment

Open Enrollment is a mandatory two-step process where you are able to change benefit elections for the new calendar year (effective January 1, 2018). If you do not complete both steps of Open Enrollment (shown below), your deductible will go up, potentially $300 for the year, and you will be charged additional fees, up to $100 extra a month. If you do complete both steps of Open Enrollment, your deductible will NOT go up and you will NOT be charged additional fees. In addition, by doing Open Enrollment, you will get a monthly incentive in your pay check of $17.50 to help cover the cost of benefits.

Two-steps of Open Enrollment:

1.    Re-Enroll in benefits through the PEBB member portal by October 31st (paper form available)
2.    Do the HEM (Health Engagement Model), a health questionnaire, on your 2017 medical providers’ website by October 31st

Note: Opt Out employees and Declines who want to enroll in a Medical plan need to call PEBB for an access code, 503-373-1102, and will go to the Providence website to complete the HEM. AllCare members will still go to the AllCare websitee to complete their HEM.

MAIN TOOLS FOR OPEN ENROLLMENT

LEARN THE BASICS ABOUT HEALTH COVERAGE

 

  • SOU presentation and computer lab sessions to be announced soon...

ATTEND A PRESENTATION OF PLAN HIGHLIGHTS OR A WEBINAR

ATTEND AN OPEN LAB TIME

These sessions are held during open lab times, where our Benefit Officer will be present to assist employees with completing their re-enrollment for 2018 in the PEBB system and completing the HEM from your medical provider's website. Please stop in during any of the below times (held in the Computing Services East building):

  • PC East: October 16th from 3:30 - 5:00
  • PC East: October 19th from 11:30 - 1:00
  • PC East: October 23rd from 3:30 - 5:00
  • PC East: October 26rd from 11:30 - 1:00
  • PC East: October 30th from 3:30 - 5:00
Do note if you are unable to access your HEM through your current 2017 medical provider's website, you will need to contact your medical plan for assistance. Our Benefit Officer can assist employees with accessing the PEBB member system.

SEE WHAT PLANS ARE AVAILABLE TO YOU

  • PEBB Statewide, if elected, member pays 5% of Core premiums (use the 'Find a Provider' tool from the Providence Website ).
  • Moda Synergy, if elected, member pays 5% of Core premiums (use the 'Find Care' tool from the Moda website).
  • Providence Choice, if elected, member pays 3% of Core premiums (use the 'Find a Provider' tool from the Providence Website ).
  • AllCare is not an option for the 2018 plan year, choose one of the above three plans for Open Enrollment.

MAKE SURE YOUR PROVIDERS ARE IN THE PLAN’S NETWORK 

  • Use the plan’s provider directory (navigate to your 2018 medical provider's website) to determine who is in network;
  • Then, call the provider you wish to be your primary and ask if they can accept you as a patient (online directories are not always up-to-date, a phone call is a good idea);
  • If they accept you, log in to your medical providers member portal (navigate to your 2018 medical provider's website), or call them, to notify your medical plan of who your primary care provider is.

FIND OUT HOW THE PLAN HADLES REFERRALS TO SPECIALISTS - CALL THE PLAN AND ASK

  • In Coordinated Care Model plans, or CCO's:
    • Providence Choice and Moda Synergy- you typically pay less for specialty services when you see a specialist referred by your primary care provider/medical home. 
  • In Preferred Provider Plans, or PPO's:
    • PEBB Statewide Plan is a preferred provider organization (PPO) plan, where you may see any provider; however, you pay more when you see out-of-network providers, including specialists. 
  • Use alex, PEBB's digital benefit counsellor, to learn more about the plans.

DETERMINE WHICH PLAN MEETS YOUR FAMILYS NEEDS FOR COST AND BENEFITS