Fall 2018

Open Enrollment is Oct. 1 through Oct. 31

There are few things more important than choosing the right health plan for you and your family. With open enrollment fast approaching – Oct. 1 to Oct. 31 – here are the plan highlights and changes that you need to know about Moda’s 2019 health plans.

See our 2019 PEBB medical and dental plans

By taking a Health Engagement Model (HEM) health assessment between Sept. 1, 2018 and Oct. 31, 2018, you can learn:

• Whether your health age equals your actual age
• If you are at risk for various health conditions
• Which of your habits are healthy
• What you can do to improve your health
• Earn payment incentives

Just follow these easy steps to get started:

Enroll in a medical plan

• Take a private 15-minute assessment by logging in to myModa and choose “Momentum,” Moda’s health assessment tool.
• Enroll in the HEM program.
• The sooner you take a health assessment, the sooner you’ll be on your way to saving.

The following benefits are included in Moda’s 2019 health plans.

Virtual Visits — Virtual Visits allows you to receive urgent care at home by connecting you with licensed Oregon Health & Science University (OHSU) providers from your computer or mobile device. PEBB members receive this benefit at no cost. To learn more about our Virtual Visits, log in to your myModa account and see “Virtual Care” on the home page. To schedule a Virtual Visit, go to ohsu.edu/virtualvisits.

Active&Fit Direct^TM — Our Active&Fit Direct program allows Moda members to receive a discounted gym membership at any participating facility for just $25 a month. Learn more here.

No referrals needed — With medical plans, no referrals are required for in-network specialist visits for members.

Plan changes The following are changes to Moda’s 2019 medical and dental plans. These changes are effective Jan. 1, 2019.

Medical plans

• The Emergency Room copay will increase to $150 from $100 for both full-time and part-time plans..

Dental plans
Our dental plan enhancements will include:

• Occlusal guards are covered at 100 percent (100%) up to $150. The deductible is waived.
• Nitrous oxide is covered at 50 percent (50%). This benefit is subject to a 12-month waiting period for late enrollees.

Remember that your open enrollment period runs from Oct. 1, 2018 to Oct. 31, 2018, for most entities. Please check with your HR administration for your specific open enrollment timeline.