Summer 2020

Start planning for Open Enrollment today

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Planning for your 2021 open enrollment can help you choose the right health plan for you and your family.

This year’s PEBB open enrollment period runs from Oct. 1 – 31, 2020. To help you better prepare, we want to let you know about a 2021 benefit change ahead of open enrollment.

We’ve made important benefit changes to our 2021 medical and dental plans.

2021 Medical plan changes

The following changes will be included with all Moda medical plans for both coordinated care and non-coordinated care benefit levels starting Jan1, 2021.

• Moda 360— We know the healthcare system can be complicated. So, we created Moda 360, an enhanced member support team that helps you connect you with the many resources available to you. Each time you call customer service, a dedicated health navigator will answer any questions you have and be your guide to connect you with the best care, resources and programs that work best for you.

  Moda 360 health navigators will help you identify, coordinate and connect with the following health resources: 

  • Personalized support for chronic conditions
  • Coordination with your primary care provider (PCP)
  • Telemedicine expansion options (24/7 access to chat, text, phone and video conferencing in all 50 states)
  • Specialized support for behavioral health, including dedicated therapists and psychiatrists
  • Personalized approach to diabetes management

  The Moda 360 team can also help you select a PCP 360, make healthcare appointments and provide support for billing issues, prior authorizations, claims and appeals.

  You’ll get the most out of your health benefits when you call a Moda 360 health navigator at 844-776-1593.

2021 Dental plan changes

Late enrollees who did not have previous eligible coverage will no longer be subject to the following waiting periods:

• The 12-month waiting period for Basic and Major services
• The 24-month waiting period for orthodontic services

Understanding these benefit changes to our 2021 health plans before open enrollment can help you choose the plan that’s right for you and your family.

The following changes will be included with all Delta Dental plans starting Jan. 1, 2021