Staff Languages Not Available. Provider Information/Policy Numbers - Human Resources How do I find out if my doctor is an "In-Network" provider for the PEBB Statewide or Providence Choice Plans? This site lets you: Enroll for benefits during Open Enrollment Enroll for benefits as a newly hired employee Review your current benefit selections Review and update your personal information PEBB Statewide Plan Forms (Providence) (Includes Medical Claim Form, Prescription drug claim form, prescription drug prior authorization form, etc) Providence Choice Forms Moda Medical & Dental Forms Flexible Spending Account Claim Forms (Healthcare and Dependent Care) (.pdf file) Flexible Spending Account - Other Forms 2021 PEBB vision plans summary employee premium contribution comparison Employee Employee & spouse/partner Employee & children Employee & family VSP Basic $8.54 $17.08 $14.52 $23.06 VSP Plus $14.95 $29.89 $25.41 $40.35 Kaiser The full-time Kaiser HMO and Kaiser Deductible medical plans include coverage for vision exams and hardware. 0000029963 00000 n 0000164647 00000 n PDF 2021 Summary of Benefits 2021 Open Enrollment Summary of Benefits - Oregon No additional paperwork. Easy access to the forms you'll need as one of our PEBB Choice or Statewide plan members. Fax Not Available. Quick turn around time for claims payment. We respect the privacy of your protected health information. Providence Choice is a medical home plan. Oregon Health Authority : PEBB Home : Public Employees' Benefit Board Have providers and hospitals bill the insurance for them. Flexibility to choose your own physicians within our panel of nearly 21,000 providers throughout Oregon and southwest Washington. New Hire Resources. UO prohibits discrimination on the basis of race, color, sex, national or ethnic origin, age, religion, marital status, disability, veteran status, sexual orientation, gender identity, and gender expression in all programs, activities and employment practices as required by Title IX, other applicable laws, and policies. 2022 Benefit Information. /_3s."i96X\gm$~gL8^|g83? Providence accepts many EDI vendors; see a list and get their contact information. 50 0 obj <>/Filter/FlateDecode/ID[<5DA3E73E521D5144A4CCE78BC80A55D3>]/Index[26 40]/Info 25 0 R/Length 108/Prev 123074/Root 27 0 R/Size 66/Type/XRef/W[1 3 1]>>stream

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