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The PEBB Connection for October 2012

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Enroll now, with better access to support

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Enrolling this week gives you better access to phone support and less deadline pressure in completing your 2013 health assessment and enrolling in 2013 health plans.

PEBB member services is extending phone hours at 503-373-1102:
  • Wednesday, Oct. 24 to 8 p.m.
  • Saturday, Oct. 27, 9 a.m.-2 p.m.
  • Tuesday, Oct. 30 to 8 p.m.

They’ll be also be taking calls till midnight Oct. 31.However, phone lines are very busy on the last day of Open Enrollment, so you may not get a return call before midnight.

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Tips for making annual enrollment a low-stress activity

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Complete your health assessment on your current plan’s website this week (your spouse/partner needs to do this, too) so you can participate in the 2013 Health Engagement Model (HEM) and get a health incentive in your monthly pay.
For assistance with access to your MyProvidence website, call Providence at 503-574-7500 or 800-878-4445, Monday through Friday, 8 a.m.-5 p.m.
If you you have difficulty logging into your kp.org account, contact Kaiser at 1-800-556-7677 Monday through Friday, 6 a.m.-7 p.m., weekends 7 a.m.-3 p.m. For technical issues with Kaiser's HealthMedia website, call HealthMedia 866-433-9284.
Then enroll for 2013 health plans by logging in at https://pebb.benefits.oregon.gov, and following the online instructions. See below for tips on logging in.
If you don't actively enroll
the benefit system will default you to tobacco-use, spouse-waives-other-coverage and HEM Non-Participant status, with the associated payroll deductions and higher medical-plan deductible beginning 2013.
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Your benefit statement shows your most-current enrollments.
 
To see your benefit statement, log in at https://pebb.benefits.oregon.gov.
 
On the blue “Resource Tools” menu on the left, click “My Benefit Statement.”
 
Health Plans

Members who signed up for the 2013 HEM will see their choice of medical plans with the standard plan names – PEBB Statewide, Providence Choice, Kaiser Deductible or Kaiser HMO. Part-time employees who enrolled in part-time plans will see that designation, as well.

Members who don’t sign up for the 2013 HEM have a $100 per-person deductible (to a maximum of three persons in a family) in addition to the standard deductible in their 2013 medical plan. They will see the higher per-person deductible amount total reflected in the plan name. Example for full-time plan:

  • PEBB Statewide 350 ($250 + $100)
  • Providence Choice 350 ($250 + $100)
  • Kaiser Deductible 350 ($250 + $100)
  • Kaiser 100 (0 + $100)

If you chose to continue coverage in your current medical and dental plans, they won’t show a new start or end date in your statement. If you enrolled to change a health plan, you’ll see the new start date of 1/00/12

2013 HEM Health Assessment

Members who signed up for HEM can make sure they completed their 2013 health assessment in the required time frame by logging back in to their account on their health plan’s website.


Providence site: log in at https://myprovidence.healthtrioconnect.com

Under “My Health” in the menu on the left, click “Personal Health Assessment” and  then click “accept” on the next page. This will open your health assessment, which includes the date of completion. If you completed your health assessment Sept. 1-Oct. 31, 2012, it counts as complete for 2013 HEM.


Kaiser site: sign in at https://healthy.kaiserpermanente.org/html/kaiser/index.shtml.

Click the “Health and Wellness” tab. From the scroll banner, click “Total health assessment, then click “Succeed.” A “plan created” date to the right of the yellow sunflower that’s after Feb. 13, 2012, counts for 2013 HEM.

 
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Check your plan enrollments

 
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Spouse/Partner waives other coverage

Many people have been able to quit on their own, but the chances of being successful are eight times greater with support.

Your PEBB benefits give you comprehensive evidence-based support to quit through no-cost access to Quit for Life:

  • Unlimited phone consultations with a trained quit coach
  • Printed guides to help you plan and stick to a personalized quit program
  • Private, online Web coaching
  • Nicotine replacement therapy -- patch or gum -- sent right to your home
  • Low-cost and no-cost coverage of prescribed medications to help you quit

Go here for more information on this fully covered benefit: http://www.oregon.gov/DAS/PEBB/Pages/FreeClear.aspx.

When you quit, you can end the monthly tobacco-use deduction. More than 250 members quit tobacco use this year and ended the monthly tobacco-use deduction in their benefits. You can, too. Download the form here: http://www.oregon.gov/DAS/PEBB/docs/pdf/forms/tobaccousechange.pdf.

 

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Changing optional life insurance amount

Members in the PEBB Statewide plan have lower costs in 2013 when they get primary care services from a clinic or practice recognized by the Oregon Health Authority as a patient-centered primary care home (PCPCH).  See if your provider is one: http://www.oregon.gov/oha/OHPR/pages/HEALTHREFORM/PCPCH/recognized-clinics.aspx.
 
If your provider’s not on the list, let the clinic or practice know that you’ll benefit when they’re a recognized PCPCH and ask them to apply here: http://www.oregon.gov/oha/OHPR/pages/HEALTHREFORM/PCPCH/become-recognized.aspx.
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It's hard to quit, but millions have and you can too!

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Do you have a patient-centered primary care home?

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