You work hard as a public employee

Your family deserves the same from its health plan



Open enrollment for PEBB is from Oct. 1 through Oct. 31.

Enjoy even better benefits in 2021! See what’s new!


Moda 360 coverage

We’ve got great plans, created especially to meet the needs of busy, hardworking PEBB members just like you, and your family.

NEW! Moda 360

Healthcare can be complicated. That’s why we created Moda 360 — your own enhanced member support team. Every time you call Moda Health, you will be connected with a Moda 360 health navigator. The health navigator will not only answer any questions you may have, but will also serve as your guide to connect you with the care, resources and programs that will work best for you. Moda 360 health navigators are a dedicated team that will help you identify, coordinate and connect with the many resources available to you.

These resources include:

  • Personalized support for many chronic conditions
  • Coordination with your PCP
  • New telehealth app option
    • Ability to chat, text, phone, and have video meetings
    • 24/7 access in all 50 states
    • Providers can prescribe medication
    • No member cost share
  • Specialized behavioral health support for depression and anxiety. You’ll have access to a digital app you can use to: -
    • Connect with dedicated therapists and psychiatrists
    • Access behavioral health treatment from the comfort of your own home
    • Track your physiological response to stress


Coordinated Care with a PCP 360

As a PEBB Moda Health member, you’ll enjoy all of the benefits that come with coordinated care, which include having your own PCP 360. A PCP 360 is a high-quality primary care provider who delivers full-circle care. They will partner with you and be accountable for your health.

Access care statewide

With our Synergy Network, you get high-quality care close to home to cover all of Oregon, Southern Washington and Idaho. The network consists of OHSU Health, Legacy Health, Adventist Health and many more hospitals and providers.

Out-of-area dependents

The Moda Synergy plan covers dependents who live outside of the service area (for example: college students). Out-of-area dependents will need to select a PCP 360 and utilize that provider when they are in the service area. When they are away from the service area they have access to our travel network and will receive in-network benefits. Please update the address of your out-of-area dependent in the PEBB enrollment system.



Coverage map

Choose a Moda Synergy Medical Plan to enjoy:

We offer both health and dental plans ― because we know that oral health plays an important role in overall health.

Choose a Moda Synergy Medical Plan to enjoy:

  • A wide selection of high-quality in-network providers in Oregon, Southern Washington and Idaho, including OHSU Health, Legacy Health and Adventist Health
  • NEW! Moda 360 health navigators to help you navigate the healthcare system so you can get the most out of your benefits
  • No referrals for in-network specialist visits or alternative care!
  • Alternative care — take advantage of the largest network of alternative care providers (including licensed massage therapists!)
  • Medical, pharmacy and dental benefits delivered by a single health plan
  • Your Member Dashboard — Medical, pharmacy and dental benefits delivered by a single health plan

Review the PEBB medical plan options

The PEBB Moda Health plan connects you with expert care, close to home — at a low cost.

Full-time medical plan
(in-network)

  • $250 individual deductible, $750 family deductible
  • $10 copay for office and specialist visits
  • $0 copay through our telemedicine app
  • Deductible waived on the first four PCP 360 visits, per calendar year and $10 specialist copay after the deductible has been met.

>> View plan details


Part-time medical plan
(in-network)

  • $500 individual deductible, $1,500 family deductible
  • $40 copay for office and specialist visits
  • $0 copay through our telemedicine app
  • Deductible waived on the first four PCP 360 visits, per calendar year and $40 specialist copay after the deductible has been met.

>> View plan details


No referrals! Medical coverage wherever you go

Our one statewide network — Synergy — gives you access to providers in Oregon, Southern Washington and Idaho. So, you’ll be covered close to home, and wherever you go. PLUS, you get access to OHSU Health.

List of Synergy hospitals and clinics

  • Adventist Health (OHSU partner)
  • Asante
  • Bay Area Hospital
  • Columbia Memorial Hospital
  • Legacy Health
  • Legacy Silverton Hospital
  • Mid-Columbia Medical Center
  • Oregon Health & Science University (includes the OHSU network)
  • PeaceHealth
  • Salem Health Hospitals and Clinics
  • Samaritan Health Services
  • Santiam Hospital
  • Sky Lakes Medical Center
  • St. Charles Health System
  • Tillamook Regional Medical Center
  • Tuality Healthcare (OHSU partner)
See if your provider is a PCP 360, or search for a new PCP 360
Synergy Network

Dental coverage wherever you go

Choose Delta Dental to connect with the nation’s largest network of dentists. Plus, you’ll receive preventive services without paying out of your pocket at any in-network dentist provider. With a Delta Dental plan, you also get:

  • Health through Oral Wellness® ― find out your risk for tooth decay, gum disease and oral cancer, and see if you qualify for more cleanings, fluoride treatments, sealants and periodontal maintenance
  • 
Preventive first ― your preventive services will not count toward your plan year maximum
  • 
NEW! No 12-month waiting period for basic and major services for late enrollees
  • NEW! No 24-month waiting period for orthodontia services for for late enrollees

  • Composite (white) fillings covered for all teeth

Delta Dental Premier Network

The largest dental network in Oregon and nationally, it includes more than 2,400 Delta Dental Premier dentists in Oregon and over 155,000 nationwide.

Delta Dental PPO

The largest preferred provider organization (PPO) dental network in Oregon and nationally, it includes more than 1,300 Delta Dental PPO dentists in Oregon and over 108,000 nationwide.

With both plans, participating providers will not charge more than the Delta Dental of Oregon allowed amount. If you choose a provider on the PPO plan, you will pay less out of your pocket and your benefits will go further.

>> Check out PEBB Dental Plans


Ready to enroll?

Go to the PEBB website to enroll now.

Questions?

We have dedicated PEBB customer service team. Contact them at PEBBcustomerservice@modahealth.com.

Non-discrimination statement

Copyright © 2019 Moda, Inc. All rights reserved.

Health plans in Oregon and Alaska provided by Moda Health Plan, Inc. Dental plans in Oregon provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon. Dental plans in Alaska provided by Delta Dental of Alaska.

This site is meant to help you learn about plans and healthcare for you and your family. This site is subject to change in order to comply with state and federal law, including the Affordable Care Act (ACA) and related regulations, and connectivity with the federal Marketplace. If questions regarding benefits arise, the summary of benefits and coverage document is the master resource.

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