Bookmark & ShareFor Immediate Release: 10/26/2009
Recently we mailed the 2010 Retiree Enrollment Guide to members upon request and distributed them at benefits fairs through November 5. Unfortunately, the booklet included some errors. Corrected copies will be available by mid-November and is posted online. Please see the corrected information below.
Contact the Plans, page 2
Uniform Medical Plan customer service number is 1-800-762-6004, TTY 360-923-2701 or 1-888-923-5622.
2010 PEBB Retiree Monthly Rates, page 8
| Medical Plans | ||||||||
| Members not eligible for Medicare (or enrolled in Part A only) | Aetna Public Employees Plan | Group Health Classic | Group Health Value | Kaiser Permanente Classic | Kaiser Permanente Value | Secure-Horizons Classic | Secure-Horizons Value | Uniform Medical Plan |
| Full Family | $1,450.19 | $1,283.24 | $1,147.69 | $1,285.38 | $1,201.70 | N/A | N/A | $1,199.28 |
2010 Medical Plans Available by County, pages 25 and 26
| Washington | |
| Group Health | Mason (ZIP Codes 98524, 98528, 98546, 98548, 98555, 98548, 98588, and 98592) |
| Oregon | |
| Kaiser Permanente |
Clackamas (ZIP Codes 97004, 97009, 97011, 97013, 97015, 97017, 97022-23, 97027, 97034-36, 97038, 97042, 97045, 97049, 97055, 97067-68, 97070, 97086, 97089, 97222, and 97267-68) Hood River (ZIP Code 97014) Marion (ZIP Codes 97002, 97020, 97026, 97032, 97137, 97301-03, 97305-14, 97317, 97325, 97342, 97346, 97352, 97362, 97373, 97375, 97381, 97383-85, and 97392) |
Medicare Advantage plans shown in italics
2010 Medical Benefits Comparison
Uniform Medical Plan (non-Medicare and Medicare), pages 27-30
| Benefits | Member pays in 2010 |
| Ambulance (air) | 20%/trip |
| Hospital—inpatient | $200/day ($600 max/year per person) + 15% professional |
| Obstetric care—inpatient | $200/day ($600 max/year per person) + 15% professional |
| Prescription drugs—retail (up to 90-day supply) | Tier 1: 10% Tier 2: 30% Tier 3: 50%* |
| Prescription drugs—mail order (up to 90-day supply) | Tier 1: $10 Tier 2: $50 Tier 3: $100* |
| Vision care—glasses and lenses | Any costs above $150 every two calendar years for frames, lenses, contacts, and fitting fees combined |
*May also be subject to an ancillary charge.
2010 Medicare Advantage Plan Benefits Comparison, page 29
| Benefits | Group Health Medicare Advantage | Kaiser Permanente Senior Advantage | SecureHorizons | |||
| Classic | Value | Classic | Value | Classic | Value | |
| You pay | You pay | You pay | ||||
| Hospital Services Inpatient |
$100/day for 1-3 days, $600/annual maximum | $200/day for 1-5 days | $0 | $200 per admission | $150/day for 1-4 days | $250/day for 1-8 days |
| Hospital Services Outpatient |
$100 | $200 | $50 | $50 | $0 | $100 |
SecureHorizons Value (Medicare members only), page 30
The spinal manipulation copay amount will not change in 2010. The 2010 cost will be the same as in 2009, $15 per visit.
Premera Blue Cross (Medicare members only), page 33
The correct 2010 premium rates are below:
| Medicare Supplement Plan J Premera Blue Cross |
Eligibility by Age | Eligibility by Disability |
| PBC Total Monthly Rate | $191.06 | $324.80 |
| PEBB Retiree Subsidized Rate (subscriber) | 101.97 | 168.84 |
| PEBB Retiree Subsidized Rate (subscriber and spouse) | 197.50 | 331.24 |
| State Resident Rate (subscriber) | 191.06 | 324.80 |
| State Resident Rate (subscriber and spouse) | 382.12 | 649.60 |
We want you to have accurate information to make the best choices about your health plans for 2010, and regret the confusion these errors may have caused you.
