Medical Benefits Overview

Pioneer Educators Health Trust

Administerd by Regence BCBSO

1-866-219-7222

Group #842995050

www.or.regence.com

Kaiser (HMO)

Group #1682

503-813-2000

https://www.kaiserpermanente.org/

In Network

Out of Network

Kaiser

No need to elect a Primary Care Physician

No need to elect a Primary Care Physician

Must use a Kaiser Facility for Care

 

$250 Annual Deductible/per person
$500 Annual Deductible
No annual deductible  
$20 co-pay for office visit
60% after deductible
$15 co-pay for office visit  
$2000 out of pocket max/per person
$6000 out of pocket max/per person
$600 out of pocket max per person  
Lab and X-ray covered at 100% (after deductible)
60% (after deductible) Lab and X-ray covered: $3/$10 co-pay  

Prescription Tiers

(34 day supply)

  • $15 generic drug
  • $35 preferred name
  • $55 non preferred
not applicable

Prescription Tiers

(34 day supply)

  • $15 generic drug
  • $35 preferred name
 

 

 

For more information please see: Benefits Information