Medical coverage is through Premera Blue Cross. There is a $300 deductible per person or $600 per family. Your insurance is a preferred provider organization (PPO). That is there are contracted rates with a network of healthcare providers and the insurance payment is at 80% of the contracted rate. If you choose not to use a PPO, the insurance payment is at 70%. You should receive a medical card within the first two weeks of eligibility. For more information refer to your Health & Welfare Booklet or visit www.premera.com. You may also contact Premera at 1-800-722-1471.
Dental Coverage
ODS Health Plan: The dental card is included in the Dental Program Booklet. Preventative maintenance is covered at 100%. Class II and III services are covered at 80% and 65% respectfully and have a $50.00 deductible not to exceed $100.00 per family. There is a maximum of $2,000.00 per dependent for covered services. Address: 601 SW Second AVE/ Portland, OR 07204. Phone: 1-877-277-7280. For more information refer to your Program Booklet or visit www.odscompanies.com/members
Vision Coverage
Vision insurance provider is Vision Services Plan (VSP). Your ophthalmologist or optometrist will need to contact VSP to verify your eligibility. Address is PO BOX 997100/Sacramento, CA 95899-7100. Phone is 1-800-877-7195. For more information refer to your Health & Welfare Booklet or visit www.vsp.com
Prescription Drug Coverage
Your prescription Drug insurance provider is MEDCO. You pay a co-insurance fee/out-of-pocket expense. You should receive your prescription drug card and information packet within the first two weeks of eligibility. If you need to use your benefit and have not received a card, you will need to call member services 1-800-309-7139.
For most current listing of participating pharmacies visit www.medco.com. Problems with processing prescriptions your pharmacist can call pharmacy services help desk at 1-800-922-1557.