PEBB General FAQs
Are the medical, pharmacy and dental benefit plans administered on a calendar-year basis or a plan-year basis?
All benefits, including medical, pharmacy and dental plans, are administered on a calendar-year basis. The plan year begins January 1st and goes through December 31st.
What are the benefits, copayments and out-of-network benefits for each plan?
Plan comparison documents with complete plan information are located on the plan summaries page.
Are there any late enrollee penalties?
If you do not enroll when originally eligible, you can only enroll during the annual Open Enrollment period, unless you experience a qualified status change.
Does PEBB or Moda Health require me to use my Social Security numbers as identification?
Youare not required to use your Social Security numbers as identification. PEBB will assign unique identification numbers. These numbers also are used by Moda Health. Always present your Moda Health ID cards when receiving services. Providers should bill Moda Health using the unique ID number located on the member's ID card
I have dual PEBB coverage, does the deductible have to be metor will it be picked up by the other plan?
The deductible still must be met prior to any benefit reimbursement, but in some cases the secondary plan will pay part of the deductible amount left over from the primary plan. Examples of how plans coordinate benefits can be found in the medical, pharmacy and dental sections.
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Hello.
We have exciting news to share. ODS is changing its name to Moda Health.
Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.
Together, we can be more, be better.
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