Plans and Service Areas for 2008
Most questions about the PERS Health Insurance Program, regardless of the plan you are enrolled in, can be directed to a PERS Member Specialist available by phone from 7:30 AM to 5:30 PM, Monday through Friday at 1-800-768-7377. Teletypewriter (TTY) 1-800-433-6313 for hearing and speech impaired. Or, e-mail your question to persinfo@pershealth.com. (Expect an accurate, timely response within 24 hours.)
If you find that you need to contact your health plan, see the contact information listed below.
Clear Choice Health Plans
Clear Choice Health Plans is a provider sponsored organization owned and operated by doctors and hospitals. It offers cost effective, extended coverage to individuals who are eligible for Part A and Part B of Medicare.
541-385-5315
Toll-free 1-888-863-3637
TTY: 1-800-735-2900
www.clearchoicehp.com
Search for a Clear Choice Provider
Clear Choice Service Area
To be eligible for Clear Choice Health Plans, your permanent street address (not a mailing address) must be located in one of the Oregon counties indicated below below (or in one of the listed zip codes of Lake or Klamath Counties. Counties and zip codes include Crook, Deschutes, Grant, Harney, Hood River, Jefferson, Sherman, Wasco, Wheeler, Klamath (97731, 97733, 97737), and Lake (97638, 97641, 97735).
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Kaiser Permanente
Kaiser Permanente is the largest and one of the oldest managed care plans in the country. For over 50 years it has promoted the good health of people in the Northwest. Kaiser members are encouraged to choose a Primary Care Provider through the panel of doctors.
Portland: 503-813-2000
Toll-free: 1-800-813-2000
TTY: 1-800-735-2900
www.kaiserpermanente.org
Kaiser Permanente Service Area (by Zip Code)
In order to be eligible to enroll with Kaiser Permanente, your home address must fall within the zip codes listed below. Kaiser areas are not indicated on a map.
| California and Hawaii | ||||
|---|---|---|---|---|
| For PERS retirees who live in California or Hawaii and are interested in enrollment in a Kaiser Permanente Health Plan located in your area, please call the PERS Health Insurance Program office for more information. | ||||
| Oregon | ||||
| Benton County: | ||||
| 97330 | 97331 | 97333 | 97339 | 97370 |
| Clackamas County: | ||||
| 97004 | 97009 | 97011 | 97013 | 97015 |
| 97017 | 97022 | 97023 | 97027 | 97034 |
| 97035 | 97036 | 97038 | 97042 | 97045 |
| 97055 | 97067 | 97068 | 97070 | 97086 |
| 97089 | 97222 | 97267 | 97268 | |
| (97409 non-medicare only) | ||||
| Columbia County: | All zip codes | |||
| Hood River County: | 97014 non-medicare only | |||
| Linn County: | ||||
| 97321 | 97322 | 97335 | 97355 | 97358 |
| 97374 | 97389 | 97360 | ||
| Marion County: | ||||
| 97002 | 97020 | 97026 | 97032 | 97071 |
| 97137 | 97301 | 97302 | 97303 | 97305 |
| 97306 | 97307 | 97308 | 97309 | 97310 |
| 97311 | 97312 | 97313 | 97314 | 97317 |
| 97325 | 97352 | 97359 | 97362 | 97375 |
| 97381 | 97383 | 97384 | 97385 | 97392 |
| (97342, 97346, 97373 non-medicare only) | ||||
| Multnomah County: | All zip codes | |||
| Polk County: | All zip codes | |||
| Washington County: | All zip codes | |||
| Yamhill County: | All zip codes | |||
| Washington | ||||
| Clark County: | All zip codes | |||
| Cowlitz County: | All zip codes | |||
| Lewis County: | ||||
| 98591 | 98593 | 98596 | ||
| Skamania County: | 98639, 98648 non-medicare only | |||
| Wahkiakum County: | ||||
| 98612 | 98647 | |||
ODS
ODS offers a full line of medical and dental insurance products to PERS members. Based in Portland, Oregon, ODS makes health insurance easy for it's customers by offering exceptional, personalized customer service. You may live anywhere in the USA and maintain coverage.
Portland: 503-243-3880
Toll-free (OR): 1-800-962-1533
Toll-free (outside Oregon) 1-800-852-5195
TTY: 1-800-433-6313
Dental: 1-503-228-6554 (Portland)
1-800-452-1058 (Toll-free)
PERS Pharmacy Program (ODS, Clear Choice, and Providence) 503-243-3960
or 1-888-361-1610
www.odscompanies.com
Medicare Supplement Plan - ODS offers a Medicare supplement plan to all eligible PERS retirees who are enrolled in Medicare Parts A and B. This is a traditional medical supplement insurance program that pays secondary to Medicare. Members can choose any available provider that accepts Medicare as a primary payer. Members may also live anywhere in the United States. Coverage outside of the United States is limited to six months per year.
ODS Advantage PPO Plan - ODS offers a Medicare PPOPreferred Provider Organization is a type of benefit design that includes different levels of benefits depending upon whether or not services are received from a preferred provider. plan to all eligible PERS retirees who are enrolled in Medicare Parts A and B and reside in the state of Oregon. The ODS Advantage PPO Plan provides the member the flexibility of using an in-network provider or any out-of-network licensed Medicare provider and pay the same co-pay. If you would like to know whether or not your physician is included in the ODS Advantage Network, please contact ODS or visit their website.
Non-Medicare PPO Plan - ODS offers a Preferred Provider Organization Plan (PPO) for non-Medicare retirees and/or dependents. There are four networks available to members: the ODS Network, First Choice Health Network, Idaho Physicians Network and Private Healthcare Systems (PHCS) Network. The state in which you reside will determine the PPO network. The PPO plan premium rate is the same for all networks. To determine your network, please refer to the following.
ODS Network - Members living in Oregon or one of the following counties in Washington state: Benton, Clark, Cowlitz, Klickitat, Pacific, Skamania, Wahkiakum or Walla Walla counties.
First Choice Health Network - If you reside in Washington state and do not live in Benton, Clark, Cowlitz, Klickitat, Pacific, Skamania, Wahkiakum and Walla Walla counties.
Idaho Physicians Network - Members who reside in the state of Idaho.
PHCS Network - Members who reside in a state other than Oregon, Washington or Idaho.
If you would like to know whether or not your physician is included in the PPO network, please contact ODS or visit the ODS website.
Providence Health Plan
At Providence Health Plan, we are focused on improving the health of our members by creating access to high quality health care programs and preventive services through top-rated benefit plans. Providence Health Plan is part of the Providence Health System, Oregon's largest network of health services.
Medicare Members
Providence offers retirees a managed care plan and a managed care plan with a POS option that allows you to see any Medicare approved provider without a referral. Providence Medicare Plans focus on prevention and quality. Members choose a primary care physician from their network and receive all care from their chosen physician unless they are given a specialist referral. If you choose the plan with a POS option, you can see any Medicare approved provider without a referral or see a provider contracted with Providence. It's up to you.
Providence offers In-Plan and Out-of-Plan benefits with a common deductible. Non-Medicare retirees and/or dependents must reside in one of the service areas listed below. Members who use the Providence Health Plan Network providers generally pay less for medical care after their deductible has been met.
Medicare members (OR): 503-574-8000
Medicare members (toll-free): 1-800-603-2340
Non-Medicare members (OR): 503-574-6618
Non-Medicare members (toll-free) 1-800-878-4445
TTY: 503-574-8702 or 1-888-244-6642
www.providence.org/healthplans
Search for a Providence Provider
Providence Service Area
Oregon: Benton, Clackamas, Columbia, Lane, Linn, Marion, Multnomah, Polk, Washington, and Yamhill Counties.Washington: Clark County
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