Public Employees Retirement System

Travel Benefits

All PHIP health plans provide coverage for urgent and emergent care when you travel anywhere in the world. When you travel outside of your health plan’s service area, your coverage is limited. Some plan’s travel benefits have limits and exclusions. Before you travel contact your health plan to determine how your travel benefits will work if you need services while you are away.

If you are going to be temporarily out of your service area for more than 60 days, PHIP offers a unique feature known as the Snowbird Option.

Please note: You must maintain a permanent residence within a plan’s service area and reside in the United States in order to participate in PHIP.

Medicare Travel Benefits
Non-Medicare Travel Benefits
Dental Travel Benefits

Medicare Travel Benefits

Moda Health Plan, Inc.

MODA HEALTH MEDICARE SUPPLEMENT PLAN

Under the Moda Health Medicare Supplement plan, you have coverage
throughout the entire United States, including the U.S. territories. When traveling outside the United States, Original Medicare usually does not provide any coverage. This is where your Moda Health Medicare
Supplement plan comes in. If you find yourself in need of urgent care, emergency or ambulance services when you are outside of the United States, Moda Health will pay 80% and you will be responsible for 20%. Coverage outside of the United States is limited to $50,000 per lifetime.

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Kaiser Permanente Northwest

KAISER PERMANENTE SENIOR ADVANTAGE PLAN

Members temporarily visiting other Kaiser Permanente regions may receive visiting member care from designated providers in those areas.

Currently enrolled Medicare members who permanently move outside the Kaiser Permanente Northwest service area or who are out of the service area for six consecutive months or more must disenroll from their Medicare Advantage plan.

If you do not use Kaiser Permanente’s physicians and hospitals, neither Kaiser Permanente nor Medicare will cover your services, except for emergency and urgent care, authorized referrals, renal dialysis outside the service area per Medicare criteria and travel benefits.

PacificSource Medicare

PACIFICSOURCE MEDICARE ESSENTIALS RX 803 PLAN

PacificSource members have coverage for emergency and urgent care services worldwide. These services do not require a prior authorization.

Providence Medicare Advantage Plans

PacificSource members have coverage for emergency and urgent care
services worldwide. These services do not require a prior authorization.

PROVIDENCE MEDICARE ALIGN GROUP PLAN (HMO) + RX GROUP PLAN

Includes a travel benefit for necessary follow-up care from any Medicare provider outside the plan service area. Providence pays 80% and the member pays 20%, up to a combined $1,000 annual limit.

PROVIDENCE MEDICARE FLEX GROUP PLAN (HMO-POS) + RX GROUP PLAN

The Point of Service (POS) benefit with the plan allows you to see any Medicare-approved provider. There is no annual limit on what Providence will pay for approved out-of-network services.

UnitedHealthcare

UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PPO) PLAN

While traveling abroad, as a member of UnitedHealthcare® you are covered for emergency care and urgently needed services. This includes urgent care, emergency room and ambulance services to the nearest facility for your condition. It does not include transportation back to the United States.

Non-Medicare Travel Benefits

Kaiser Permanente Northwest

NON-MEDICARE PLANS (CORE AND HDHP)

Kaiser Permanente members temporarily outside the service area are covered for emergency care, urgent care and medically necessary ground or air ambulance service worldwide for non-Medicare plans.

Members temporarily visiting other Kaiser Permanente regions may receive visiting member care from designated providers in those areas for non-Medicare plans. For information about service areas and facility locations in other regions, please call Kaiser Membership Services.

UnitedHealthcare

NON-MEDICARE PLANS (CORE AND HDHP)

While traveling abroad, as a member of UnitedHealthcare® you are covered for emergency care and urgently needed services. This includes urgent care, emergency room and ambulance services to the nearest facility for your condition. It does not include transportation back to the United States.

Dental Travel Benefits

DELTA DENTAL PLAN OF OREGON

The Delta Dental of Oregon dental plan gives you access to the country’s largest dental network with over 155,000 participating dentists, along with the benefit of a being a local company working in communities like yours to ensure you get the dental care you need. This plan gives you access to the Delta Dental Premier and PPO National Network.

KAISER PERMANENTE DENTAL PLAN

If you have a dental emergency while traveling outside the service area, you may go to the nearest dental office. You have limited coverage for qualifying emergency dental care. The Kaiser Permanente dental plan offers 21 dental offices in the Northwest region.

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If you do need services while traveling outside of your plan service area or in a foreign country, it is likely that you will need to pay out of pocket for those services and submit a claim for reimbursement from your health plan when you return.

Download Travel Benefits Information