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Effective December 31, 2024, PacificSource will no longer offer their PERS PacificSource Medicare Advantage Essentials RX 803 (HMO) plan. If you are currently enrolled in the PHIP PacificSource Medicare Advantage plan your coverage will continue through the end of 2024  without interruption. 

We are actively working towards selecting a comparable plan from our remaining Contracted Health Plans (CHPs) to ensure a seamless transition for members affected. Once this is determined, you will receive notification and further information for the 2025 plan year.

There are no changes to your PHIP enrollment for the remainder of 2024:

• If you are currently eligible and receiving the RHIA premium subsidy, your RHIA premium subsidy will continue if you maintain enrollment in a PHIP-sponsored medical plan.

• If you are currently enrolled in a PHIP dental plan your dental plan will not change. You must be enrolled in a PHIP medical plan to be enrolled in a PHIP dental plan.

• Your current payment method will remain in effect and will reflect the new premium amount January 1, 2025.

To prepare for the 2025 plan year, we highly encourage you to attend a Plan Change presentation in your area to learn more about PHIP’s plans in your service area. The Plan Change presentation schedule will be posted here by August 1, 2024.

To discuss your options in more detail please contact the PERS Health Insurance Program at 800-768-7377.

We will continue to post updates here at pershealth.com as they develop.

Regards,

PERS Health Insurance Program (PHIP)

Effective January 1, the 2024 PERS Health Insurance Program (PHIP) premiums will take effect.

For PHIP members who have health insurance premiums deducted directly from a pension benefit, your monthly direct deposit will automatically adjust to reflect the new premium rate. If the new monthly premium exceeds the monthly PERS pension benefit, PHIP will notify you by mail.

For PHIP members who have health insurance premiums deducted directly from a checking or savings account through Electronic Funds Transfer (EFT), your EFT will automatically adjust to the new premium rate. Please make sure funds are available for the January 1 change.

If you are currently enrolled in bill-pay through your bank, you will need to notify your bank of this change.

If you have any questions, a PHIP Customer Service Representative is available to assist you between 7:30 AM and 5:30 PM PST at (503) 224-7377 or (800) 768-7377.

PHIP wants to address the news regarding St. Charles Health System plan to stop accepting Medicare Advantage plans. We understand your concerns and want to assure you that we are fully aware of the situation.
We would like to emphasize that no final decision has been made regarding the discontinuation of Medicare Advantage plans at St. Charles Health System.

We regret any inconvenience this uncertainty may cause and understand the impact this may have on your upcoming health plan decisions. PHIP will continue to provide information as we learn more about the situation for our PacificSource, UnitedHealthcare and Providence Medicare Advantage members in Central Oregon.

In the meantime, we are here to answer any questions regarding PHIP’s annual plan change period which begins October 1st and ends November 15th. During this time, you will be able to change your plan if you choose to.

Please visit pershealth.com in early September to view PHIP’s 2024 plan options, premiums, and to find plan change forms.

Sincerely,
PERS Health Insurance Program