PEBB 2014 Rates and Benefits

In 2014, Group Health's Value plan once again offers the lowest monthly premium available for a non-CDHP traditional plan, and the Classic Plan provides lower copays and predictable out-of-pocket expenses. We also offer a consumer-directed health plan (CDHP) — the HealthPays Health Savings Account (HSA) — with the lowest premium*** of all the plans available to PEBB members, balanced with a higher deductible and out-of-pocket maximum.

PEBB 2014 Rates

Note: School district and employer group employees need to contact their payroll or personnel office regarding 2014 rates. Source: Public Employees Benefits Board.

PEBB Active Employees: Group Health Value Plan* Monthly Rates

EmployeeEmployee & SpouseEmployee & Child(ren)Full Family
$65$140$114$189

PEBB Active Employees: Group Health Classic Plan* Monthly Rates

EmployeeEmployee & SpouseEmployee & Child(ren)Full Family
$117$244$205$332

PEBB Active Employees: Group Health HealthPays Health Savings Account (HSA)** Monthly Rates

EmployeeEmployee & SpouseEmployee & Child(ren)Full Family
$21$52$37$68

PEBB Medicare Retirees: Group Health Medicare Plans**** Monthly Rates

RetireeRetiree & Spouse
$144.79$283.36

 

PEBB 2014 Benefits

PEBB Active Employees: Group Health Value Plan* Benefits

Annual Deductible**Office VisitSummary of BenefitsSummary of Benefits and CoverageCertificate of Coverage
$350 individual
$1,050 family
$20 copayView document (PDF)View document (PDF)View document (PDF)

PEBB Pre-65 Retirees: Group Health Value Plan* Benefits

Annual Deductible**Office VisitSummary of BenefitsSummary of Benefits and CoverageCertificate of Coverage
$350 individual
$1,050 family
$20 copayView document (PDF)View document (PDF)View document (PDF)

PEBB Active Employees: Group Health Classic Plan* Benefits

Annual Deductible**Office VisitSummary of BenefitsSummary of Benefits and CoverageCertificate of Coverage
$250 individual
$750 family
$15 copayView document (PDF)View document (PDF)View document (PDF)

PEBB Pre-65 Retirees: Group Health Classic Plan* Benefits

Annual Deductible**Office VisitSummary of BenefitsSummary of Benefits and CoverageCertificate of Coverage
$250 individual
$750 family
$15 copayView document (PDF)View document (PDF)View document (PDF)

PEBB Active Employees: Group Health HealthPays Health Savings Account (HSA)** Benefits

Annual Deductible**Office VisitSummary of BenefitsSummary of Benefits and Coverage Certificate of Coverage
$1,400 individual
$2,800 family
10% in network
30% extended network
View document (PDF)View document (PDF) View document (PDF)

PEBB Pre-65 Retirees: Group Health HealthPays Health Savings Account (HSA)** Benefits

Annual Deductible**Office VisitSummary of BenefitsSummary of Benefits and CoverageCertificate of Coverage
$1,400 individual
$2,800 family
10% in network
30% extended
View document (PDF)View document (PDF) View document (PDF)

PEBB Medicare Retirees: Group Health Medicare Advantage Plan**** Benefits

Annual Deductible**Office VisitSummary of BenefitsAnnual Notice of Changes
None$20 copayView document (PDF)View document (PDF)

PEBB Medicare Retirees: Group Health Original Medicare Plan**** Benefits

Annual Deductible**Office VisitSummary of BenefitsCertificate of Coverage
$250 individual
$750 family
$15 copayView document (PDF)View document (PDF)

*Coverage is provided by Group Health Cooperative

**Coverage is provided by Group Health Options, Inc.

***Source: Public Employees Benefits Board. School district and employer group employees need to contact their payroll or personnel office regarding 2014 rates.

****To qualify for the "Retiree" rate, a PEBB retiree must be enrolled in both Parts A and B of Medicare. To qualify for the "Retiree & Spouse" rate, BOTH must be enrolled in Parts A and B. To see more rate combinations, including the retiree rate table as well as full family rates, visit the Public Employees Benefits Board website.

STATE EMPLOYEES AND RETIREES INDEX

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