Your 2019-20 Health Benefits

Major Plan Changes This Year

While your co-premium will remain the same, we have some great additional benefits for 2019-2020.

  • Increased vision hardware coverage – Your allowance for vision coverage has increased to $300 every 12 months. Previously, members were given a $200 allowance for vision hardware every 24 months.
  • New fertility benefit – Your coverage now includes comprehensive infertility and advanced reproductive technology (ART) services. For more information, contact your healthcare provider.
  • For Delta Dental members – The Pacific Dental Alliance (PDA) dental offices will accept members’ dental plan as payment in-full for all procedures up to the $2,000 plan maximum. New PDA patients will also receive a free Sonicare toothbrush.

In addition to health and dental plans, you have access to benefits designed just for you:

Plan Summaries

View 2019-2020 medical and dental summaries below. Your medical plan summary is already assigned based on your zip code.

Aetna

KPWA POS

KPWA HMO

KPNW

 

 

 

 

 

Willamette Dental

Delta Dental

 

 

 

 

 

 

 

 

 

 

 

 

Summary of Benefits Coverage

The Summary of Benefits Coverage (SBC) is a required notice under the Affordable Care Act (ACA).  It explains your benefits and provides examples of two common medical situations.

Aetna Plan B

Aetna Plan R

KPNW Plan B

KPNW Plan R

KPWA HMO Plan B AP

KPWA HMO Plan B IP

KPWA HMO Plan R

KPWA POS Plan B AP

KPWA POS Plan B IP

KPWA POS Plan R

Questions?

Call a Health Benefits Specialist at 1 (866) 770-1917, Option 1.