Group Medical Plans

ODS offers the following types of standard Medical Plans. Other plan options are available for larger groups.

ODS also offers Administrative Services Only (ASO) plans.

Medical Plans (Effective 10/1/10)
  In Plan Benefits Out Of Plan Benefits

*HSA deductible and out of pocket maximums apply to employee only enrollment. Please refer to the benefit summary for amount when coverage is for employee with one or more dependents.

**Deductible waived for first five medical office, home or urgent care visits per calendar year. Deductible applies, then coinsurance for subsequent visits.

1Plan eligible for FHIAP

Purchasing an Rx rider with a PPO or Beneficial medical plan is optional. However, an Rx rider cannot be purchased with an HSA plan. HSA plans continue to include a major medical Rx benefit.
Plan Ded Office
Visit		 Co-ins. OOP Ded Co-ins. OOP
Beneficial Plans
BEN7500_10A1 $7,500 $25** 70% $5,000 $7,500 50% $15,000
BEN5000_10A1 $5,000 $25** 70% $5,000 $5,000 50% $15,000
BEN3500_10A1 $3,500 $25** 70% $5,000 $3,500 50% $15,000
BEN2500_10A1 $2,500 $25** 70% $5,000 $2,500 50% $15,000
PPO Plans
PPO2000_10B1 $2,000 $25 75% $3,500 $2,000 50% $10,500
PPO2000_10E1 $2,000 $30 70% $4,500 $2,000 50% $13,500
PPO1500_10B11 $1,500 $25 75% $3,500 $1,500 50% $10,500
PPO1500_10E1 $1,500 $30 70% $4,500 $1,500 50% $13,500
PPO1000_10B11 $1,000 $25 80% $3,000 $1,000 50% $9,000
PPO1000_10E11 $1,000 $30 80% $4,000 $1,000 50% $12,000
PPO750_10B11 $750 $25 80% $3,000 $750 50% $9,000
PPO750_10E11 $750 $30 80% $4,000 $750 50% $12,000
PPO500_10B11 $500 $20 80% $2,500 $500 50% $7,500
PPO500_10E11 $500 $30 80% $3,500 $500 50% $10,500
HSA PPO Plans
HSA4000_10A1 $4,000 50% $1,000 $4,000 50% $2,000
HSA2800_10A1 $2,800 50% $2,200 $2,800 50% $4,400
HSA2000_10A1 $2,000 80% $3,000 $2,000 50% $6,000
HSA1200_10A1 $1,200 80% $3,800 $1,200 50% $7,600
Indemnity Plan
Basic Oregon Plan1 50% 50% $3,750 $0 50% $3,750
Dual Option 1
PPO1000_10B1 $1,000 $25 80% $3,000 $1,000 50% $9,000
HSA2000_10A1 $2,000 80% $3,000 $2,000 50% $6,000
Dual Option 2
PPO1500_10B1 $1,500 $25 75% $3,500 $1,500 50% $10,500
HSA2800_10A1 $2,800 50% $2,200 $2,800 50% $4,400

Medical Riders

Prescription Drug Riders (includes contraceptives) (Effective 10/1/10)
Riders are only available to PPO plans. If you chose one of the ODS Dual Option plans, the riders you select below will be available to the PPO plan but not the HSA plan.
Standard Rx: $15/50% whichever greater copay, 2x Mail Order copay
Rx: 40% copay; Mail Order: 40% copay
Rx: $2/$10/$40/$60; 2x Mail Order copay
Rx: $2/$10/$35/$50; 2x Mail Order copay
Rx: $2/$10/$30/$50; 2x Mail Order copay
Vision Riders (Effective 10/1/10)
100% w/ $300 Max
100% w/ $200 Max
100% Eye Exam Only

Value-Added Services

OUR PROVIDER NETWORK

All of our health plans include access to the largest directly contracted PPO network in Oregon, the ODS Plus Network.

PERSONALIZED MEMBER WEBSITE

ODS members can access all insurance-related information at one convenient online location with myODS,which provides access to member handbooks, claims status and history, detailed benefit information, health tools and more.

These additional services are provided to ODS medical plans at no additional cost.

YOUR PARTNER IN HEALTH

Through our medical management and health coaching programs, clinical professionals will work with you to help you manage your health. With their help, you’ll identify, plan and achieve the goals that are essential in helping you feel your best.

FREE ONLINE HEALTH ADVICE 24/7

A variety of helpful tools, both online and via the phone, are available around the clock to help you improve your health, including:

Third Party Administration

With so many intricate policies, guidelines and regulations, benefits administration should be left to the experts. BenefitHelp Solutions, one of the ODS Companies, can answer your questions regarding the following and much more.