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 7/1/09)
  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.

**Beneficial PPO plans allow five Office visits per year at a $25 copay, prior to deductible. In addition, Preventive care benefits are payable after co-payment, according to our standard schedule.

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
BEN5000_09A1 $5,000 $25** 30% $5,000 $5,000 50% $10,000
BEN4000_09A1 $4,000 $25** 30% $5,000 $4,000 50% $10,000
BEN3500_09A1 $3,500 $25** 30% $5,000 $3,500 50% $10,000
BEN3000_09A1 $3,000 $25** 30% $5,000 $3,000 50% $10,000
BEN2500_09A1 $2,500 $25** 30% $5,000 $2,500 50% $10,000
PPO1500_09A1 $1,500 $25 25% $3,000 $1,500 50% $6,000
PPO1500_09B1 $1,500 $25 25% $3,500 $1,500 50% $7,000
PPO1500_09C1 $1,500 $30 30% $3,000 $1,500 50% $9,000
PPO1500_09D1 $1,500 $30 30% $3,500 $1,500 50% $10,500
PPO1500_09E1 $1,500 $30 30% $4,000 $1,500 50% $12,000
PPO1000_09A11 $1,000 $25 20% $2,500 $1,000 40% $7,500
PPO1000_09B11 $1,000 $25 20% $3,000 $1,000 40% $9,000
PPO1000_09C11 $1,000 $30 20% $3,000 $1,000 40% $9,000
PPO1000_09D11 $1,000 $30 20% $3,000 $1,000 50% $9,000
PPO1000_09E1 $1,000 $30 20% $3,500 $1,000 50% $10,500
PPO750_09A11 $750 $25 20% $2,500 $750 40% $7,500
PPO750_09B11 $750 $25 20% $3,000 $750 40% $9,000
PPO750_09C11 $750 $30 20% $3,000 $750 40% $9,000
PPO750_09D11 $750 $30 20% $3,000 $750 50% $9,000
PPO750_09E1 $750 $30 20% $3,500 $750 50% $10,500
PPO500_09A11 $500 $20 20% $2,000 $500 40% $6,000
PPO500_09B11 $500 $20 20% $2,500 $500 40% $7,500
PPO500_09C11 $500 $30 20% $2,000 $500 40% $6,000
PPO500_09D11 $500 $30 20% $2,500 $500 40% $7,500
PPO500_09E11 $500 $30 20% $3,000 $500 40% $9,000
HSA4000_09A1 $4,000* 20% 20% $1,000* $4,000* 40% $2,000*
HSA2800_09A1 $2,800* 50% 50% $2,200* $2,800* 50% $4,400*
HSA3000_09A1 $3,000* 20% 20% $2,000* $3,000* 40% $4,000*
HSA2000_09A1 $2,000* 20% 20% $3,000* $2,000* 40% $6,000*
HSA1200_09A1 $1,200* 20% 20% $3,800* $1,200* 40% $7,600*
Basic Oregon Plan $0 50% 50% $3,750 $0 50% $3,750
Dual Option 1
PPO500_09B11 $500 $20 20% $2,500 $500 40% $7,500
HSA1200_09A1 $1,200* 20% 20% $3,800* $1,200* 40% $7,600*
Dual Option 2
PPO1000_09B11 $1,000 $25 20% $3,000 $1,000 40% $9,000
HSA2000_09A1 $2,000* 20% 20% $3,000* $2,000* 40% $6,000*

Medical Riders

Prescription Drug Riders (includes contraceptives) (Effective 7/1/09)
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; $5,000 annual limit
Rx: 40% copay; Mail Order: 40% copay
Rx: $10/$40/$60; 2x Mail Order copay
Rx: $10/$35/$50; 2x Mail Order copay
Rx: $10/$30/$50; 2x Mail Order copay
Vision Riders (Effective 7/1/09)
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.