Eugene School District 4J currently offers 4 different health plans through our partnership with OEBB, MODA and Kaiser to choose from.   Our goal is to offer enough plans and options to employees that everyone is able to find one that best fits their needs.   You can view the comparison chart of all OEBB plans here but please note that we only offer the following plans:

• Kaiser Permanente Plan 2A – $800 Deductible
• Moda Medical Plan 2 – $800/$900 Deductible (Licensed Staff Only)
• Moda Medical Plan 3 – $1,200/$1,300 Deductible
• Moda Medical Plan 4 – $1,600/$1,700 Deductible
  _{Pharmacy and vision coverage is built into the medical plan.  You will not need to make a separate election}

Kaiser Permanente

Network: Kaiser Permanente uses a Provider Network that combines care coverage featuring physician directed care, primary care access, tele-health services, video and phone visits with Kaiser Permanente providers, and a mobile app. Through collaboration with PeaceHealth, Kaiser Permanente members will have access to Kaiser facilities and providers across the US, along with many existing health care providers in the Eugene/Springfield area. See the list of contracted facilities at the end of this document.  The 4J Wellness Clinic is an in-network provider.

Plan: 4J is offering Kaiser Permanente Plan 2A HMO for the 2022-23 benefit plan year. See plan handbook and summary for details.

Plan 2 HMO: $800 individual/$2,400 family deductible; $25 co-pay for primary care visits within Kaiser Network; $25 alternative care office visit co-pay; $35 co-pay for specialist visits; no out-of-network coverage.

Virtual Visits: Kaiser Permanente offers virtual visits, where members are able to connect with a Kaiser healthcare professional via computer or mobile device without having to leave their home. See plan handbook for additional information and conditions.

MODA

All Moda plans utilize Moda’s statewide Connexus provider network.  Most medical facilities in Lane County accept Moda insurance, but some are not in-network; always verify with your provider before the time of service.  The 4J Wellness Clinic is an in-network provider.

Each plan will come with a coordinated-care option and a non-coordinated care option.  Choosing coordinated care means you will receive enhanced benefits, like a lower deductible, a lower out-of-pocket maximum, and lower costs for office visits, specialist visits, and alternative care visits.  Moda does have coverage out-of-network, but your benefit will be subject to all out-of-network conditions.  For complete information of coverage, see the specific plan handbooks and summaries.

If you and/or your family members choose coordinated care, you will choose a primary care provider or “PCP 360” who will be accountable for your health.  Each covered family member can choose if they want coordinated care, and if so, their own PCP 360.  Employees can choose their PCP 360 by logging into their MyModa account or by calling Moda Customer Service at 866-923-0409.  To find a PCP 360 provider click here.

Medical Plan Summaries:

Medical Member Handbooks:

You can look up providers and what networks they participate in.

• For MODA click here.
• For Kaiser click here.

You can view Plan Rates here.
_{Make sure that you are looking within the correct network when searching for a participating providers or viewing plan summaries}

Pharmacy Services:

All medical plans include prescription coverage. For details, discounts and FAQs regarding prescription and pharmacy services, please visit

• Moda’s website at Pharmacy Services
• Kaiser Permanente’s website at KP Pharmacy