SEIU503 Local | EPBB update – Rates set for the year of the 2022 plan!
Posted: May 27, 2021
“The cost savings through our work in the legislature and the decrease in usage during the pandemic allowed us to not pass additional costs on to PEBB members while increasing benefits and advancing equity over the course of the period. of the year of the 2022 plan. We must continue to fight for the quality and affordable health care that our families deserve. “ – Shaun Parkman, SEIU 503 member and vice-chair of the PEBB board
The PEBB Board of Directors approved the tariffs for 2022. We were able to utilize the savings from reduced healthcare use due to the pandemic and the efficiencies we created within of the PEBB for no need to shift additional health care costs to PEBB members and extend benefits in plan year 2022. Specifically, co-payments and deductibles for all plans will remain the same. The premium shares will increase for some plans by a small amount based on the overall rate increases, i.e. an increase of 3.3% for all plans combined. Please complete this short survey to let PEBB know what matters to you as we look to the future.
Our country’s health care system is broken. We pay a lot more for poorer health outcomes than any other wealthy country. Costs are skyrocketing as the federal government continues to do nothing. SEIU 503 members prioritize access to quality, affordable health care when we negotiate and have always been able to earn some of the best coverage in Oregon. Even with our combined power, the PEBB is still subject to market conditions as well as a state-imposed 3.4% annual cost increase limit on premiums. Operating within these limits, we emphasize how the system delivers healthcare to save money and turn the tide, striving to find savings on the back end that won’t impact on PEBB members thanks to an increase in quotas and deductibles.
The cost savings we’ve seen from declining usage during the pandemic along with our continued care coordination efforts to control costs mean we don’t see premiums skyrocket for 2022. Additionally, our legislative work to control hospital and drugstore prices and the work we do on the board of directors to force our insurance providers to adopt cost-cutting strategies, the PEBB has not had to shift fees from additional health benefits to PEBB members and is able to extend certain benefits in plan year 2022.
The demand for elective procedures will increase and people will have to catch up with routine care as we resume in-person appointments, resulting in increased usage and costs over the next year. As costs continue to rise, we must continue to move away from a fee-for-service (quantity) model and move to holistic and preventative (quality) plans that coordinate care and reduce costs for patients. systems.
Here is SEIU 503 President Mike Powers testifying at the Oregon Legislature in support of HB 2081, which adds enforcement mechanisms for the 3.4% cost growth cap that is critical to cost containment. We must continue to fight, to fight in the Legislature and to fight at the bargaining table.
Increase the benefits
Assisted Reproductive Technologies – People requiring assisted reproduction technologies to expand their families often had to pay tens of thousands of dollars and not all PEBB members were even eligible for such services. All of that changes over the next year of the plan. The PEBB Board of Directors approved an annual maximum of $ 35,000 for ART which includes coverage for artificial insemination (including IUI) without member participation in ART costs so that members have a share normal costs for basic infertility treatment, including diagnostic tests to determine the underlying cause. Coverage of fertility services has also been extended to non-network providers.
Vision – Vision therapy is now available for people requiring therapies that aid in eye formation.
Chiropractic Care and Acupuncture – The $ 1,000 maximum for spinal manipulation (chiropractic care) and acupuncture and visitation limits for both have been put in place for Kaiser to plan to maintain the co-payment of 10 $.
Please take a few minutes to complete this survey to let PEBB know what matters to you as we look to the future. If you have any questions, please contact [email protected].