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My Health Benefits

Choose your bargaining group and status, then click GO!

Tip: Make the most of your benefits by registering on your Health Plans' websites where you can do things like find a provider, check a claim status and get your benefit I.D. card.

Choose your bargaining group and status, then click GO!

Tip: Make the most of your benefits by registering on your Health Plans' websites where you can do things like find a provider, check a claim status and get your benefit I.D. card.

If the information below does not represent your union group or status, please reset your profile.

1

Choose your Bargaining Unit

Which union do you belong to?

ATU/DCU
PAT
PFSP

Don't know what union you belong to? Contact the Trust administrative office.
2

Choose Your Status

What is your status within your union group?

Active FT
Type 10 Driver
Early Retiree
Active FT & PT
Substitute
Early Retiree
Active FT & PT
Early Retiree
3

Get Your Benefit Information

Click the button below to view your specific benefits

GO!

ATU and DCU Active Members:
Full–Time Employees

Full Coverage including Medical, Prescription, Dental, Vision—2024 Plan Year (January 1 – December 31)
(To see previous Plan Year benefit information, go to Archives.)

Not your union or status? Reset your profile.

What do you want to do?   Kaiser Permanente Plan   PROVIDENCE PDA IN-NETWORK ONLY PLAN   PROVIDENCE PDA PPO PLAN
Medical Benefits:
  • Find a medical provider.
  • View your medical benefit coverage.
  • Check a medical claim.
  • Get your medical benefit I.D. card.
   kp.org

ATU Group #1739-035
DCU Group #1739-030		   myProvidence.com
(PPS/SD-1 Trust network) 		  myProvidence.com
(PPS/SD-1 Trust network)
Prescription Benefits:
  • Find a network pharmacy.
  • View your Rx benefit coverage.
  • Order refills.
  • Start home delivery.
  • Check a Rx claim.
  • Get your Rx I.D. card.
   Kaiser Permanente
kp.org 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com
Dental Benefit:
  • View your dental benefit coverage.
  • Check a dental claim.
  • Get your dental benefit I.D. card.
   Trust Dental Plan (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers

ATU Group #10016949
DCU Group #10016949

-or-

Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw

ATU Group #1739-137
DCU Group #1739-130		   Trust Dental Plan (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers

ATU Group #10016949
DCU Group #10016949

-or-

Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw

ATU Group #1739-137
DCU Group #1739-130		   Trust Dental Plan (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers

ATU Group #10016949
DCU Group #10016949

-or-

Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw

ATU Group #1739-137
DCU Group #1739-130
Vision Benefits:
  • Find a vision provider.
  • View your vision benefit coverage.
  • Check a vision claim.
  • Get your vision benefit I.D. card.
   Kaiser Vision Plan
https://www.kp2020.org/pacnw/ 		  True Vision Plan (administered by VSP)
vsp.com 		  True Vision Plan (administered by VSP)
vsp.com
Health Plan Documents:
  • Benefit overview guide.
   2024 ATU and DCU Active Benefit Guide   2024 ATU and DCU Active Benefit Guide   2024 ATU and DCU Active Benefit Guide
  • Summary of Benefits and Coverage (SBC).
      
  • Coverage comparison.
   2024 Comparison Chart   2024 Comparison Chart   2024 Comparison Chart
  • Rate comparison.
   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet
  • Detailed benefit information.
   ATU/DCU Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   ATU/DCU Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   ATU/DCU Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes
  • Legal Rights.
   Legal Notices   Legal Notices   Legal Notices

ATU Type 10 Drivers:
Full–Time Employees

Full Coverage including Medical, Prescription, Dental, Vision

October 1, 2024 – March 31, 2025
(To see previous Plan Year benefit information, go to Archives.)

Not your union or status? Reset your profile.

What do you want to do?   Kaiser Permanente Plan   PROVIDENCE IN-NETWORK ONLY PLAN   PROVIDENCE PPO PLAN
Medical Benefits:
  • Find a medical provider.
  • View your medical benefit coverage.
  • Check a medical claim.
  • Get your medical benefit I.D. card.
   kp.org

Group #1739-035		   myProvidence.com
(PPS/SD-1 Trust network) 		  myProvidence.com
(PPS/SD-1 Trust network)
Prescription Benefits:
  • Find a network pharmacy.
  • View your Rx benefit coverage.
  • Order refills.
  • Start home delivery.
  • Check a Rx claim.
  • Get your Rx I.D. card.
   Kaiser Permanente
kp.org 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com
Dental Benefit:
  • View your dental benefit coverage.
  • Check a dental claim.
  • Get your dental benefit I.D. card.
   Trust Dental Plan (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers

Group #10016949

-or-

Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw

Group #1739-135		   Trust Dental Plan (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers

Group #10016949

-or-

Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw

Group #1739-135		   Trust Dental Plan (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers

Group #10016949

-or-

Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw

Group #1739-135
Vision Benefits:
  • Find a vision provider.
  • View your vision benefit coverage.
  • Check a vision claim.
  • Get your vision benefit I.D. card.
   Kaiser Vision Plan
https://www.kp2020.org/pacnw/ 		  True Vision Plan (administered by VSP)
vsp.com 		  True Vision Plan (administered by VSP)
vsp.com
Health Plan Documents:
  • Benefit overview guide.
   October 1, 2024 – March 31, 2025 ATU Type 10 Driver Benefit Guide   October 1, 2024 – March 31, 2025 ATU Type 10 Driver Benefit Guide   October 1, 2024 – March 31, 2025 ATU Type 10 Driver Benefit Guide
  • Summary of Benefits and Coverage (SBC).
      
  • Coverage comparison.
   Comparison Chart   Comparison Chart   Comparison Chart
  • Rate comparison.
   Rate Sheet   Rate Sheet   Rate Sheet
  • Detailed benefit information.
   ATU/DCU Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   ATU/DCU Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   ATU/DCU Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes
  • Legal Rights.
   Legal Notices   Legal Notices   Legal Notices

ATU/DCU Members:
Early Retirees

Medical, Prescription, Self-Pay Dental and Self-Pay Vision Coverage—2024 Plan Year (January 1 – December 31)
(To see previous Plan Year benefit information, go to Archives.)

Not your union or status? Reset your profile.

What do you want to do?   Kaiser Permanente Plan   PROVIDENCE PDA RETIREE IN-NETWORK ONLY PLAN   PROVIDENCE PDA RETIREE PPO PLAN
Medical Benefits:
  • Find a medical provider.
  • View your medical benefit coverage.
  • Check a medical claim.
  • Get your medical benefit I.D. card.
   kp.org

Group # 1740-007		   myProvidence.com
(PPS/SD-1 Trust network) 		  myProvidence.com
(PPS/SD-1 Trust network)
Prescription Benefits:
  • Find a network pharmacy.
  • View your Rx benefit coverage.
  • Order refills.
  • Start home delivery.
  • Check a Rx claim.
  • Get your Rx I.D. card.
   Kaiser Permanente
kp.org 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com
Dental Benefit:

If enrolled in voluntary self-pay coverage:

  • View your dental benefit coverage.
  • Check a dental claim.
  • Get your dental benefit I.D. card.
   Voluntary Dental (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers
-or-
Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw 		  Voluntary Dental (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers
-or-
Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw 		  Voluntary Dental (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers
-or-
Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw
Vision Benefits:

If enrolled in voluntary self-pay coverage:

  • Find a vision provider.
  • View your vision benefit coverage.
  • Check a vision claim.
  • Get your vision benefit I.D. card.
   Kaiser Vision Plan
https://www.kp2020.org/pacnw/ 		  True Vision Plan (administered by VSP)
vsp.com 		  True Vision Plan (administered by VSP)
vsp.com
Health Plan Documents:
  • Benefit overview guide.
   2024 ATU and DCU Retiree Benefit Guide   2024 ATU and DCU Retiree Benefit Guide   2024 ATU and DCU Retiree Benefit Guide
  • Summary of Benefits and Coverage (SBC).
      
  • Coverage comparison.
   2024 Comparison Chart   2024 Comparison Chart   2024 Comparison Chart
  • Rate comparison.
   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet
  • Detailed benefit information.
   ATU/DCU Early Retiree Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   ATU/DCU Early Retiree Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   ATU/DCU Early Retiree Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes
  • Legal Rights.
   Legal Notices   Legal Notices   Legal Notices

PAT Active Members: Option 1 Plans
Full–Time and Part–Time Employees

Full coverage including: Medical, Prescription, Dental, Vision—2024 Plan Year (January 1 – December 31)
(To see previous Plan Year benefit information, go to Archives.)

Click here for Option 2 Plans for Part–Time Employees    :::::    Not your union or status? Reset your profile.

What do you want to do?   Kaiser Permanente Plan   PROVIDENCE PAT IN-NETWORK ONLY PLAN   PROVIDENCE PAT PPO PLAN
Medical Benefits:
  • Find a medical provider.
  • View your medical benefit coverage.
  • Check a medical claim.
  • Get your medical benefit I.D. card.
   kp.org

Group #1739-001		   myProvidence.com
(PPS/SD-1 Trust network) 		  myProvidence.com
(PPS/SD-1 Trust network)
Prescription Benefits:
  • Find a network pharmacy.
  • View your Rx benefit coverage.
  • Order refills.
  • Start home delivery.
  • Check a Rx claim.
  • Get your Rx I.D. card.
   Kaiser Permanente
kp.org 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com
Dental Benefit:
  • View your dental benefit coverage.
  • Check a dental claim.
  • Get your dental benefit I.D. card.
   Trust Dental Plan (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers

Group #10016949

-or-

Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw

Group #1739-101		   Trust Dental Plan (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers

Group #10016949

-or-

Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw

Group #1739-101		   Trust Dental Plan (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers

Group #10016949

-or-

Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw

Group #1739-101
Vision Benefits:
  • Find a vision provider.
  • View your vision benefit coverage.
  • Check a vision claim.
  • Get your vision benefit I.D. card.
   Kaiser Vision Plan
https://www.kp2020.org/pacnw/ 		  True Vision Plan (administered by VSP)
vsp.com 		  True Vision Plan (administered by VSP)
vsp.com
Health Plan Documents:
  • Benefit overview guide.
   2024 PAT Active Benefit Guide   2024 PAT Active Benefit Guide   2024 PAT Active Benefit Guide
  • Summary of Benefits and Coverage (SBC).
      
  • Coverage comparison.
   2024 Comparison Chart   2024 Comparison Chart   2024 Comparison Chart
  • Rate comparison.
   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet
  • Detailed benefit information.
   PAT Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   PAT Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   PAT Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes
  • Legal Rights.
   Legal Notices   Legal Notices   Legal Notices

PAT Active Members: Option 2 Plans
Part–Time Employees Only

Partial coverage including: Medical and Prescription Drug—2024 Plan Year (January 1 – December 31)
(To see previous Plan Year benefit information, go to Archives.)

Click here to view Option 1 Plans for Full–Time and Part–Time Employees    :::::    Not your union or status? Reset your profile.

What do you want to do?   Kaiser Permanente Plan   PROVIDENCE PAT IN-NETWORK ONLY PLAN   PROVIDENCE PAT PPO PLAN
Medical Benefits:
  • Find a medical provider.
  • View your medical benefit coverage.
  • Check a medical claim.
  • Get your medical benefit I.D. card.
   kp.org

Group #1739-004		   myProvidence.com
(PPS/SD-1 Trust network) 		  myProvidence.com
(PPS/SD-1 Trust network)
Prescription Benefits:
  • Find a network pharmacy.
  • View your Rx benefit coverage.
  • Order refills.
  • Start home delivery.
  • Check a Rx claim.
  • Get your Rx I.D. card.
   Kaiser Permanente
kp.org 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com
Health Plan Documents:
  • Benefit overview guide.
   2024 PAT Active Benefit Guide   2024 PAT Active Benefit Guide   2024 PAT Active Benefit Guide
  • Summary of Benefits and Coverage (SBC).
      
  • Coverage comparison.
   2024 Comparison Chart   2024 Comparison Chart   2024 Comparison Chart
  • Rate comparison.
   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet
  • Detailed benefit information.
   PAT Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   PAT Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   PAT Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes
  • Legal Rights.
   Legal Notices   Legal Notices   Legal Notices

PAT Members:
Substitutes

Medical and Prescription Drug (Members and Enrolled Dependents) and Dental (Members Only)

2024-2025 Plan Year, October 1, 2024 – September 30, 2025
(To see previous Plan Year benefit information, go to Archives.)

Not your union or status? Reset your profile.

What do you want to do?   Kaiser Permanente Plan   PROVIDENCE IN-NETWORK ONLY PLAN
Medical Benefits:
  • Find a medical provider.
  • View your medical benefit coverage.
  • Check a medical claim.
  • Get your medical benefit I.D. card.
   kp.org

Group #19785-001 		  myProvidence.com
(PPS/SD-1 Trust network)
Prescription Benefits:
  • Find a network pharmacy.
  • View your Rx benefit coverage.
  • Order refills.
  • Start home delivery.
  • Check a Rx claim.
  • Get your Rx I.D. card.
   Kaiser Permanente
kp.org 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com
Dental Benefit (Members Only):
  • View your dental benefit coverage.
  • Check a dental claim.
  • Get your dental benefit I.D. card.
   Trust Dental Plan (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers

Group #9785-003

-OR-

Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw

Group #19785-003 		  Trust Dental Plan (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers

Group #9785-003

-OR-

Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw

Group #19785-003
Health Plan Documents:
  • Benefit overview guide.
   2024-2025 PAT Substitute Benefit Guide   2024-2025 PAT Substitute Benefit Guide
  • Summary of Benefits and Coverage (SBC).
    
  • Coverage comparison.
   2024-2025 Comparison Chart   2024-2025 Comparison Chart
  • Rate comparison.
   2024-2025 Rate Sheet   2024-2025 Rate Sheet
  • Detailed benefit information.
   PAT Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   PAT Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes
  • Legal Rights.
   Legal Notices   Legal Notices

PAT Members:
Early Retirees

Medical, Prescription, Self-Pay Dental and Self-Pay Vision Coverage—2024 Plan Year (January 1 – December 31)
(To see previous Plan Year benefit information, go to Archives.)

Not your union or status? Reset your profile.

What do you want to do?   Kaiser Permanente Plan   PROVIDENCE PAT IN-NETWORK ONLY PLAN   PROVIDENCE PAT RETIREE PLAN 1 (CLOSED)   PROVIDENCE PAT PPO PLAN (OPEN)
Medical Benefits:
  • Find a medical provider.
  • View your medical benefit coverage.
  • Check a medical claim.
  • Get your medical benefit I.D. card.
   kp.org

Group #1740-001		   myProvidence.com
(PPS/SD-1 Trust network) 		  myProvidence.com
(PPS/SD-1 Trust network) 		  myProvidence.com
(PPS/SD-1 Trust network)
Prescription Benefits:
  • Find a network pharmacy.
  • View your Rx benefit coverage.
  • Order refills.
  • Start home delivery.
  • Check a Rx claim.
  • Get your Rx I.D. card.
   Kaiser Permanente
kp.org 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com
Dental Benefit:

If enrolled in voluntary self-pay coverage:

  • View your dental benefit coverage.
  • Check a dental claim.
  • Get your dental benefit I.D. card.
   Voluntary Dental (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers
-or-
Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw 		  Voluntary Dental (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers
-or-
Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw 		  Voluntary Dental (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers
-or-
Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw 		  Voluntary Dental (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers
-or-
Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw
Vision Benefits:

If enrolled in voluntary self-pay coverage:

  • Find a vision provider.
  • View your vision benefit coverage.
  • Check a vision claim.
  • Get your vision benefit I.D. card.
   Kaiser Vision Plan
https://www.kp2020.org/pacnw/ 		  True Vision Plan (administered by VSP)
vsp.com 		  True Vision Plan (administered by VSP)
vsp.com 		  True Vision Plan (administered by VSP)
vsp.com
Health Plan Documents:
  • Benefit overview guide.
   2024 PAT Retiree Benefit Guide   2024 PAT Retiree Benefit Guide   2024 PAT Retiree Benefit Guide   2024 PAT Retiree Benefit Guide
  • Summary of Benefits and Coverage (SBC).
        
  • Coverage comparison.
   2024 Comparison Chart   2024 Comparison Chart   2024 Comparison Chart   2024 Comparison Chart
  • Rate comparison.
   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet
  • Detailed benefit information.
   PAT Early Retiree Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   PAT Early Retiree Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   PAT Early Retiree Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   PAT Early Retiree Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes
  • Legal Rights.
   Legal Notices   Legal Notices   Legal Notices   Legal Notices

PFSP Active Members: Option 1 Plans
Full–Time and Part–Time Employees

Medical, Prescription, Dental, Vision—2024 Plan Year (January 1 – December 31)
(To see previous Plan Year benefit information, go to Archives.)

Click here for Option 2 Plans for Part–Time Employees    :::::    Not your union or status? Reset your profile.

What do you want to do?   Kaiser Permanente Plan   PROVIDENCE PDA IN-NETWORK ONLY PLAN   PROVIDENCE PDA PPO PLAN
Medical Benefits:
  • Find a medical provider.
  • View your medical benefit coverage.
  • Check a medical claim.
  • Get your medical benefit I.D. card.
   kp.org

Group #1739-025		   myProvidence.com
(PPS/SD-1 Trust network) 		  myProvidence.com
(PPS/SD-1 Trust network)
Prescription Benefits:
  • Find a network pharmacy.
  • View your Rx benefit coverage.
  • Order refills.
  • Start home delivery.
  • Check a Rx claim.
  • Get your Rx I.D. card.
   Kaiser Permanente
kp.org 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com
Dental Benefit:
  • View your dental benefit coverage.
  • Check a dental claim.
  • Get your dental benefit I.D. card.
   Trust Dental Plan (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers

Group #10016949

-or-

Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw

Group #1739-125		   Trust Dental Plan (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers

Group #10016949

-or-

Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw

Group #1739-125		   Trust Dental Plan (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers

Group #10016949

-or-

Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw

Group #1739-125
Vision Benefits:
  • Find a vision provider.
  • View your vision benefit coverage.
  • Check a vision claim.
  • Get your vision benefit I.D. card.
   Kaiser Vision Plan
https://www.kp2020.org/pacnw/ 		  True Vision Plan (administered by VSP)
vsp.com 		  True Vision Plan (administered by VSP)
vsp.com
Health Plan Documents:
  • Benefit overview guide.
   2024 PFSP Active Benefit Guide   2024 PFSP Active Benefit Guide   2024 PFSP Active Benefit Guide
  • Summary of Benefits and Coverage (SBC).
      
  • Coverage comparison.
   2024 Comparison Chart   2024 Comparison Chart   2024 Comparison Chart
  • Rate comparison.
   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet
  • Detailed benefit information.
   PFSP Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   PFSP Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   PFSP Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes
  • Legal Rights.
   Legal Notices   Legal Notices   Legal Notices

PFSP Active Members: Option 2 Plans
Part–Time Employees Only

Partial coverage including: Medical and Prescription Drug—2024 Plan Year (January 1 – December 31)
(To see previous Plan Year benefit information, go to Archives.)

Click here to view Option 1 Plans for Full–Time and Part–Time Employees    :::::    Not your union or status? Reset your profile.

What do you want to do?   Kaiser Permanente Plan   PROVIDENCE PDA IN-NETWORK ONLY PLAN   PROVIDENCE PDA PPO PLAN
Medical Benefits:
  • Find a medical provider.
  • View your medical benefit coverage.
  • Check a medical claim.
  • Get your medical benefit I.D. card.
   kp.org

Group #1739-026		   myProvidence.com
(PPS/SD-1 Trust network) 		  myProvidence.com
(PPS/SD-1 Trust network)
Prescription Benefits:
  • Find a network pharmacy.
  • View your Rx benefit coverage.
  • Order refills.
  • Start home delivery.
  • Check a Rx claim.
  • Get your Rx I.D. card.
   Kaiser Permanente
kp.org 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com
Health Plan Documents:
  • Benefit overview guide.
   2024 PFSP Active Benefit Guide   2024 PFSP Active Benefit Guide   2024 PFSP Active Benefit Guide
  • Summary of Benefits and Coverage (SBC).
      
  • Coverage comparison.
   2024 Comparison Chart   2024 Comparison Chart   2024 Comparison Chart
  • Rate comparison.
   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet
  • Detailed benefit information.
   PFSP Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   PFSP Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   PFSP Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes
  • Legal Rights.
   Legal Notices   Legal Notices   Legal Notices

PFSP Members:
Early Retirees

Medical, Prescription, Self-Pay Dental and Self-Pay Vision Coverage—2024 Plan Year (January 1 – December 31)
(To see previous Plan Year benefit information, go to Archives.)

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What do you want to do?   Kaiser Permanente Plan   PROVIDENCE PDA RETIREE IN-NETWORK ONLY PLAN   PROVIDENCE PDA RETIREE PLAN
Medical Benefits:
  • Find a medical provider.
  • View your medical benefit coverage.
  • Check a medical claim.
  • Get your medical benefit I.D. card.
   kp.org

Group # 1740-007		   myProvidence.com
(PPS/SD-1 Trust network) 		  myProvidence.com
(PPS/SD-1 Trust network)
Prescription Benefits:
  • Find a network pharmacy.
  • View your Rx benefit coverage.
  • Order refills.
  • Start home delivery.
  • Check a Rx claim.
  • Get your Rx I.D. card.
   Kaiser Permanente
kp.org 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com 		  Trust Prescription Drug Plan (Administered by Express Scripts)
express-scripts.com
Dental Benefit:

If enrolled in voluntary self-pay coverage:

  • View your dental benefit coverage.
  • Check a dental claim.
  • Get your dental benefit I.D. card.
   Voluntary Dental (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers
-or-
Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw 		  Voluntary Dental (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers
-or-
Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw 		  Voluntary Dental (Administered by Delta Dental of Oregon) deltadentalor.com. Choose any licensed dentist but save money with in-network providers
-or-
Kaiser Permanente Dental. Choose a dentist in the Kaiser Permanente network kp.org/dental/nw
Vision Benefits:

If enrolled in voluntary self-pay coverage:

  • Find a vision provider.
  • View your vision benefit coverage.
  • Check a vision claim.
  • Get your vision benefit I.D. card.
   Kaiser Vision Plan
https://www.kp2020.org/pacnw/ 		  True Vision Plan (administered by VSP)
vsp.com 		  True Vision Plan (administered by VSP)
vsp.com
Health Plan Documents:
  • Benefit overview guide.
   2024 PFSP Retiree Benefit Guide   2024 PFSP Retiree Benefit Guide   2024 PFSP Retiree Benefit Guide
  • Summary of Benefits and Coverage (SBC).
      
  • Coverage comparison.
   2024 Comparison Chart   2024 Comparison Chart   2024 Comparison Chart
  • Rate comparison.
   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet		   2024 Rate Sheet

2024 Domestic Partner Imputed Income Rate Sheet
  • Detailed benefit information.
   PFSP Early Retiree Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   PFSP Early Retiree Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes		   PFSP Early Retiree Trust Benefit Handbook

Temporary COVID-19 Benefits and Early Retiree Dependent Enrollment Plan Changes

Cigna / Providence Plan Changes
  • Legal Rights.
   Legal Notices   Legal Notices   Legal Notices