Benefit Claims/Coverage Questions? Contact the Benefits Team
AFSCME, Nonbargaining, and Police employees
PacificSource
- Employee Enrollment and Waiver Form (1.78MB pdf)
- MemberExtras (1.12MB pdf)
- Navigator 2000 Medical Benefit Summary (614KB pdf)
- Navigator 2000 Summary of Benefits and Coverage (348KB pdf)
- Navigator 5000 Medical Benefit Summary (727KB pdf)
- Navigator 5000 Summary of Benefits and Coverage (349KB pdf)
- Navigator Member Guide (511KB pdf)
- Navigator Network Map (259KB pdf)
- Pediatric Vision S2 Summary (762KB pdf)
- Prescription Drug Benefit 20-40-60 Summary (924KB pdf)
- Prescription Drug Benefit 20-80-50P Summary (897KB pdf)
moda / ODS Health Plans
- moda Delta Dental Handbook (1.83MB pdf)
- moda Delta Dental Summary (1.58MB pdf)
- moda Dental Employee Packet (4.58MB pdf)
- moda Vision Handbook (1.49MB pdf)
- moda Vision Summary (382KB pdf)
- moda Willamette Dental Handbook (1.6MB pdf)
- moda Willamette Dental Summary (145KB pdf)
- Vision Reimbursement Claim Form (178KB pdf)
- Web Site
VEBA
Travel Insurance
A comprehensive program of information, referral, assistance, transportation and evacuation services designed to help you respond to medical care situations and many other emergencies that may arise during travel. (Provided by MEDEX Assistance Corporation.)
- Medex Employee Brochure (743KB pdf)
Fire Employees Only
Albany Fire Department employees only receive medical benefits listed below
Regence Blue Cross Blue Shield of Oregon
- 2022 BCBS Dental Benefit Summary (1.12MB pdf)
- 2022 BCBS Dental Summary of Benefits and Coverage (1.04MB pdf)
- 2022 BCBS Medical and Vision Benefit Summary (654KB pdf)
- 2022 BCBS Medical Summary of Benefits and Coverage (1.14MB pdf)
- 2022 BCBS Vision Summary of Benefits and Coverage (525KB pdf)
- ActiveFit Direct Gym Membership (170KB pdf)
- BCBS Global Core International Coverage (240KB pdf)
- BlueCard PPO National Network (374KB pdf)
- Doctor on Demand Virtual Office Visits (556KB pdf)
- Find a Doctor Step by Step Guide (300KB pdf)
- myStrength Emotional Health Tool (945KB pdf)
- Regence Advantages Member Discounts (202KB pdf)
- Regence Advantages Program - FitBit Discount (1.43MB pdf)
- Regence Advantages Program - Walgreens Smart Savings (108KB pdf)
- Regence Advice24 Nurseline (483KB pdf)
- Regence Care Management (1.89MB pdf)
- Regence Empower Wellbeing Program (1.1MB pdf)
- Regence Preventive Flyer (298KB pdf)
All Employees
COBRA
- Continuation Summary (199KB pdf)
Health Insurance Portability and Accountability Act (HIPAA)
- Initial Notice (11KB pdf)
- Notice of Privacy Practices (95KB pdf)
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