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| Group Health Plan Choices For Early Retirees | |||
You can choose whether to have medical and prescription coverage only, or medical, prescription, dental and vision coverage. Depending on which medical plan you enroll in, you will have the prescription, dental and vision plan listed below the medical plan you select. |
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| Medical | Trust Plan (MultiPlan PPO Network) |
Providence Open Option |
Kaiser |
| All participants may choose this option, regardless of where they live. | You may choose this option if you live in the Providence service area. | You may choose this option if you live in the Kaiser service area. | |
| Prescription | Kroger Prescription Plan |
Providence | Kaiser |
| Dental | Trust Plan, Willamette Dental or Kaiser (you must reside in the Kaiser service area) |
Trust Plan, Willamette Dental or Kaiser (you must reside in the Kaiser service area) |
Trust Plan, Willamette Dental or Kaiser |
| Vision | Vision Service Plan (VSP) |
Vision Service Plan (VSP) |
Kaiser |
If you meet the eligibility requirements for the Early Retiree Plan, and you are not eligible for Medicare because of age, you may choose to enroll yourself, your spouse, if under age 65, and eligible dependents for group medical, prescription drug, dental and visions benefits. There are four options available to you:
1. You may choose the Retired Trust Plan's group medical, prescription drug, dental, and vision benefits (using Kroger Prescription Plan to provide prescription benefits and VSP to provide vision benefits). If you reside in the Kaiser service area, you may choose Kaiser dental benefits.
2. If you reside in the Kaiser Permanente service area, you may choose to have your medical, prescription drug, and vision benefits provided by Kaiser and have your dental benefits provided by Kaiser, Willamette Dental or the Retired Trust Plan.
3. If you reside in the Providence service area, you may choose to have your medical and prescription drug benefits provided by Providence. You will have vision and dental benefits provided through the Retired Trust Plan (using VSP to provide vision benefits). If you reside in the Kaiser service area, you may choose Kaiser dental benefits or Willamette Dental.