[MyOEBB] OEBB Open Enrollment - Next Steps After Open Enrollment

Fri Sep 16 12:09:41 PDT 2022

Hello

I hope this open enrollment season was successful for everyone.  While I believe many of you just experienced your first open enrollment, I think this mandatory open enrollment was pretty successful.  As of the close of open enrollment, we had 60,913 newly saved enrollments in MyOEBB.  According to our data here at OEBB, under 2,000 members didn’t go in and complete enrollment.  We still have several Community Colleges actively in open enrollment today.  OEBB received thousands (we haven’t counted them yet) of emails and calls during this time. 😊

We now enter the clean-up portion of open enrollment, so I wanted to take this time to remind you of a few important guidelines noted below.  Please remember, we want to make sure everyone has the coverages they need, and our goal should be to work together on this common goal.

  *   Entities are able to fix open enrollment errors/issues using the open segment under Enrollment Management in the Admin Module through September 30th.  You do not have to use a QSC to fix any open enrollment errors/issues.  But, please use a QSC if the member is experiencing a QSC (marriage, birth, divorce, etc.).

  *   From October 1st to October 31st, entities are able to use the “Correcting Processing Errors” QSC to fix errors/issues.  Please make sure any open enrollment errors/issues are fixed to October 1, 2022 since that is the start of the plan year.

  *   Please do not send members to OEBB with open enrollment errors/issues at this time.  Please fix them on your end until October 31, 2022. Employees can send you an email, or use this form to notify you of any needed corrections:  https://www.oregon.gov/oha/OEBB/Forms/Open-Enrollment-Correction.pdf.   Make sure you always have written documentation to support changes. Do not make changes based only on verbal instructions.

  *   OEBB will take appeals dealing with non-OE issues at any time of year.

  *   Open enrollment errors/issues brought to your attention starting November 1st should be sent to OEBB as an appeal.

  *   OEBB reviewed all $5 surcharge answers for members yesterday and will continue to run this process to make sure this is accurately reported and invoiced.  OEBB and PEBB staff will contact members newly showing with this surcharge and their admins via email on a continual basis informing members this surcharge is attached to them and their 45-day correction period (if desired).  If members are fine with this double medical coverage and attached $5 surcharge, they don’t have to do anything.

  *   OEBB will be sending dental 12-month wait letters out to members (if this applies to them or one of their dependents) around September 26th.

  *   OEBB will also send letters to members early next week (1) if they did not complete open enrollment (so basically didn’t do anything in our system) or (2) if they did do open enrollment but didn’t have an active email for a daily communication.

  *   Please make sure your salaries are current so that any salary based plans (LTD, STD, etc.) will be calculated correctly.

  *   There will be a report deposited in each entity Document Management starting tomorrow. This report will show members who did their open enrollment but did not save their selections. This report will be deposited on September 16th, 23rd  and October 1st.

  *   You can also check daily for unsaved enrollments from the Home Page – Pending Action Items
[cid:image001.png at 01D8C9C5.30237500]

Lastly, new members enrolled in a Moda medical plan should watch their mail for instructions on how to set up their PCP 360 and the benefits of selecting a PCP 360.  Here are some tips:

  *   Members that want to select or update their PCP 360 can do this by calling Moda at 1-866-923-0409 or by logging into their Member Dashboard account and updating their choice.
  *   Members that already have a PCP 360 set up don’t have to do anything unless they want to change this provider.
  *   Members can access Moda Find Care at the link below:
https://www.modahealth.com/ProviderSearch/faces/webpages/home.xhtml<https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.modahealth.com%2FProviderSearch%2Ffaces%2Fwebpages%2Fhome.xhtml&data=05%7C01%7CLINDA.FREEZE%40dhsoha.state.or.us%7C45551f4f0b6043facfd708da98160ae3%7C658e63e88d39499c8f4813adc9452f4c%7C0%7C0%7C637989517695198279%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=75BCpFvZ3vo2sASXZh4ytQU%2BzcZIYLswb0WWjRW3WWI%3D&reserved=0>
Follow these steps:

  1.  Members need to search as a guest under the Connexus network.
[cid:image002.png at 01D8C9C5.30237500][cid:image003.jpg at 01D8C9C5.30237500]

  1.  On the next screen, select “PCP 360” under “Type”.
[cid:image004.png at 01D8C9C5.30237500][cid:image005.jpg at 01D8C9C5.30237500]

  1.  Lastly, look for the PCP 360 symbol associated with the provider.
[cid:image004.png at 01D8C9C5.30237500][cid:image006.jpg at 01D8C9C5.30237500]

In addition, all Moda medical members will receive a new ID card this year (effective 10/1). Moda replaced their national network and travel network with Aetna PPO® through Aetna Signature Administrators® (ASA), except for members who live in Alaska or Idaho. Members who live in Idaho will continue to use the Connexus and PHCS network. Members who live in Alaska will continue to use the PHCS network. All out-of-area dependents who live outside of the Connexus service area will receive their own ID card and will not be listed under the subscriber ID card.

Thank you!
Linda Freeze
OEBB/PEBB Benefits Manager
Oregon Health Authority (OHA)
Health Policy and Analytics Division (HPA)
Oregon Educators Benefit Board (OEBB)
Public Employees’ Benefit Board (PEBB)
Linda.freeze at dhsoha.state.or.us<mailto:Linda.freeze at dhsoha.state.or.us>
Cell: (503) 881-8740

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