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Medical and Prescription Plans

Eugene School District 4J currently offers 4 different health plans through our partnership with OEBB, MODA and Kaiser to choose from.   Our goal is to offer enough plans and options to employees that everyone is able to find one that best fits their needs.   You can view the comparison chart of all OEBB plans here but please note that we only offer the following plans:

  • Kaiser Permanente Plan 2 – $800 Deductible (Classified and MAPS Staff Only)
  • Moda Medical Plan 2 – $800/$900 Deductible (Licensed Staff Only)
  • Moda Medical Plan 3 – $1,200/$1,300 Deductible
  • Moda Medical Plan 4 – $1,600/$1,700 Deductible
    Pharmacy and vision coverage is built into the medical plan.  You will not need to make a separate election

Kaiser Permanente

Kaiser Permanente (Classified and MAPS Staff Only)

Network: Kaiser Permanente uses a Provider Network that combines care coverage featuring physician directed care, primary care access, tele-health services, video and phone visits with Kaiser Permanente providers, and a mobile app. Through collaboration with PeaceHealth, Kaiser Permanente members will have access to Kaiser facilities and providers across the US, along with many existing health care providers in the Eugene/Springfield area. See the list of contracted facilities at the end of this document.

Plan: 4J is offering Kaiser Permanente Plan 2 HMO for the 2019-20 benefit plan year. See plan handbook and summary for details.

Plan 2 HMO: $800 individual/$2,400 family deductible; $25 co-pay for primary care visits within Kaiser Network; $25 alternative care office visit co-pay; $35 co-pay for specialist visits; no out-of-network coverage.

Virtual Visits: Kaiser Permanente offers virtual visits, where members are able to connect with a Kaiser healthcare professional via computer or mobile device without having to leave their home. See plan handbook for additional information and conditions.

***Notice***: The 4J Wellness Clinic is not part of the Kaiser Permanente Network. Active employees and retirees who elect the Kaiser Permanente Plan 2 will not be charged the mandatory monthly fee and will be ineligible to access services at the 4J Wellness Clinic.

MODA

Moda has launched all new plans under just one network.  All Moda plans will utilize Moda’s statewide Connexus provider network.  Most medical facilities in Lane County accept Moda insurance, but some are not in-network; always verify with your provider before the time of service.  The 4J Wellness Clinic is an in-network provider.

Each plan will come with a coordinated-care option and a non-coordinated care option.  Choosing coordinated care means you will receive enhanced benefits, like a lower deductible, a lower out-of-pocket maximum, and lower costs for office visits, specialist visits, and alternative care visits.  Moda does have coverage out-of-network, but your benefit will be subject to all out-of-network conditions.  For complete information of coverage, see the specific plan handbooks and summaries.

If you and/or your family members choose coordinated care, you will choose a primary care provider or “PCP 360” who will be accountable for your health.  Each covered family member can choose if they want coordinated care, and if so, their own PCP 360.  Employees can choose their PCP 360 by logging into their MyModa account or by calling Moda Customer Service at 866-923-0409.  To find a PCP 360 provider click here.

Plan Summaries:

Kaiser Permanente
(Classified and MAPS Employees Only)

Moda Health

Plan 2 Moda Medical Plan 2
(Licensed only)
Moda Medical Plan 3
Moda Medical Plan 4

Member Handbooks:

Kaiser Permanente
(Classified Employees Only)

Moda Health

Plan 2 Moda Medical Plan 2
(Licensed only)
Moda Medical Plan 3
Moda Medical Plan 4

You can look up providers and what networks they participate in here.
You can view Plan Rates here.
Make sure that you are looking within the correct network when searching for a participating providers or viewing plan summaries

Pharmacy Services:

All medical plans include prescription coverage. For details, discounts and FAQs regarding prescription and pharmacy services, please visit