Key changes for 2026-2027
The following information highlights the primary changes, effective October 1, 2026. More details are available on the Benefits page and at OEBBinfo.com. Be sure to check out the OEBB comparison tool, the OEBB enrollment guide, the OEBB Explore Your Benefits tool, and the new OEBB Wellness Central.
Premium and cap changes
- Premium changes are effective October 1, 2026.
- Part-time faculty cap will now be based on your full-time equivalence (FTE). See the cost sheet for additional details.
- For employees enrolled in a high deductible health plan (HDHP), PCC will give you the cap balance so it can be used toward a Health Savings Account (HSA) or other savings opportunities. See the cost sheet and HSA info page for details.
Medical and pharmacy plan changes
Kaiser only
- Allergy serums: Allergy serums are subject to cost sharing.
Moda only
- Individual deductible and out-of-pocket maximum for all medical plans increased by $250.
- The family deductible and out-of-pocket maximum (OOPM) for all medical plans are increased by $500.
- Garner reimbursement incentive will increase to $950 for an individual plan and $1,900 for a family plan.
- All copays on medical plans 1-5 increased by $10, except for ER copays and additional cost tier copays.
- Removing the incentive care office visit and virtual care for primary care copays. These visits will be paid at the standard office visit copays.
- All genetic testing will require prior authorization.
- Chemotherapy home infusion will now be covered at no member cost share.
- Teledoc (aka Livongo) diabetes management program will no longer be available to OEBB members. Current members will receive notification letting them know this program will be discontinued.
- Prescription mandatory 90-day supply:
- Members will now be required to fill a 90-day supply for certain maintenance drugs and for GLP1 drugs for managing diabetes through mail order or at a 90-day supply retail pharmacy.
- To learn more about mail order or to locate a 90-day supply pharmacy, visit the Moda pharmacy services website or call our Moda 360 Health Navigator team.
- If a member is impacted and is currently taking a maintenance drug or GLP1 for diabetes, they’ll receive a letter 60 days in advance to let them know.
Dental plan changes
Kaiser only
- Nitrous oxide: Cost share for all members will be $25.
- Emergency dental: Members will incur the cost share that normally applies for non-emergency dental care services.
- Composite fillings: The buy-up cost for composite fillings on posterior teeth will be removed.
Moda / Delta Dental only
- Dental exams, cleanings, and topical application of fluoride will be covered twice per calendar year instead of covered once in any six-month period.
- Preventive first benefit: Preventive services do not accrue towards the annual benefit maximum, leaving additional dollars to use for basic and major services.
Employee Assistance Program (EAP)
Canopy EAP is changing their name to Revive. Their contact information will remain the same.
Special notice to Unum Long Term Care members
Unum Long Term Care (LTC) is no longer available through OEBB. Current Unum LTC members will need to convert their policies to a direct pay account by November 29, 2026, or their policy will end.
Other plans
No changes to vision, opt-out incentive, optional life, and optional accidental death and dismemberment. The $5 per month surcharge for full-time subscribers who are double covered on medical plans through OEBB or PEBB will continue.