2026 PEBB Open Enrollment
It should be this simple.
This is more than an upgrade; it's a whole new experience.
We're excited to introduce Providence Health Plan Powered by Collective Health. With this new experience, you'll have access to a new mobile app and portal that will have everything you need in one place, and give you a new advocate-a real human-in your corner.
Learn about the plan options, benefits, and programs available to you in 2026. Then, make your plan selection during Open Enrollment, between October 1 - October 31.
2026 Digital GuideWhat's new in 2026
Plans that fit your lifestyle
Providence Statewide PPO Plan Get more access with a larger network |
Providence Choice Plan (Medical Home) Coordinated care from your dedicated health team |
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Medical
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In-network deductible | $250 individual; $750 family | $250 individual; $750 family |
Out-of-pocket maximum | $1,900 individual; $5,700 family | $1,500 individual; $4,500 family | |
Primary care | 15% or 10% coinsurance for the first four visits per calendar year ($0 deductible) | $10 copay for the first four visits per calendar year ($0 deductible) | |
Specialty care | 15% coinsurance | $10 copay | |
Massage therapy, chiropractic, and acupuncture | 15% coinsurance (deductible waived) | $10 copay (deductible waived) | |
Network | Providence Signature Network (OSHU and Providence hospitals) |
Providence Choice Network (over 400 medical homes) |
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Prescription Drugs
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Deductible | $50 per person; $150 family | |
Out-of-pocket maximum | $1,000 per person; $3000 family | ||
Value drugs | $0 copay | ||
Generic drugs | $10 copay | ||
Specialty drugs | $100 copay | ||
90-day supplies | Copay x 2.5 | ||
Rx fertility | No Rx fertility annual benefit maximum |
You can find more detailed benefit information here.
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Behavioral health resources
Galileo Health
Galileo’s doctors and therapists offer evidence-based support through health coaching and a self-guided Cognitive Behavioral Therapy (CBT) skills program. These tools are designed to help manage stress, anxiety, depression, sleep difficulties, and smoking cessation. If in-person care is needed, Galileo’s Care Navigation team is available to provide referrals and ensure timely access to the right support.
Behavioral Health Network
Our broad behavioral health network gives you access to in-person and virtual providers that fit your needs. This includes therapists, counselors, psychiatric nurse practitioners, psychologists, and psychiatrists. They provide ongoing care and support for many behavioral health challenges. You can get the care you need anytime, from anywhere.
To find a list of providers near you, log in to the Open Enrollment Welcome Portal.
Behavioral Health Concierge
You and your family members can access virtual and confidential appointments at no cost. This service is a convenient way to seek help from a licensed behavioral health provider.
Available to members and their eligible dependents in Oregon, Washington, Idaho, Montana, California, and Texas.
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Pharmacy resources
Preferred Retail Pharmacy Network
Our preferred retail pharmacy network gives you access to over 34,000 participating pharmacies. With in-person and mail order options, you can conveniently access the prescriptions you need. Save yourself both time and money with our resources.
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Formulary
We provide members with an in-depth list of covered drugs, called a formulary. It promotes affordable and effective medications including brand-name and generic options.
Participating Pharmacies
If you take maintenance medications, you must use an in-network mail-order service or a preferred pharmacy in the Retail 90 network (excluding CVS and Rite Aid). This helps you get the best price and makes your medication(s) more affordable. You can get up to a 90-day supply at once. It often costs less than filling your prescription each month. Plus, many value (preventive) drugs have a $0 copay when filled through a preferred pharmacy.
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Preferred retail pharmacy
Our preferred retail pharmacy network allows members to save time and money when getting prescription drugs. With this network, members have access to over 34,000 participating pharmacies nationwide, except CVS or Rite Aid.
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Mail-order pharmacy
Mail-order pharmacies let you order medications and have them delivered to your home, saving trips to the pharmacy.
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Specialty pharmacy
Specialty medications help treat complex health conditions that need education, monitoring, handling instructions, and often requires prior authorization before being prescribed. To make sure you have the information you need, you’ll have a specialty care team to assist you. They’ll give you extra support, like showing you where to get your medication and helping you find financial aid if it’s available.
Save money on medications
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Rx Savings Solutions
A digital platform available to eligible members at no cost. It’s linked directly to your health plan and provides personalized savings based on your medications and coverage. You’ll get automatic alerts by mail, email, phone, or text when you could be saving on your medication(s).
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HelpScript™
HelpScript may reduce the out-of-pocket costs of select specialty medications. Eligible members* are enrolled automatically, at no cost. A specialized patient navigator will assist you every step of the way.
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Expanded access to care anytime, from anywhere
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Get care when and where you need it, with 24/7 access to virtual primary care, urgent care, behavioral health, and specialty care across all 50 states. Through Galileo Health, you can see a doctor any time, day or night, wherever you are.
With the Galileo, you can get care for:
- Annual checkup and preventive care
- Minor issues like colds, UTIs and stomach aches
- Ongoing conditions like diabetes, asthma, or high blood pressure
- Birth control and other sexual health needs
- Behavioral health concerns like anxiety, depression, or insomnia
- Dermatological issues like acne, or hair loss
- Prescription support and refills
- Referrals to in-person specialists, when needed
Support for your mental health, too
Galileo offers more than just medical care. Their therapists and doctors provide behavioral health support through self-guided tools, coaching, and virtual therapy. If you ever need in-person help, Galileo can connect you with the right provider fast.
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ExpressCare Virtual is available for members who don’t have the time or ability to travel to a clinic for treatment. You can address non-urgent medical issues. Available nationwide. Access 7 days a week from a tablet, smartphone, or computer.
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Telehealth
Telehealth is a convenient option for getting care wherever you are. It includes all virtual visits using a teleconferencing application, such as Zoom.
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Family planning benefit
Progyny family planning benefit
Through PEBB, you have enhanced benefits available to assist with your family planning journey. Progyny, a top fertility expert, provides support on your path to parenthood.
With this benefit, you’ll get:
- Custom treatment plans
- Dedicated Patient Care Advocate (PCA)
- Personalized support and guidance
- Access to top fertility specialists
- Comprehensive coverage from tests to treatments
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Programs to support you on your healthcare journey
Join over 500,000 people who have turned to Kaia for pain relief
Kaia is an evidence-based digital therapy app. It helps you learn ways to manage joint and muscle pain throughout the entire body. Receive a customized therapy plan that can include exercise, relaxation, and expert advice.
Take steps to prevent diabetes
The Omada program helps reduce the risk of prediabetes and chronic disease. It offers nutritional guidance and weight loss resources. Your care path includes certified health coaches, condition-specific peer groups, and virtual physician visits.
Type 2 diabetes reversal is here
Virta is a provider-led and research-backed treatment. It can help reverse type 2 diabetes. You can work to lower your blood sugar and A1c, all while reducing diabetes medications and losing weight. With a personalized treatment plan from Virta, you get professional support and useful resources.
Assistance in tracking what you eat and working towards your goals
Eat well, move more, and lose the weight you want with a personalized action plan. Get progress reports, easy-to-use-tracking tools, and thousands of recipes. Also take advantage of 24/7 coaching. All from an app on your phone.
Your new member experience
WELCOME PORTAL
Enroll in your health plan
The Open Enrollment Welcome Portal helps you understand your health plan options and get the most from your benefits. Visit the welcome site to learn about your new plan. When you are ready, enroll during Open Enrollment from October 1 to October 31.
Need help?
Member Advocates are available to help answer questions about your plan options. Call 855-284-1368, Monday - Friday, 4 a.m. to 6 p.m., and Saturday, from 7 a.m. to 11 a.m. (Pacific Time).