For Immediate Release: 10/25/2009
Updated: 11/5/2009
The PEBB Program recently mailed its October For Your Benefit newsletter to retirees, explaining the changes in PEBB Program coverage for 2010. Some errors appear in the “2010 changes in member costs” section (pages 2-5) and the “2010 medical benefits cost comparison” section (pages 8-9). Please see the correct information below.
Kaiser Permanente Classic (non-Medicare members only), page 3
| Benefits | Member pays in 2009 | Member pays in 2010 |
| Diagnostic tests, laboratory, and x-rays | $0 | $10 |
| Hospital—inpatient | $200 per day/max. $600 per year | $200 per day/max. $1,000 per admission |
| Office visits (specialty care) | $10 | $30 |
SecureHorizons Value (Medicare members only), page 4
The spinal manipulation copay amount will not change in 2010. The 2010 cost will be the same as in 2009, $15 per visit.
Uniform Medical Plan (non-Medicare and Medicare), pages 5 and 8
The costs for ambulance (air) and prescription drugs (both retail and mail order) will not change in 2010. The 2010 costs will be the same as in 2009, as shown below:
| Benefits | Member pays in 2009 and 2010 |
| Ambulance (air) | 20%/trip |
| Prescription drugs—retail (up to 90-day supply) | Tier 1: 10% Tier 2: 30% Tier 3: 50%* |
| Prescription drugs—mail order (up to 90-day supply) | Tier 1: $10 Tier 2: $50 Tier 3: $100* |
*May also be subject to an ancillary charge.
In addition, here are the correct costs for the following UMP benefits in 2010 (pages 8-9):
| Benefits | Member pays in 2010 |
| Hospital services—inpatient | $200/day ($600 max/year per person) + 15% professional |
| Obstetric care—inpatient | $200/day ($600 max/year per person) + 15% professional |
| Vision care—glasses and lenses | Any costs above $150 every two calendar years for frames, lenses, contacts, and fitting fees combined |
The corrected retiree newsletter has now been posted.

