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Medical Benefits Comparison (PEBB) 2026

This document outlines costs and coverage details for PEBB medical plans. If anything in this document conflicts with the plan’s benefits book, the benefits book takes precedence.

50-0683
Publication

Free or low-cost health care
- I need medical, dental, or vision care
  - Find Apple Health benefits & services
  - Other Apple Health programs
  - Am I eligible?
  - Learn about my coverage
  - Use my coverage
  - Manage my coverage
- I need behavioral health support
  - Mental health
  - Substance use
  - Prenatal, children & young adults
  - American Indians & Alaska Natives
    - Behavioral health services for American Indians & Alaska Natives (AI/AN)
  - Recovery support services
  - Prevention
    - Substance use disorder prevention & mental health promotion
- I help others apply for & access Apple Health
  - Apple Health Eligibility Manual
  - Additional tools
  - Stakeholder training & education
- Quick links
- Contact Apple Health (Medicaid)
- News
Employee & retiree benefits
- Public employees
  - Find benefits
  - Explore costs
  - Determine eligibility
    - Am I eligible?
    - Are my dependents eligible?
  - Learn how to enroll
  - Manage benefits
  - Get help
- School employees
  - Find benefits
  - Explore costs
  - Determine eligibility
    - Am I eligible?
    - Are my dependents eligible?
  - Learn how to enroll
  - Manage benefits
  - Get help
- Retirees
  - Get started
  - Benefits
  - Costs
  - Manage coverage
  - Tools & resources
  - Help
- PEBB Continuation Coverage
  - Find benefits
  - Explore costs
  - Determine eligibility
    - Am I eligible?
    - Are my dependents eligible?
  - Learn how to enroll
    - For newly eligible members
    - Verify & enroll my dependents
  - Manage benefits
    - What is special open enrollment?
    - Change my coverage
  - Get help
- SEBB Continuation Coverage
  - Find benefits
  - Explore costs
  - Determine eligibility
    - Am I eligible?
    - Are my dependents eligible?
  - Learn how to enroll
    - For newly eligible members
    - Verify & enroll my dependents
  - Manage benefits
    - What is special open enrollment?
    - Change my coverage
  - Get help
- Quick links
- Contact us
- PEBB news
- SEBB news
Billers, providers & partners
- Prior authorization, claims & billing
  - Getting started
  - Submit prior authorization (PA)
    - Step-by-step guide for prior authorization (PA)
    - Pharmacy prior authorization
  - Submit claims
    - Provider billing guides & fee schedules
    - Hospital rates & reimbursement
- Program information for providers
- Become an Apple Health provider
  - Learn how to enroll
  - What's next
    - Track my application
    - Find next steps for new Medicaid providers
  - For existing medicaid providers
    - Update my provider information
    - Revalidation
- Learn ProviderOne
  - Getting started
    - Setup ProviderOne access for your organization
    - ProviderOne access: FAQs
  - Training materials
- Quick links
- Contact us
- News
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- Who we are
  - About us
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- Data & reports
- Other administrative activities
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- News
  - Find out what's new
  - Follow HCA on social media
  - For the press
    - Visit our press room
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- Contact HCA
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