Forms & publications

This chart briefly compares the per-visit costs of some in-network benefits for PEBB Medicare plans. Some copays and coinsurance do not apply until after you have paid your annual deductible. Call the plans for more information on specific benefits, including preauthorization requirements and exclusions.

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