How you use your PEHP benefits affects what you pay in premium. Your employer pays all medical expenses. As a self-funded medical plan, an employer puts money into a trust (PEHP) to pay claims. Any money that isn’t used to pay claims is returned. It’s not like fully insured arrangements, where the insurance company keeps the difference (profit). As anonprofit trust, PEHP just administers the plan.
Use your benefits wisely to keep costs down and premiums low. You’ll also pay a smaller portion when you get care.
With a traditional insurance company, it might seem as if you’re spending someone else’s money. You might not make the same common-sense choices you would if you were spending your own.
It’s not like that with PEHP. It truly is your money.
We’re all in this together: PEHP, your employer, and you. If together we can figure out ways to control costs while making sure you get the best care, we all win.