Reference Price Program
The Oregon Educators Benefit Board (OEBB), in an effort to help its members receive quality care at an affordable price, has established a reference price program. This program currently includes Bariatric Surgery (effective 10/1/13), and most recently Major Joint Replacement Surgery (DRG 470) and Oral Appliances (HCPC E0485 & E0486) (effective 10/1/14). As of March 1, 2015, the reference price program for Major Joint Replacement Surgery only applies to statewide (Connexus Network) members.
- In a reference price program, the plan sponsor limits their contributions toward the cost of a specific health care service, and health plan members must pay the difference in price if a more costly health care provider or service is selected.
- This reference price program means OEBB members in need of a joint replacement or an oral appliance for sleep apnea will be encouraged to seek this care from specific facilities located throughout the State.
- Using any other facility could result in the member being held responsible for a substantial share of the cost.
- Travel benefits are available to OEBB members that use a participating reference price facility. The Plan will reimburse up to $2,600 for eligible travel expenses. Please see the Member Handbook for additional details.
We are confident that this program for OEBB members will not only be cost effective, but it will also improve the overall quality of care.
| Location | Facility |
|---|---|
| Albany | Samaritan Albany General Hospital |
| Beaverton | Oregon Surgical Institute |
| Bend |
Bend Surgery Cascade Surgicenter |
| Boise, ID | Saint Alphonsus Regional Medical Center |
| Coos Bay | Bay Area Hospital |
| Corvallis | Good Samaritan Regional Medical Center |
| Eugene |
PeaceHealth - Sacred Heart Slocum Surgery Center |
| Grants Pass | Asante Three Rivers Medical Center Grants Pass Surgery Center |
| Gresham | Legacy Mt. Hood |
| Hillsboro | Tuality Community Hospital |
| Klamath Falls | Sky Lakes Medical Center |
| La Grande | Grande Ronde Hospital |
| McMinnville | Willamette Valley Medical Center |
| Medford | Asante Rogue Regional Medical Center Providence Medford Medical Center |
| Nampa, ID | Saint Alphonsus Regional Medical Center |
| Newberg | Providence Newberg Medical Center |
| Milwaukie | Providence Milwaukie Hospital |
| Ontario | Saint Alphonsus Regional Medical Center |
| Oregon City | Providence Willamette Falls |
| Pendleton | East Oregon Surgery Center *Knee replacements only St. Anthony Hospital |
| Portland |
Adventist Medical Center Legacy Emanuel Hospital Legacy Good Samaritan OHSU Providence Portland Medical Center Providence St. Vincent Medical Center Shriners Hospital for Children |
| Roseburg | Mercy Medical |
| Salem | Salem Hospital Willamette Surgery Center |
| Silverton | Silverton Hospital |
| Springfield | PeaceHealth - Riverbend McKenzie Willamette Medical Center |
| Stayton | Santiam Memorial Hospital |
| The Dalles | Mid-Columbia Medical Center |
| Tualatin | Legacy Meridian Park |
| Vancouver, WA | Legacy Salmon Creek Peacehealth Southwest Medical Center |
| Location | Facility |
|---|---|
| Albany | Samaritan Albany General Hospital |
| Coos Bay | Bay Area Hospital |
| Corvallis | Good Samaritan Regional Medical Center |
| Grants Pass | Asante Three Rivers Medical Center |
| Hillsboro | Tuality Community Hospital |
| Klamath Falls | Sky Lakes Medical Center |
| McMinville | Willamette Valley Medical Center |
| Medford | Asante Rogue Regional Medical Center |
| Portland | OHSU Legacy Good Samaritan |
| Salem | Salem Hospital |
| Springfield | PeaceHealth (Oregon Bariatric Center) |
| Location | Facility |
|---|---|
| Portland | Oregon Health Science University (OHSU) |
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