Medical

City of Portland is committed to helping you and your dependents maintain health and wellness by providing you with access to the highest levels of care. For the July 2024 plan year, City of Portland offers the Meritain Choice POS medical plan, which utilizes the Aetna provider network.

Meritain medical and prescription drug plan summary

The City of Portland’s medical plan has three different levels of coverage depending on the provider you see, or hospital you visit. If you visit a ‘Tier 1’ provider, you will pay the least out of pocket for your medical services when you see a doctor.

To determine which Tier your doctor is in, visit meritain.com and click “Find Care online”

Prescription drugs — 100% coverage for preventive generics before the deductible applies.
Preventive brand and non-preferred brand (second- and third-tier) drugs are covered at the plan’s coinsurance maximum amounts as outlined in the chart. A deductible does not apply.

Teladoc

  • Sometimes, you may be feeling too sick to see a doctor in person or can’t take time out of your day to visit an office and spend time in a waiting room. Teladoc is the virtual care provider for City of Portland members to see a doctor from the comfort of their homes.
  • Visits always cost $0 with Teladoc! You can use your phone or tablet to meet with a doctor for illnesses such as colds or strep or for mental health counseling.

Click here to submit pharmacy claims on line through the CVS portal

Medical and prescription weekly employee payroll contributions BEFORE Wellness Credits

Effective July 2023 through June 30, 2024.

Employees can elect the medical and prescription drug plan without enrolling in the dental or vision plan.

Medical
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    Quick Links
    • Video doctor visit
    • Find a top doctor
    • Elect Medical Coverage on PlanSource
    • Check prescription coverage at Caremark.com
    • Enrollment Questions? Call 866-245-0753
    MEDICAL - MERITAIN
    PHARMACY - MERITAIN & CVS CAREMARK
    • Teledoc Virtual Doctors Visits
    TELEHEALTH
    • CVS Caremark Mail Order Form
    • COVID-19 Test Reimbursement Claim Form
    • Medical Plan - Summary of Benefits and Coverage - Portuguese
    COMPLIANCE NOTICES
    • Surprise Billing Notice
    • Medical Plan - Summary Plan Description
    Resources
    • Meritain - Other Insurance Flyer
    • Meritain - Other Insurance Form
    • Meritain - Machine Readable Files (MRF)
    Benefit counselors are standing by between 8:00 AM – 8:00 PM EST. (language support is available).
    1. Call (866) 245-0753.  Benefit counselors are standing by between 6:00 AM – 6:00 PM EST.  (language support is available)
    2. Access PlanSource:
      To Login, go to www.plansource.com/login and enter your username and password.

      • Username: Your username is the first initial of your first name, up to the first six letters of your last name, and the last four digits of your SSN.  For example, if your name is Taylor Williams, and the last four digits of your SSN are 1234, your username would be twillia1234.
      • Password: Your initial password is your birthday in the YYYYMMDD format. For example, if your birthdate is June 4, 1979, your password would be 19790604.
      • The first time you log in, you will be prompted to change your password.
    3. Schedule an appointment with a benefits counselor by clicking below.