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It powers everything we do as we work to remove the barriers to oral health care. Will the basic long-term disability benefit be substantial enough to cover my expenses if I become disabled? Check with the plan to see if your dentist is in the plan… Seattle, WA 98109. Kaiser WA (formerly Group Health) plans. Individuals may only enroll in one SEBB medical, dental or vision plan. We believe everyone deserves a healthy smile. |�^͒�J��(�����������I.���'ɛ_�w_U��r��_=�ſ�>|]\��V�Nf��d>;{���_�麼��j�!D'� ... Kaiser Permanente NW Kaiser Permanente WA Premera Uniform Medical Plan 2021 SEBB Medical Benefits Comparison 2021 SEBB Medical Premiums 2021 SEBB Availability by County. 4 0 obj Vision plan options There are three SEBB Program vision plans … The SEBB Program also offers benefits that employees pay, such as supplemental life, AD&D, and LTD insurance. Medical plans Kaiser Foundation Health Plan of the Northwest KaiserPermanente NW 1, 2, 3 my.kp.org/sebb September 1 to December 31, 2019: 1-800-728-2779 Customer Service. They will be charged the $25 tobacco use premium surcharge in addition to the monthly medical premium. Additionally, SEBB offers Uniform Dental Plan, a Preferred Provider Organization (PPO) plan administered by Delta Dental of WA. See the Certificate of Coverage available in the Forms & Resources section below for a list of covered services and exclusions.. <>>> Individual Dental Plans Washington State . In general, the plan covers frames up to $150 every 24 months, and then pays 20 percent of the balance over $150. " Willamette Dental … 400 Fairview Ave N, Ste 800. SEBB DeltaCare benefits will be the same as benefits for DeltaCare Group #03100. The insurance plan year for the SEBB Program is a calendar year, January 1 through December 31. If you have questions about your specific medical, dental or vision insurance benefits please … Sebb Uniform Dental Plan Washington . Uniform Medical Plan. 400 Fairview Ave N, Ste 800. By law, the SEB Board establishes eligibility criteria for dependents, including legal spouses and state-registered domestic partners. SEBB open enrollment for 2021: Open enrollment for school employee health and benefits plans begins on Monday, Oct. 26, ... 2019, you will be defaulted into the UMP Achieve 1 medical plan (with a $33 monthly premium), Uniform Dental Plan, MetLife vision plan, and basic life, basic AD&D, and basic LTD as a single subscriber. Davis Vision Certificate of Coverage; MetLife Vision ... Click here. • Page 29: In the “Medical Plan … The Vision benefit comparison chart is available on page 53. Uniform Dental Plan Sebb . All SEBB dental and vision plans are offered statewide. View the FAQs for school administrators. It powers everything we do as we work to remove the barriers to oral health care. Searching by name, specialty, or other details? 1-800-537-3406. Dental. Service provider networks vary by plan, so school employees should check to see if their dentists and eye doctors are covered. Long-term disability insurance through The Standard … SEBB Continuation Coverage members: The Health Care Authority at 1-800-200-1004 (TRS: 711). This plan you can choose any office. If you do not enroll in, or waive benefits by 11:59 p.m. on November 15, 2019, you will be defaulted into the UMP Achieve 1 medical plan (with a $33 monthly premium), Uniform Dental Plan, MetLife vision plan, and basic life, basic AD&D, and basic LTD as a single subscriber. You may choose any dental provider, but will generally have lower out-of-pocket costs if you see network providers. To accomplish this, we must continuously be looking forward and planning … Both plans will offer: No annual maximum, no deductible, and no copay for general office visits. UMP provides a network mail-order pharmacy service through Postal Prescription Services (PPS), and the plan’s network specialty drug pharmacy, Ardon Health. Uniform Medical Plan offers four plans to UW employees: Classic, CDHP, and two Plus plans. Health plans with a health savings account webpage. Uniform Medical Plan (UMP) Achieve 1 (SEBB) Uniform Medical Plan (UMP) Achieve 2 (SEBB) Uniform Medical Plan (UMP) High Deductible (SEBB) Uniform Medical Plan (UMP) Plus—Puget Sound High Value Network (PSHVN) (SEBB) Rx Uniform Medical Flyer UMP Plans; Uniform Medical Plan (UMP) FAQ . If a subscriber enrolls in continuation coverage, the subscriber is responsible for timely payment of premiums and applicable premium surcharges. USOSM Continues Southeast Expansion, Announces Partnership with Oral Surgery Associates & Dental Implant Centers of Georgia Wednesday, August 12, 2020 Dental News Font : A- A+ However, you can purchase supplemental LTD coverage. Delta Dental of Washington is committed to providing the highest quality customer service to all enrollees. 1-800-650-1583. If eligible employees do not enroll in or waive SEBB medical coverage during the SEBB timelines, they will be automatically enrolled in the  benefits listed below. Customer Service. Both plans will offer: No annual maximum, no deductible, and no copay for general office visits. Find a Dentist - Uniform Dental Plan Find a Dentist - DeltaCare Plan Delta Dental Plans Association National Dentist Search Portal. Uniform Dental Plan Group #3000 . Uniform Dental Plan (UDP) is a preferred provider organization (PPO) plan. Are you a school administrator? Use the Advanced … 3 0 obj If you are eligible for SEBB Program benefits, dental coverage is included for you and your eligible dependents; your employer pays the premium. UMP members have access to Regence BlueShield preferred providers and Blue Cross and Blue Shield plan providers worldwide through the Blue Cross Blue Shield Global® Core program. Uniform Dental Plan (SEBB UDP – Group # 09600) This plan is closest to what you have now. Use the above link to learn more. On behalf of the state, the SEBB Program develops the benefit design and has more control over plan costs. Uniform Dental Plan (Group 09600) $50 individual/ Deductible up to 5150 family 51,750 Plan maximum (see specifc benefit Managed-care plans Delta Care (Group 09601) ... in the same SEBB Vision plan. A range of health care options is offered for both fully insured and self-insured plans, with differing benefits and plan costs. 10.1 Self-pay Services. fillings, crowns and root canals. You MUST select a general practice, primary care dentist (PCD) from the DeltaCare network within 50 miles of your residence to manage all of your dental care needs. DeltaCare. New to Delta Dental? Our SEBB plan carriers and vendors The SEBB Program is completing the design of insurance plans, determining costs, and finalizing availability by county. The Uniform Dental Plan, through Delta Dental, has cost shares for some services, e.g. When dental plan enrollment ends, the enrollee may be eligible for continuation coverage if they apply within the timelines explained in the “Options for continuing SEBB dental coverage” on page 9. Uniform Dental Plan Group 09600 . See 2021 SEBB Dental Benefits Comparison. Uniform Dental Plan Washington State health care options is offered for both fully insured and self-insured plans. x��=�r�H���?�e6� B���C�e�{v��{숉��)'e?��YUy_�����|y���/���yb�L\!�����Nf�'� <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 30 0 R 31 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> SEBB Health Care Transition Contact Information and Resources to answer your questions Sept. 5, 2019 Below is a list of who to contact for issues related to the transition to SEBB health care. They won’t be able to change plans or enroll any eligible dependents until the next SEBB Program annual open enrollment or unless they have a special open enrollment event that allows the change, such as a marriage, birth, or adoption. ���� �V$B��N>ܜ�BP$�&N�����=��>��}A͒w�'�ῒ9=y?�_~?���.����Ž��Xg�"��Z�H����%�dv�{`�,U�A�1q�Q��]���H ����K����@��l8��f��2"�l*�pz Uniform Dental Plan. Life and accidental death and dismemberment (AD&D) insurance ... defined in the SEBB Program rules If I waive medical … The plan will consists of a $50 deductible with 100% coverage for preventative services, 80% coverage for basic services and 50% coverage for major services (100/80/50). Their dependents will not be enrolled. All SEBB dental and vision plans are offered statewide. payroll or benefits office with SEBB Program questions." Washington State Employee Dental Plans . SEBB medical and dental monthly enrollment reports Data showing how many subscribers are enrolled in SEBB Program medical and dental plans each month. 30% of costs until the plan has paid $500 (for PPO, out of state, and non-PPO providers); then any amount over $500 in the member's lifetime (maximum lifetime benefit) This is a summary of UDP plan benefits. Sebb Dental Washington State . The basic long-term disability (LTD) benefit is based on a percentage of your paycheck. Sebb Dental Washington State . SEBB Program fully insured plans are not offered in all counties. Diagnostic and preventive care (including routine and emergency exams, x-rays, teeth cleaning, fluoride treatment and sealants) covered at 100 percent. Learn more about your customer service options. Health, Vision, Dental, and More. Uniform Dental and Preventive Dental do not include coverage for major dental services, such as crowns, root canals or implants. That means you now have a co-pay for services other than preventive and diagnostic. Medical Plans: Kaiser Foundation Health Plan of the Washington Kaiser Permanente NW 1,2,3 MY.KO.ORG/SEBB 1-800-813-2000 Kaiser Foundation Health Plan of Washington Plan options; Health and dental plan options Uniform Medical Plan. Medical, dental, and vision coverage are offered, as well as life, accidental death and dismemberment (AD&D), and long-term disability (LTD) insurance. Dual SEBB coverage is not permitted. Where can I find information about the health savings account (HSA)? • Page 53: A “self-insured” plan is offered by the employer organization — in this case, Washington State. To inform their decision, the SEB Board reviewed the specific reference to state-registered domestic partners in RCW 41.05.740(6)(d)(iii). Our benefit plans are changing, due to new state law. Vision insurance • … Seattle, WA 98109. In general, the bigger the network the more choice you have, but in return for that freedom, your costs for care — your out-of-pocket costs — will be more.With more than 3,400 dentists, UDP has Washington’s largest network, plus you get coverage when you travel outside the state. 1 0 obj If you are eligible for SEBB benefits, dental coverage is included for you and your eligible dependents. Uniform Dental Plan (UDP) To choose the best plan for you and your family, use the information on this page to compare the different provider networks and costs of each plan, or review the Health Care Authority’s 2020 Dental Benefits comparison chart or 2021 Dental Benefits comparison chart. Dental through Uniform Dental Plan (also known as the Delta Dental PPO), DeltaCare (the Delta Dental managed-care plan), and Willamette Dental Group. The following frequently asked questions (FAQs) help you understand the SEBB Program and how it affects you and your dependents. Sebb Uniform Dental Plan Washington Welcome to the health plan that has been supporting school employees for nearly 60 years. %PDF-1.5 Other benefits include the Medical Flexible Spending Arrangement, and Dependent Care Assistance Program. Learn more about partnering with us and the steps to get appointed. Dental. Find information on our Health plans with a health savings account webpage. Our self-insured plan is called the Uniform Medical Plan … <> DeltaCare (Delta Dental) Willamette Dental; Open enrollment for eligible SEBB employees starts on October 1, 2019 and concludes on November 15, 2019. SEBB Program fully insured plans are not offered in all counties. Uniform Dental Plan (Group #09600) MetLife Vision MetLife Employee AD&D . Direct clinical information reviews (MCG Health) For select CPT codes, Availity's electronic authorization tool automatically routes you to MCG Health's website where you can document specific clinical criteria for your patient. See 2021 SEBB Dental Benefits Comparison. How to find that information will be included in the enrollment guide mailed in September. The most significant difference we see is that you will no longer have an incentive-based plan. Diagnostic and preventive care (including routine and emergency exams, x-rays, teeth cleaning, fluoride treatment and sealants) covered at 100 percent. For more SEBB information, visit the SEBB Main Webpage You must take action to enroll. Basically, a “fully insured” plan is offered by commercial carriers, which choose what they cover (this is called the “benefit design”). Your employer pays the premium. Uniform Dental Plan Group #3000 . What’s the difference between “fully insured” and “self-insured” plans? Kaiser WA offers four plans to UW employees: Classic, Value, SoundChoice, and a CDHP. Kaiser Permanente NW plans When do new employees start receiving benefits? You must choose a primary dental provider within their networks. For help understanding the SEBB plans and choices, call the Benefit Helpline at 206-957-7066. Dental. Online reporting Get access to 3 years' worth of data and a suite of reports to help evaluate plan usage for your clients. Section 10 Miscellaneous Services . 400 Fairview Ave N, Ste 800. Note: Uniform Dental Plan is the only dental plan with provider availability on the island. <> iDental Discount Program is a dental savings plan presented by United Concordia Dental, a leader in the dental industry for over 40 years. Uniform Dental Plan (UDP) Group #09600 THIS IS THE DELTA DENTAL PPO PLAN Best for those who want the freedom to choose their favorite dentist • You pick your dentist from the largest provider networks: state and national • Get specialist care without a referral • Deductible waived for preventive care -you pay $0 • Deductible & Note: Uniform Dental Plan is the only dental plan with provider availability on the island. On behalf of the state, the SEBB Program develops the benefit design and has more control over plan costs. Benefits: PPO Managed-care plans: Uniform Dental Plan (Group 09600 PPO) DeltaCare (Group 09601) Williamette Dental … If you have questions about your specific medical, dental … What is the difference between the insurance plan year and the school year? Designed with K-12 employees in mind, our School Employees Benefits Board (SEBB) health plans offer robust … Recommended PPO-Uniform Dental Plan (SEBB UDP(PPO) – Group # 09600). Delta Care has only 6 locations in our area while Uniform Dental Plan is most like our current Sun Life dental plan… Section 9 Dental Services . You have 2 dental coverage options from Delta Dental of Washington. Our preferred-provider dental plan is Uniform Dental Our District Cares Fair is October 9 at South Kitsap High School 3:00-6:00 pm. • Page 25: Under “Network adequacy,” the refence to Engrossed Substitute House Bill 1099 should be Brennen’s Law. Due to COVID-19, HCA’s lobby is closed. Learn more under How to determine eligibility. Group 09600. 12. 50% Nonsurgical TMJ. Uniform Medical Plan (UMP) is the SEBB Program’s self-insured health plan, administered by Regence BlueShield and Washington State Rx Services (WSRxS) through Moda Health. 30% of costs until the plan has paid $500 (for PPO, out of state, and non-PPO providers); then any amount over. We believe everyone deserves a healthy smile. Seattle, WA 98109. endobj Why doesn't the SEBB Program offer short-term disability insurance? The HSA is paired with the UMP High Deductible health plan. Uniform Dental Plan (Group 09600) $50 individual/ Deductible up to 5150 family 51,750 Plan maximum (see specifc benefit Managed-care plans Delta Care (Group 09601) ... in the same SEBB Vision plan. The school year, as defined in RCW 28A.150.203(11), is September 1 through August 31. CHECK IF YOUR DENTIST IS IN THE DeltaCare Plan: Overview. The SEBB Program offers both managed-care and preferred-provider plans. SEBB 2020 Vision Benefits Comparison. Our preferred-provider dental plan is Uniform Dental Plan … If you are eligible for the employer contribution toward SEBB benefits, but do not waive or enroll in SEBB Program medical coverage within the required timeline, you will be automatically enrolled in UMP Achieve 1 as your medical plan, Uniform Dental Plan… I don’t have access to a computer. As of January 1, 2020, our insurance benefits shifted to the state run School Employees Benefits Board (SEBB). The monthly HSA employer contribution amounts are posted there. Group 09600. Please note that SEBB employees who do not either enroll in or waive SEBB Program coverage during open enrollment will automatically be enrolled into the Uniform Dental Plan. %���� Selecting a dental plan. endobj The Vision benefit comparison chart is available on page 53. Sebb Uniform Medical Plan. We will offer managed-care dental plans through Delta Dental of Washington (DeltaCare) and Willamette Dental. Each plan has its own network of dentists, and you’ll want to pick a network containing a dentist that you want to use. Uniform Dental Plan. Our self-insured plan is called the Uniform Medical Plan (UMP), administered by Regence BlueShield. Dental of Washington • Uniform Dental Plan, administered by Delta Dental of Washington • Willamette Dental of Washington, Inc. The closest Benefits Fair hosted by SEBB will be held at Sheridan Community Center 680 … The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. Per HCA Small Number policy all cell values 10 … Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Learn more about your customer service options. 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