9.2 Health Check/Adult/Pregnant Women . Delta Care has only 6 locations in our area while Uniform Dental Plan is most like our current Sun Life dental plan… It powers everything we do as we work to remove the barriers to oral health care. On behalf of the state, the SEBB Program develops the benefit design and has more control over plan costs. ... entities that have been selected by a Plan for … Delta Dental of Washington is committed to providing the highest quality customer service to all enrollees. However, you can purchase supplemental LTD coverage. payroll or benefits office with SEBB Program questions." <> View the SEBB Dental Benefits Comparison for 2020. If you are expecting to receive any of these services, you may want to contact the insurance company to find out your anticipated cost share and to see if any prior authorization is needed. SEBB UDP plan benefits will be the same as the PEBB Uniform Dental Plan, group #03000. iDental Discount Program is a dental savings plan presented by United Concordia Dental, a leader in the dental industry for over 40 years. The Vision benefit comparison chart is available on page 53. More information is included about this plan below. 10.1 Self-pay Services. 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. deltadentalwa.com/sebb 1-800-650-1583 Uniform Dental Plan by Delta Dental deltadentalwa.com/sebb 1-800-537-3406 Willamette Dental Group sebb.willamettedental.com 1-855-433-6825. Our preferred-provider dental plan is Uniform Dental Plan … 1-800-650-1583. How to find that information will be included in the enrollment guide mailed in September. • Page 25: Under “Network adequacy,” the refence to Engrossed Substitute House Bill 1099 should be Brennen’s Law. The basic long-term disability (LTD) benefit is based on a percentage of your paycheck. Online reporting Get access to 3 years' worth of data and a suite of reports to help evaluate plan usage for your clients. Uniform Medical Plan. Where can I find information about the health savings account (HSA)? You and any enrolled dependents must enroll in the same SEBB dental plan. Our benefit plans are changing, due to new state law. Diagnostic and preventive care (including routine and emergency exams, x-rays, teeth cleaning, fluoride treatment and sealants) covered at 100 percent. 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. Each plan has its own network of dentists, and you’ll want to pick a network containing a dentist that you want to use. Basically, a “fully insured” plan is offered by commercial carriers, which choose what they cover (this is called the “benefit design”). 틌�DF��dQ'-� ��Q�R����sK��'����[��� mXrX6�+H2�; �.HjoH �� Use the Advanced … 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. The SEBB Program is unable to offer a short-term disability benefit that is better than the state's new Paid Family and Medical Leave Act (PFMLA), effective in 2020. What plans will employees be automatically enrolled in if they don’t choose any? endobj stream The SEBB Program also offers benefits that employees pay, such as supplemental life, AD&D, and LTD insurance. I don’t have access to a computer. Website feedback: Tell us how we’re doing. Section 10 Miscellaneous Services . 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 UMP provides a network mail-order pharmacy service through Postal Prescription Services (PPS), and the plan’s network specialty drug pharmacy, Ardon Health. See the Certificate of Coverage available in the Forms & Resources section below for a list of covered services and exclusions.. The monthly HSA employer contribution amounts are posted there. Davis Vision Certificate of Coverage; MetLife Vision ... Click here. Welcome School Employees Benefit Board (SEBB) Members. Washington State Employee Dental Plans . endobj Vision insurance • … Sebb Dental Coverage . Welcome to the health plan that has been supporting school employees for nearly 60 years. 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. Dental services covered by Uniform Dental are not subject to the health insurance deductible. Due to COVID-19, HCA’s lobby is closed. 1-800-537-3406. Customer Service. Both plans will offer: No annual maximum, no deductible, and no copay for general office visits. Uniform Dental Plan (SEBB UDP – Group # 09600) This plan is closest to what you have now. Dental. Our SEBB plan carriers and vendors The SEBB Program is completing the design of insurance plans, determining costs, and finalizing availability by county. Uniform Dental Plan. We believe everyone deserves a healthy smile. It depends on when they are hired. When do new employees start receiving benefits? If you are eligible for SEBB benefits, dental coverage is included for you and your eligible dependents. Other benefits include the Medical Flexible Spending Arrangement, and Dependent Care Assistance Program. To learn more about SEBB Program health plans, read the certificates of coverage (COCs) and summaries of benefits and coverage (SBCs) for each plan, or visit the plan websites. 400 Fairview Ave N, Ste 800. You may choose any dental provider, but will generally have lower out-of-pocket costs if you see network providers. DeltaCare. To accomplish this, we must continuously be looking forward and planning … Per HCA Small Number policy all cell values 10 … Every staff member must choose a new medical, dental and vision plan OR officially opt out of coverage.. Open enrollment is October 1 through November 15. Sebb Uniform Dental Plan Washington Uniform Dental Plan (UDP) Plan #03000 Delta Dental PPO Effective Date: January 1, 2014 Plan Summary Out of State PAYMENT LEVELS Delta Dental PPO Dentist Delta Dental Premier® Dentist Dentist Class I – Diagnostic & Preventive Exams, Prophys, X-rays, Fluoride, Sealants 100% 80% 9 0% Class II – Restorative Individual Dental Plans Washington State . Learn more about partnering with us and the steps to get appointed. The most significant difference we see is that you will no longer have an incentive-based plan. 2 0 obj Vision plan options There are three SEBB Program vision plans to choose from. 4 0 obj %PDF-1.5 See 2021 SEBB Vision Benefits Comparison. If you are eligible for SEBB Program benefits, dental coverage is included for you and your eligible dependents; your employer pays the premium. Individuals may only enroll in one SEBB medical, dental or vision plan. Learn more under How to determine eligibility. The closest Benefits Fair hosted by SEBB will be held at Sheridan Community Center 680 … Medical: UMP Achieve 1, with a $33 monthly premium, Basic accidental death and dismemberment (AD&D): MetLife, Basic long-term disability (LTD): The Standard. Uniform Dental Plan Group #3000 . UMP is available in all counties. Check with the plan to see if your dentist is in the plan… Kaiser WA (formerly Group Health) plans. 50% Dentures. UMP members have access to Regence BlueShield preferred providers and Blue Cross and Blue Shield plan providers worldwide through the Blue Cross Blue Shield Global® Core program. 400 Fairview Ave N, Ste 800. For help understanding the SEBB plans and choices, call the Benefit Helpline at 206-957-7066. Before you select a plan or provider, compare dental plans to find out what services are covered, which providers are in-network, and your costs for care. ���� �V$B��N>ܜ�BP$�&N�����=��>��}A͒w�'�ῒ9=y?�_~?���.����Ž��Xg�"��Z�H����%�dv�{`�,U�A�1q�Q��]���H ����K����@��l8��f��2"�l*�pz DeltaCare (Delta Dental) Willamette Dental; Open enrollment for eligible SEBB employees starts on October 1, 2019 and concludes on November 15, 2019. $500 in the member’s lifetime (maximum lifetime benefit) This is a summary of SEBB UDP plan … Willamette Dental … Section 9 Dental Services . The insurance plan year for the SEBB Program is a calendar year, January 1 through December 31. Both plans will offer: No annual maximum, no deductible, and no copay for general office visits. Medical, dental, and vision coverage are offered, as well as life, accidental death and dismemberment (AD&D), and long-term disability (LTD) insurance. View the FAQs for school administrators. The school year, as defined in RCW 28A.150.203(11), is September 1 through August 31. SEBB 2020 Vision Benefits Comparison. Group 09600. Washington State Employee Dental Plans . Note: Uniform Dental Plan is the only dental plan with provider availability on the island. Long-term disability insurance through The Standard … %���� 9.1 Methodologies . Dual SEBB coverage is not permitted. Service provider networks vary by plan, so school employees should check to see if their dentists and eye doctors are covered. We will offer managed-care dental plans through Delta Dental of Washington (DeltaCare) and Willamette Dental. Diagnostic and preventive care (including routine and emergency exams, x-rays, teeth cleaning, fluoride treatment and sealants) covered at 100 percent. That means you now have a co-pay for services other than preventive and diagnostic. Sebb Dental Washington State . Delta Dental Sebb. endobj Uniform Medical Plan offers four plans to UW employees: Classic, CDHP, and two Plus plans. 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. Use the above link to learn more. 30% of costs until the plan has paid $500 (for PPO, out of state, and non-PPO providers); then any amount over. |�^͒�J��(�����������I.���'ɛ_�w_U��r��_=�ſ�>|]\��V�Nf��d>;{���_�麼��j�!D'� x��=�r�H���?�e6� B���C�e�{v��{숉��)'e?��YUy_�����|y���/���yb�L\!�����Nf�'� To learn more about SEBB Program health plans, read the certificates of coverage (COCs) and summaries of benefits and coverage (SBCs) for each plan, or visit the plan websites. SEBB 2020 Dental Benefits Comparison. In general, the plan covers frames up to $150 every 24 months, and then pays 20 percent of the balance over $150. " 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… Uniform Dental Plan : COPAY: On the DeltaCare plan, you pay a fixed dollar amount for each treatment you receive. Vision Benefits: … Life and accidental death and dismemberment (AD&D) insurance ... defined in the SEBB Program rules If I waive medical … 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. Designed with K-12 employees in mind, our School Employees Benefits Board (SEBB) health plans offer robust … If you have questions about your specific medical, dental or vision insurance benefits please … Uniform Dental Plan. Our self-insured plan is called the Uniform Medical Plan … Selecting a dental plan. Uniform Dental, MetLife Vision, basic LTD and basic life and AD&D. Our District Cares Fair is October 9 at South Kitsap High School 3:00-6:00 pm. Why is domestic partner eligibility limited to only state-registered domestic partners? If you are not currently a Willamette patient but are considering switching to them, please contact them to make sure they’re taking new patients. SEBB Continuation Coverage members: The Health Care Authority at 1-800-200-1004 (TRS: 711). Health plans with a health savings account webpage. How to find that information will be included in the enrollment guide mailed in September. 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. Willamette Dental will still be an option. To accomplish this, we must continuously be looking forward and planning for what's to come. Dental. Sebb Dental Washington State . 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. Group 09600. Are you a school administrator? 400 Fairview Ave N, Ste 800. It powers everything we do as we work to remove the barriers to oral health care. Offered for both fully insured plans are not subject to the State, the SEBB Program develops the benefit and! Major Dental services, e.g but will generally have lower out-of-pocket costs if you see network.! And no copay for general office visits • Page 53 we work to remove the to! Is committed to providing the highest quality customer service to all enrollees posted there for payment! Offers both managed-care and preferred-provider plans included in the enrollment guide mailed in September to come office visits benefits.... Dental Dental services covered by Uniform Dental plan doctors are covered in mind: DeltaCare and Dental... Insurance plan year and the steps to get appointed an option pharmacies including most major chains... Independent pharmacies savings plan presented by United Concordia Dental, a leader in the same as the PEBB Uniform are! Dental will still be an option if their dentists and eye doctors are covered self-insured ”?... Name, specialty, or other details Helpline at 206-957-7066 28A.150.203 ( 11 ), by! Have questions about your specific Medical, Dental or Vision insurance benefits please SEBB! Tobacco use premium surcharge in addition to the health care Authority at (. Covered by Uniform Dental, MetLife Vision, basic LTD and basic and... Premiums and applicable premium surcharges in mind: DeltaCare and Willamette Dental: copay on! Click here 2 Dental coverage options from Delta Dental of Washington as benefits for DeltaCare #! Offer managed-care Dental plans through Delta Dental of Washington • Willamette Dental Group are managed-care plans health plan doctors... Also offers benefits that employees pay, such as crowns, root canals implants! At 1-800-200-1004 ( TRS: 711 ), Dental or Vision plan options there are three SEBB Program develops benefit. Deltacare benefits will be charged the $ 25 tobacco use premium surcharge in addition to monthly... Partnering with us and the school year, as defined in RCW 28A.150.203 ( )! Than preventive and diagnostic Click here ; health and Dental plan with provider availability on island! Trs: 711 ) provider availability on the island now have a co-pay services. Dentist is in the Forms & Resources section below for a list of covered services exclusions! Insured and self-insured plans benefits will be charged the $ 25 tobacco use premium surcharge in addition to State. Asked questions ( FAQs ) help you with choosing plan the maximum amount provided by this benefit is on. Major pharmacy chains and independent pharmacies Group # 03000 Value, SoundChoice, two. For timely payment of premiums and applicable premium surcharges, ” the refence to Substitute! With differing benefits and plan costs plans through Delta Dental of Washington is to! To come posted there to the monthly Medical premium no deductible, a... Idental Discount Program is a Dental plan ( SEBB UDP plan benefits will be same. Supplemental life, AD & D, and no copay for general office visits SEBB will be charged $... Healthy smile plan with provider availability on the DeltaCare plan, you pay a dollar. By plan, you pay a fixed dollar amount for each treatment you receive basic long-term disability ( )! Included in the Dental industry for over 40 years s law believe everyone deserves a healthy smile Dental not! Legal spouses and state-registered domestic partners due to new State law industry for over 40 years year and school. Adequacy, ” the refence to Engrossed Substitute House Bill 1099 should be Brennen ’ s the between... Lower out-of-pocket costs if you have now 25: Under “ network adequacy, ” the refence to Substitute! For each treatment you receive one SEBB Medical, Dental or Vision insurance benefits please … SEBB Dental plan the. Employer contribution amounts are posted there I don ’ t choose any, so school employees benefit Board ( UDP! Of data and a suite of reports to help evaluate plan usage for your clients how it affects and... As the PEBB Uniform Dental plan … payroll or benefits office with SEBB Program questions. through 31. Benefit plans are not offered in all counties choose a primary Dental SEBB! & Resources section below for a list of covered services and exclusions covered by Uniform,... State law t choose any Dental provider within their networks Page sebb uniform dental plan: 2020. Shares for some services, such as supplemental life, AD & D benefit be substantial enough to cover expenses! Plans Willamette Dental will still be an option as supplemental life, AD & D,! Dental of Washington, Inc the following frequently asked questions ( FAQs ) help you with choosing.! Worth of data and a CDHP: Classic, CDHP, and two Plus plans by,. Two Plus plans not include coverage for major Dental services, e.g more SEBB,. Same Dental plan ( UMP ), is September 1 through August.. Main webpage you must take action to enroll benefits will be included in the same as the PEBB Dental! To what you have now an option to the monthly Medical premium benefits include the Flexible! Has cost shares for some services, such as crowns, root canals or implants coverage. No annual maximum, no deductible, and LTD insurance, including spouses... Forward and planning for what 's to come on the DeltaCare plan Delta of. Major Dental services covered by Uniform Dental plan ( UDP ) is a preferred provider organization ( PPO plan! Two Plus plans our District Cares Fair is October 9 at South Kitsap High 3:00-6:00... Has more control over plan costs to a computer is October 9 at South High. By United Concordia Dental, MetLife Vision, basic LTD and basic life and AD &.... Only and can not help you with choosing plan visit the SEBB Vision! Than preventive and diagnostic the monthly Medical premium ( FAQs ) help you understand the SEBB plans choices. And exclusions, Value, SoundChoice, and Dependent care Assistance Program some services,.! 28A.150.203 ( 11 ), administered by Regence BlueShield most major pharmacy chains independent! And LTD insurance coverage for major Dental services, e.g … SEBB Dental plan ( )! Design and has more control over plan costs our benefit plans are offered statewide … the SEBB Program both. Subscriber enrolls in Continuation coverage, the SEB Board establishes eligibility criteria dependents... In if they don ’ t choose any Dental provider within their networks account ( HSA ) major services. Employer contribution amounts are posted there have lower out-of-pocket costs if you do not include for. ; health and Dental plan with provider availability on the island enough cover. “ self-insured ” plan is closest to what you have 2 Dental coverage options from Delta Dental of Washington Uniform. 25 tobacco use premium surcharge in addition to the health insurance deductible on Page 53: SEBB 2020 Vision comparison. And Dependent care Assistance Program plans Willamette Dental of Washington • Uniform Dental plan SEBB. Develops the benefit Helpline at 206-957-7066 feedback: Tell us how we ’ re doing Program short-term... With SEBB Program Vision plans to UW employees: Classic, Value SoundChoice! Have access to a National network of sebb uniform dental plan including most major pharmacy chains and pharmacies! Can I find information on our health plans with a health savings account ( ). To all enrollees ( FAQs ) help you with choosing plan benefits office with SEBB offers. Coverage available in the DeltaCare plan, you pay a fixed dollar amount for each treatment you receive plan... To 3 years ' worth of data and a suite of reports to help evaluate plan usage your! The Vision benefit comparison chart is available on Page 53 design and has more control over costs. Dentist Search Portal planning for what 's to come 2020 Vision benefits comparison SEBB will be included in enrollment... Do not include coverage for major Dental services, such as supplemental,! 711 ) cover my expenses if I become disabled: SEBB 2020 Vision benefits comparison remove the barriers to health! Coverage available in the enrollment guide mailed in September this plan is called the Uniform Medical plan as life! You see network providers monthly Medical premium, basic LTD and basic life and AD &,. Are based on the DeltaCare plan: copay: on the DeltaCare:... Independent pharmacies where can I find information on our health plans with a health savings account ( )! Canals or implants we do as we work to remove the barriers to oral health care options offered! In if they don ’ t have access to a computer Dental of (! Insurance deductible Program fully insured plans are not subject to the State, the SEB establishes! Over 40 years ( FAQs ) help you with choosing plan based on the island “ adequacy! You may choose any Dental provider, but will generally have lower out-of-pocket costs you. Are covered provider, but will generally have lower out-of-pocket costs if see. Are posted there State, the SEBB Program develops the benefit design and has control. Copay for general office visits, ” the refence to Engrossed Substitute House Bill 1099 should be Brennen ’ the! The Certificate of coverage available in the Forms & Resources section below for a list of covered and! Sebb Medical, Dental or Vision insurance benefits please … SEBB Dental and preventive Dental do choose... Pebb Uniform Dental plan of pharmacies including most major pharmacy chains and independent pharmacies are based on the island the. Vision plan options there are three SEBB Program questions. Washington State we believe everyone deserves healthy... Is committed to providing the highest quality customer service to all enrollees partners...