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. On behalf of the state, the SEBB Program develops the benefit design and has more control over plan costs. Find information on our Health plans with a health savings account webpage. 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. It depends on when they are hired. 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. The Vision benefit comparison chart is available on page 53. Delta Care has only 6 locations in our area while Uniform Dental Plan is most like our current Sun Life dental plan… Learn more about your customer service options. Their dependents will not be enrolled. If you are eligible for SEBB benefits, dental coverage is included for you and your eligible dependents. 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. Uniform Dental Plan Group #3000 . To inform their decision, the SEB Board reviewed the specific reference to state-registered domestic partners in RCW 41.05.740(6)(d)(iii). 1-800-537-3406. The HSA is paired with the UMP High Deductible health plan. Kaiser WA (formerly Group Health) plans. stream Uniform Dental Plan Providers . 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 What is the Uniform Medical Plan (UMP) and who administers it? Are you a school administrator? We believe everyone deserves a healthy smile. Willamette Dental Group of Washington, Inc. 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Life and accidental death and dismemberment (AD&D) insurance ... defined in the SEBB Program rules If I waive medical … UMP is available in all counties. 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. 12. 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. They will be charged the $25 tobacco use premium surcharge in addition to the monthly medical premium. 400 Fairview Ave N, Ste 800. The insurance plan year for the SEBB Program is a calendar year, January 1 through December 31. Delta Dental of Washington is committed to providing the highest quality customer service to all enrollees. 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. 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. Health plans with a health savings account webpage. SEBB Program fully insured plans are not offered in all counties. 틌�DF��dQ'-� ��Q�R����sK��'����[��� mXrX6�+H2�; �.HjoH �� 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. This is not dental insurance, but rather a dental discount plan that allows you to save on popular dental services like exams, X-rays, cleanings and more. Willamette Dental will still be an option. 4 0 obj 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 . SEBB 2020 Vision Benefits Comparison. See the Certificate of Coverage available in the Forms & Resources section below for a list of covered services and exclusions.. 9.2 Health Check/Adult/Pregnant Women . Welcome School Employees Benefit Board (SEBB) Members. A “self-insured” plan is offered by the employer organization — in this case, Washington State. Our self-insured plan is called the Uniform Medical Plan (UMP), administered by Regence BlueShield. Find a Dentist - Uniform Dental Plan Find a Dentist - DeltaCare Plan Delta Dental Plans Association National Dentist Search Portal. Searching by name, specialty, or other details? endobj 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. Sebb Uniform Dental Plan Washington . 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 The SEBB Program also offers benefits that employees pay, such as supplemental life, AD&D, and LTD insurance. It powers everything we do as we work to remove the barriers to oral health care. Benefits: PPO Managed-care plans: Uniform Dental Plan (Group 09600 PPO) DeltaCare (Group 09601) Williamette Dental … ... entities that have been selected by a Plan for … Welcome to the health plan that has been supporting school employees for nearly 60 years. 1-800-537-3406. The Vision benefit comparison chart is available on page 53. Overview. Our self-insured plan is called the Uniform Medical Plan … Coverage under the School Employees Benefits Board (SEBB… The school year, as defined in RCW 28A.150.203(11), is September 1 through August 31. Medical: UMP Achieve 1, with a $33 monthly premium, Basic accidental death and dismemberment (AD&D): MetLife, Basic long-term disability (LTD): The Standard. health care options is offered for both fully insured and self-insured plans. 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. By law, the SEB Board establishes eligibility criteria for dependents, including legal spouses and state-registered domestic partners. See 2021 SEBB Dental Benefits Comparison. 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. 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. Uniform Dental, MetLife Vision, basic LTD and basic life and AD&D. The SEBB Program offers both managed-care and preferred-provider plans. SEBB UDP plan benefits will be the same as the PEBB Uniform Dental Plan, group #03000. That means you now have a co-pay for services other than preventive and diagnostic. If you have questions about your specific medical, dental … Washington State Employee Dental Plans . Uniform Dental and Preventive Dental do not include coverage for major dental services, such as crowns, root canals or implants. 3 0 obj x��=�r�H���?�e6� B���C�e�{v��{숉��)'e?��YUy_�����|y���/���yb�L\!�����Nf�'� Davis Vision Certificate of Coverage; MetLife Vision ... Click here. Service provider networks vary by plan, so school employees should check to see if their dentists and eye doctors are covered. View the FAQs for school administrators. Note: Uniform Dental Plan is the only dental plan with provider availability on the island. You have 2 dental coverage options from Delta Dental of Washington. SEBB DeltaCare benefits will be the same as benefits for DeltaCare Group #03100. Sebb Uniform Dental Plan Washington Keep in mind: DeltaCare and Willamette Dental Group are managed-care plans. Recommended PPO-Uniform Dental Plan (SEBB UDP(PPO) – Group # 09600). Dental. Your benefit eligibility and coverage period are based on the school year. Delta Dental Sebb. If a subscriber enrolls in continuation coverage, the subscriber is responsible for timely payment of premiums and applicable premium surcharges. Uniform Dental Plan (Group 09600) $50 individual/ Deductible up to 5150 family 51,750 Plan maximum (see specifc benefit Managed-care plans Delta Care (Group 09601) ... in the same SEBB Vision plan. �-@�� e�@�A�of��+X�I��+�e��%�JE��5;�Pf]����T�\��s��4ʥڶ�t�����T�am���:�"����*DVd�w��$�boXZ��͓Z����I"�ѡF�T. Learn more under How to determine eligibility. The following frequently asked questions (FAQs) help you understand the SEBB Program and how it affects you and your dependents. Uniform Dental Plan Sebb . Long-term disability insurance through The Standard … Group 09601. Diagnostic and preventive care (including routine and emergency exams, x-rays, teeth cleaning, fluoride treatment and sealants) covered at 100 percent. Additionally, SEBB offers Uniform Dental Plan, a Preferred Provider Organization (PPO) plan administered by Delta Dental of WA. Our preferred-provider dental plan is Uniform Dental Sebb Uniform Medical Plan. What’s the difference between “fully insured” and “self-insured” plans? Seattle, WA 98109. 400 Fairview Ave N, Ste 800. A range of health care options is offered for both fully insured and self-insured plans, with differing benefits and plan costs. technical assistance only and cannot help you with choosing plan. Use the Advanced … Dental services covered by Uniform Dental are not subject to the health insurance deductible. 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. UMP members have access to a national network of pharmacies including most major pharmacy chains and independent pharmacies. Each plan has its own network of dentists, and you’ll want to pick a network containing a dentist that you want to use. In the “Selecting a vision plan” section, under “Vision plan options” the second paragraph should read, "Routine eye exams are covered at 100 percent under any of the three plans. Washington State Employee Dental Plans . We believe everyone deserves a healthy smile. Our benefit plans are changing, due to new state law. DeltaCare (Delta Dental) Willamette Dental; Open enrollment for eligible SEBB employees starts on October 1, 2019 and concludes on November 15, 2019. In general, the plan covers frames up to $150 every 24 months, and then pays 20 percent of the balance over $150. " You and any enrolled dependents must enroll in the same SEBB dental plan. payroll or benefits office with SEBB Program questions." New to Delta Dental? 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 Why is domestic partner eligibility limited to only state-registered domestic partners? Sebb Dental Washington State . 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. Note: Uniform Dental Plan is the only dental plan with provider availability on the island. 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. endobj You and any enrolled dependents must be enrolled in the same dental plan. View the SEBB Dental Benefits Comparison for 2020. 1 0 obj Willamette Dental … Online reporting Get access to 3 years' worth of data and a suite of reports to help evaluate plan usage for your clients. 2 0 obj When do new employees start receiving benefits? 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DeltaCare. Uniform Dental Plan. This plan you can choose any office. On behalf of the state, the SEBB Program develops the benefit design and has more control over plan costs. Customer Service. Individual Dental Plans Washington State . |�^͒�J��(�����������I.���'ɛ_�w_U��r��_=�ſ�>|]\��V�Nf��d>;{���_�麼��j�!D'� Section 10 Miscellaneous Services . Medical, dental, and vision coverage are offered, as well as life, accidental death and dismemberment (AD&D), and long-term disability (LTD) insurance. See 2021 SEBB Dental Benefits Comparison. The most significant difference we see is that you will no longer have an incentive-based plan. 1-800-650-1583. 10.1 Self-pay Services. Our SEBB plan carriers and vendors The SEBB Program is completing the design of insurance plans, determining costs, and finalizing availability by county. Subscriber enrolls in Continuation coverage, the SEBB Program fully insured plans are offered statewide offers four plans UW! 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