sebb uniform dental plan

Kaiser WA offers four plans to UW employees: Classic, Value, SoundChoice, and a CDHP. endobj Seattle, WA 98109. Delta Dental Sebb. Sebb Dental Washington State . Our benefit plans are changing, due to new state law. SEBB medical and dental monthly enrollment reports Data showing how many subscribers are enrolled in SEBB Program medical and dental plans each month. 1 0 obj If you have questions about your specific medical, dental … 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. 50% Dentures. The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. Coverage under the School Employees Benefits Board (SEBB… Life and accidental death and dismemberment (AD&D) insurance ... defined in the SEBB Program rules If I waive medical … Online reporting Get access to 3 years' worth of data and a suite of reports to help evaluate plan usage for your clients. Uniform Dental Plan. Note: Uniform Dental Plan is the only dental plan with provider availability on the island. $500 in the member’s lifetime (maximum lifetime benefit) This is a summary of SEBB UDP plan … 9.2 Health Check/Adult/Pregnant Women . We will offer managed-care dental plans through Delta Dental of Washington (DeltaCare) and Willamette Dental. Uniform Dental Plan Group #3000 . The insurance plan year for the SEBB Program is a calendar year, January 1 through December 31. 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. To inform their decision, the SEB Board reviewed the specific reference to state-registered domestic partners in RCW 41.05.740(6)(d)(iii). x��=�r�H���?�e6� B���C�e�{v��{숉��)'e?��YUy_�����|y���/���yb�L\!�����Nf�'� Willamette Dental Group of Washington, Inc. 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Find a Dentist - Uniform Dental Plan Find a Dentist - DeltaCare Plan Delta Dental Plans Association National Dentist Search Portal. Individual Dental Plans Washington State . SEBB DeltaCare benefits will be the same as benefits for DeltaCare Group #03100. They will be charged the $25 tobacco use premium surcharge in addition to the monthly medical premium. 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. For help understanding the SEBB plans and choices, call the Benefit Helpline at 206-957-7066. Diagnostic and preventive care (including routine and emergency exams, x-rays, teeth cleaning, fluoride treatment and sealants) covered at 100 percent. The Vision benefit comparison chart is available on page 53. As of January 1, 2020, our insurance benefits shifted to the state run School Employees Benefits Board (SEBB). Your benefit eligibility and coverage period are based on the school year. You have 2 dental coverage options from Delta Dental of Washington. What is the Uniform Medical Plan (UMP) and who administers it? Will the basic long-term disability benefit be substantial enough to cover my expenses if I become disabled? 9.1 Methodologies . If you are eligible for SEBB Program benefits, dental coverage is included for you and your eligible dependents; your employer pays the premium. How to find that information will be included in the enrollment guide mailed in September. Sebb Uniform Dental Plan Washington . Keep in mind: DeltaCare and Willamette Dental Group are managed-care plans. Uniform Dental Plan (SEBB UDP – Group # 09600) This plan is closest to what you have now. iDental Discount Program is a dental savings plan presented by United Concordia Dental, a leader in the dental industry for over 40 years. Washington State Employee Dental Plans . How to find that information will be included in the enrollment guide mailed in September. Medical, dental, and vision coverage are offered, as well as life, accidental death and dismemberment (AD&D), and long-term disability (LTD) insurance. Benefits: PPO Managed-care plans: Uniform Dental Plan (Group 09600 PPO) DeltaCare (Group 09601) Williamette Dental … Sebb Dental Washington State . View the SEBB Dental Benefits Comparison for 2020. Their dependents will not be enrolled. 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. On behalf of the state, the SEBB Program develops the benefit design and has more control over plan costs. When do new employees start receiving benefits? Group 09600. 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. 400 Fairview Ave N, Ste 800. Seattle, WA 98109. A “self-insured” plan is offered by the employer organization — in this case, Washington State. Service provider networks vary by plan, so school employees should check to see if their dentists and eye doctors are covered. 틌�DF��dQ'-� ��Q�R����sK��'����[��� mXrX6�+H2�; �.HjoH �� You and any enrolled dependents must be enrolled in the same dental plan. Our SEBB plan carriers and vendors The SEBB Program is completing the design of insurance plans, determining costs, and finalizing availability by county. Vision plan options There are three SEBB Program vision plans to choose from. Why doesn't the SEBB Program offer short-term disability insurance? Uniform Dental Plan Providers . <> Uniform Dental Plan Group #3000 . CHECK IF YOUR DENTIST IS IN THE DeltaCare Plan: 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. Delta Care has only 6 locations in our area while Uniform Dental Plan is most like our current Sun Life dental plan… All SEBB dental and vision plans are offered statewide. 4 0 obj Medical: UMP Achieve 1, with a $33 monthly premium, Basic accidental death and dismemberment (AD&D): MetLife, Basic long-term disability (LTD): The Standard. 1-800-537-3406. 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… Section 10 Miscellaneous Services . The maximum amount provided by this benefit is $400 per month. Recommended PPO-Uniform Dental Plan (SEBB UDP(PPO) – Group # 09600). Designed with K-12 employees in mind, our School Employees Benefits Board (SEBB) health plans offer robust … 10.1 Self-pay Services. %PDF-1.5 Find a Dentist Tool Select 'DeltaCare' … Dental through Uniform Dental Plan (also known as the Delta Dental PPO), DeltaCare (the Delta Dental managed-care plan), and Willamette Dental Group. UMP members have access to a national network of pharmacies including most major pharmacy chains and independent pharmacies. This plan you can choose any office. Learn more about your customer service options. Long-term disability insurance through The Standard … We believe everyone deserves a healthy smile. 3 0 obj Uniform Medical Plan. See 2021 SEBB Dental Benefits Comparison. The SEBB Program offers both managed-care and preferred-provider plans. 50% Nonsurgical TMJ. Kaiser WA (formerly Group Health) plans. 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. Customer Service. A range of health care options is offered for both fully insured and self-insured plans, with differing benefits and plan costs. USOSM Continues Southeast Expansion, Announces Partnership with Oral Surgery Associates & Dental Implant Centers of Georgia Wednesday, August 12, 2020 Dental News Font : A- A+ Health, Vision, Dental, and More. The HSA is paired with the UMP High Deductible health plan. 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. Searching by name, specialty, or other details? 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. 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. What plans will employees be automatically enrolled in if they don’t choose any? Overview. UPDATED! If you have questions about your specific medical, dental or vision insurance benefits please … Dental of Washington • Uniform Dental Plan, administered by Delta Dental of Washington • Willamette Dental of Washington, Inc. The Uniform Dental Plan, through Delta Dental, has cost shares for some services, e.g. 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. Plan options; Health and dental plan options Uniform Medical Plan. Our self-insured plan is called the Uniform Medical Plan (UMP), administered by Regence BlueShield. We believe everyone deserves a healthy smile. On behalf of the state, the SEBB Program develops the benefit design and has more control over plan costs. 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. 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. SEBB UDP plan benefits will be the same as the PEBB Uniform Dental Plan, group #03000. Uniform Dental Plan (UDP) is a preferred provider organization (PPO) plan. 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. 1-800-650-1583. That means you now have a co-pay for services other than preventive and diagnostic. Sebb Uniform Medical Plan. Individuals may only enroll in one SEBB medical, dental or vision plan. 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. DeltaCare (Delta Dental) Willamette Dental; Open enrollment for eligible SEBB employees starts on October 1, 2019 and concludes on November 15, 2019. SEBB Continuation Coverage members: The Health Care Authority at 1-800-200-1004 (TRS: 711). It powers everything we do as we work to remove the barriers to oral health care. 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Health plans with a health savings account webpage. 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. To accomplish this, we must continuously be looking forward and planning for what's to come. Due to COVID-19, HCA’s lobby is closed. Dental. 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). fillings, crowns and root canals. health care options is offered for both fully insured and self-insured plans. Service provider networks vary by plan, so school employees should check to see if their dentists and eye doctors are covered. If you are eligible for SEBB benefits, dental coverage is included for you and your eligible dependents. Group 09601. SEBB 2020 Dental Benefits Comparison. 30% of costs until the plan has paid $500 (for PPO, out of state, and non-PPO providers); then any amount over. payroll or benefits office with SEBB Program questions." 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. Note: Uniform Dental Plan is the only dental plan with provider availability on the island. The most significant difference we see is that you will no longer have an incentive-based plan. Our preferred-provider dental plan is Uniform Dental Plan … Kaiser Permanente NW plans Washington State Employee Dental Plans . Both plans will offer: No annual maximum, no deductible, and no copay for general office visits. Customer Service. Why is domestic partner eligibility limited to only state-registered domestic partners? DeltaCare. You must choose a primary dental provider within their networks. Dual SEBB coverage is not permitted. 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 $0 • Deductible & Delta Dental of Washington is committed to providing the highest quality customer service to all enrollees. A “self-insured” plan is offered by the employer organization — in this case, Washington State. Your employer pays the premium. Dental. If you do not choose a primary dental … Per HCA Small Number policy all cell values 10 … Medical Plans: Kaiser Foundation Health Plan of the Washington Kaiser Permanente NW 1,2,3 MY.KO.ORG/SEBB 1-800-813-2000 Kaiser Foundation Health Plan of Washington Each plan has its own network of dentists, and you’ll want to pick a network containing a dentist that you want to use. Customer Service. <>>> However, you can purchase supplemental LTD coverage. Find information on our Health plans with a health savings account webpage. SEBB Program fully insured plans are not offered in all counties. Learn more about partnering with us and the steps to get appointed. Uniform Medical Plan (UMP) is the SEBB Program’s self-insured health plan, administered by Regence BlueShield and Washington State Rx Services (WSRxS) through Moda Health. For more SEBB information, visit the SEBB Main Webpage You must take action to enroll. You may choose any dental provider, but will generally have lower out-of-pocket costs if you see network providers. Our District Cares Fair is October 9 at South Kitsap High School 3:00-6:00 pm. SEBB Program fully insured plans are not offered in all counties. More information is included about this plan below. Please note that SEBB employees who do not either enroll in or waive SEBB Program coverage during open enrollment will automatically be enrolled into the Uniform Dental Plan. �-@�� e�@�A�of��+X�I��+�e��%�JE��5;�Pf]����T�\��s��4ʥڶ�t�����T�am���:�"����*DVd�w��$�boXZ��͓Z����I"�ѡF�T. Learn more under How to determine eligibility. Vision insurance • … 400 Fairview Ave N, Ste 800. technical assistance only and cannot help you with choosing plan. Section 9 Dental Services . What is the difference between the insurance plan year and the school year? To accomplish this, we must continuously be looking forward and planning … Website feedback: Tell us how we’re doing. Uniform Dental, MetLife Vision, basic LTD and basic life and AD&D. See 2021 SEBB Dental Benefits Comparison. Uniform Dental Plan Group 09600 . Sebb Dental Coverage . 12. Diagnostic and preventive care (including routine and emergency exams, x-rays, teeth cleaning, fluoride treatment and sealants) covered at 100 percent. 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 Vision plan options There are three SEBB Program vision plans … • Page 25: Under “Network adequacy,” the refence to Engrossed Substitute House Bill 1099 should be Brennen’s Law. If a subscriber enrolls in continuation coverage, the subscriber is responsible for timely payment of premiums and applicable premium surcharges. Welcome to the health plan that has been supporting school employees for nearly 60 years. 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. Uniform Dental and Preventive Dental do not include coverage for major dental services, such as crowns, root canals or implants. Under the SEBB Program, eligible school employees will be able to choose from up to three dental plan options, depending on where they live: Uniform Dental Plan (Delta Dental) DeltaCare (Delta Dental) Willamette Dental; Open enrollment for eligible SEBB … ... Kaiser Permanente NW Kaiser Permanente WA Premera Uniform Medical Plan 2021 SEBB Medical Benefits Comparison 2021 SEBB Medical Premiums 2021 SEBB Availability by County. Our preferred-provider dental plan is Uniform Dental It powers everything we do as we work to remove the barriers to oral health care. Uniform Dental Plan. Willamette Dental will still be an option. SEBB 2020 Vision Benefits Comparison. Check with the plan to see if your dentist is in the plan… Insured and self-insured plans SEBB 2020 Vision benefits comparison benefits will be the same as the PEBB Uniform plan... 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Questions ( FAQs ) help you understand the SEBB Program Vision plans choose. Be enrolled in if they don ’ t have access to a computer, due to State! Is called the Uniform Dental plan is offered by the employer organization in...