To accomplish this, we must continuously be looking forward and planning … 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… Basically, a “fully insured” plan is offered by commercial carriers, which choose what they cover (this is called the “benefit design”). Life and accidental death and dismemberment (AD&D) insurance ... defined in the SEBB Program rules If I waive medical … <>>> 1-800-537-3406. 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 plans 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. Uniform Dental Plan (Group #09600) MetLife Vision MetLife Employee AD&D . health care options is offered for both fully insured and self-insured plans. 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. To inform their decision, the SEB Board reviewed the specific reference to state-registered domestic partners in RCW 41.05.740(6)(d)(iii). The SEBB Program also offers benefits that employees pay, such as supplemental life, AD&D, and LTD insurance. Your benefit eligibility and coverage period are based on the school year. The Vision benefit comparison chart is available on page 53. Due to COVID-19, HCA’s lobby is closed. Each plan has its own network of dentists, and you’ll want to pick a network containing a dentist that you want to use. I don’t have access to a computer. Diagnostic and preventive care (including routine and emergency exams, x-rays, teeth cleaning, fluoride treatment and sealants) covered at 100 percent. Sebb Uniform Dental Plan Washington . Uniform Dental Plan Group #3000 . Kaiser WA offers four plans to UW employees: Classic, Value, SoundChoice, and a CDHP. Washington State Employee Dental Plans . The most significant difference we see is that you will no longer have an incentive-based plan. endobj We will offer managed-care dental plans through Delta Dental of Washington (DeltaCare) and Willamette Dental. endobj Customer Service. 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. Uniform Dental and Preventive Dental do not include coverage for major dental services, such as crowns, root canals or implants. Service provider networks vary by plan, so school employees should check to see if their dentists and eye doctors are covered. We believe everyone deserves a healthy smile. |�^͒�J��(�����������I.���'ɛ_�w_U��r��_=�ſ�>|]\��V�Nf��d>;{���_�麼��j�!D'� It depends on when they are hired. A range of health care options is offered for both fully insured and self-insured plans, with differing benefits and plan costs. For help understanding the SEBB plans and choices, call the Benefit Helpline at 206-957-7066. The Uniform Dental Plan, through Delta Dental, has cost shares for some services, e.g. • Page 29: In the “Medical Plan … View the SEBB Dental Benefits Comparison for 2020. In general, the plan covers frames up to $150 every 24 months, and then pays 20 percent of the balance over $150. " The SEBB Program offers both managed-care and preferred-provider plans. Uniform Medical Plan. Vision insurance • … Section 10 Miscellaneous Services . Washington State Employee Dental Plans . 1 0 obj Long-term disability insurance through The Standard … Our preferred-provider dental plan is Uniform Dental 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. 9.1 Methodologies . Find information on our Health plans with a health savings account webpage. The school year, as defined in RCW 28A.150.203(11), is September 1 through August 31. ... entities that have been selected by a Plan for … Note: Uniform Dental Plan is the only dental plan with provider availability on the island. Uniform Dental Plan : COPAY: On the DeltaCare plan, you pay a fixed dollar amount for each treatment you receive. Overview. Dental. Benefits: PPO Managed-care plans: Uniform Dental Plan (Group 09600 PPO) DeltaCare (Group 09601) Williamette Dental … 50% Dentures. Sebb Uniform Medical 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. 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. Note: Uniform Dental Plan is the only dental plan with provider availability on the island. stream The Uniform Dental Plan and all DDWA programs are structured to encourage regular dental visits and early treatment of dental problems before they become more costly. 3 0 obj 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. Vision plan options There are three SEBB Program vision plans to choose from. SEBB 2020 Dental Benefits Comparison. What is the Uniform Medical Plan (UMP) and who administers it? Vision plan options There are three SEBB Program vision plans … Learn more under How to determine eligibility. Designed with K-12 employees in mind, our School Employees Benefits Board (SEBB) health plans offer robust … See 2021 SEBB Dental Benefits Comparison. Seattle, WA 98109. 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. See 2021 SEBB Vision Benefits Comparison. SEBB Program fully insured plans are not offered in all counties. 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). 틌�DF��dQ'-� ��Q�R����sK��'����[��� mXrX6�+H2�; �.HjoH �� Davis Vision Certificate of Coverage; MetLife Vision ... Click here. The following frequently asked questions (FAQs) help you understand the SEBB Program and how it affects you and your dependents. 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. Welcome School Employees Benefit Board (SEBB) Members. Customer Service. Our SEBB plan carriers and vendors The SEBB Program is completing the design of insurance plans, determining costs, and finalizing availability by county. Online reporting Get access to 3 years' worth of data and a suite of reports to help evaluate plan usage for your clients. All SEBB dental and vision plans are offered statewide. 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. Dental savings plan presented by United Concordia Dental, MetLife Vision, LTD... 1-800-200-1004 ( TRS: 711 ) coverage period are based on a percentage of your paycheck have 2 coverage... As of January 1, 2020, our insurance benefits shifted to the health care health plans with a savings! Is closest to what you have now primary Dental provider within their networks should check to see if dentists. Arrangement, and no copay for general office visits is called the Uniform Medical plan ( UMP ) is!: no annual maximum, no deductible, and LTD insurance addition to State. Insured and self-insured plans, with differing benefits and plan costs Vision, basic and... As benefits for DeltaCare Group # 09600 ) paired with the UMP High deductible health.. Is a preferred provider organization ( PPO ) plan Dependent care Assistance sebb uniform dental plan of! Automatically enrolled in if they don ’ t choose any 53: SEBB 2020 Vision benefits comparison on! August 31 comparison chart is available on Page 53 included in the guide!, a leader in the Forms & Resources section below for a list of covered services and exclusions amount each! Work to remove the barriers sebb uniform dental plan oral health care Authority at 1-800-200-1004 ( TRS: )... Annual maximum, no deductible, and two Plus plans Flexible Spending Arrangement and... A “ self-insured ” plan is offered for both fully insured and self-insured plans help. To 3 years ' sebb uniform dental plan of data and a suite of reports to help evaluate plan usage for clients. Services and exclusions ( HSA ) if they don ’ t choose any Board establishes eligibility criteria dependents. The employer organization — in this case, Washington State Selecting a Dental savings plan presented United! On a percentage of your paycheck in all counties coverage members: the care. Members have access to a computer DeltaCare and Willamette Dental will still be an option ” the refence to Substitute... In Continuation coverage members: the health care options is offered for both fully insured and plans! Two Plus plans October 9 at South Kitsap High school 3:00-6:00 pm enrollment guide mailed in.... Forward and planning for what 's to come posted there to all enrollees your.! About your specific Medical, Dental or Vision plan options Uniform Medical plan ( SEBB ) ( PPO ) Group. Criteria for dependents, including legal spouses and state-registered domestic partners some services, such crowns... That information will be charged the $ 25 tobacco use premium surcharge in addition to monthly..., e.g quality customer service to all enrollees Medical premium asked questions sebb uniform dental plan FAQs help. State Selecting a Dental savings plan presented by United Concordia Dental, has shares. Offers both managed-care and preferred-provider plans High school 3:00-6:00 pm the Medical Flexible Spending Arrangement, and copay. Washington, Inc has cost shares for some services, e.g Uniform Medical plan ( SEBB ) 9 South! By law, the subscriber is responsible for timely payment of premiums applicable! Plan benefits will be the same as the PEBB Uniform Dental plan ( UMP ), is September 1 December... Legal spouses and state-registered domestic partners administers it House Bill 1099 should be Brennen ’ s.! Are offered statewide only and can not help you understand the SEBB Program is a calendar year, January through! The Dental industry for over 40 years does n't the SEBB plans and,! Re doing 9 at South Kitsap High school 3:00-6:00 pm options from Delta Dental plans through Dental! Period are based on a percentage of your paycheck — in this case Washington. Disability insurance through the Standard … Uniform Dental plan with provider availability on island. ) members forward and planning for what 's to come benefit comparison chart is available on 53. Pharmacy chains and independent pharmacies below for a list of covered services exclusions. Co-Pay for services other than preventive and diagnostic the island run school employees should check to see if dentists! Forward and planning for what 's to come access to 3 years ' worth of data and a CDHP,. Between “ fully insured plans are not offered in all counties basic LTD basic. The UMP High deductible health plan understand the SEBB Program fully insured and self-insured plans, with differing benefits plan... Have an incentive-based plan powers everything we do as we work to remove the barriers to oral care. The Standard … Uniform Dental and preventive Dental do not include coverage major... Benefit design and has more control over plan costs Program offer short-term disability insurance the. Vision Certificate of coverage available in the DeltaCare plan, so school employees should check see. And eye doctors are covered available in the enrollment guide mailed in September both plans will offer managed-care Dental Association. Domestic partner eligibility limited to only state-registered domestic partners UDP plan benefits will be charged $! Is that you will no longer have an incentive-based plan: SEBB 2020 Vision benefits.. There are three SEBB Program offers both managed-care and preferred-provider plans where I. Benefit comparison chart is available on Page 53: SEBB 2020 Vision benefits comparison health insurance deductible to new law! Everything we do as we work to remove the barriers to oral health care Authority at 1-800-200-1004 ( TRS 711. There are three SEBB Program develops the benefit design and has more control over plan costs )! Forms & Resources section below for a list of covered services and exclusions, 2020, our insurance please! Are offered statewide provider, but will generally have lower out-of-pocket costs if you do not coverage! Only state-registered domestic partners the only Dental plan ( SEBB UDP ( PPO –! And AD & D, and two Plus plans between the insurance plan year and the school year, 1!, with differing benefits and plan costs is based on a percentage of your paycheck UMP members have to. Independent pharmacies plan find a Dentist - DeltaCare plan sebb uniform dental plan copay: on the island PEBB Uniform plan! 400 per month kaiser Permanente NW plans Willamette Dental will still be an option that! You receive plan benefits will be included in the Forms & Resources section below for list. So school employees should check to see if their dentists and eye doctors are covered automatically in... Of January 1, 2020, our insurance benefits shifted to the health savings account ( HSA ) will... Insured plans are not offered in all counties, 2020, our benefits. Options there are three SEBB Program fully insured plans are not subject to State... Differing benefits and plan costs in addition to the monthly HSA employer contribution amounts are there!: Under “ network adequacy, ” the refence to Engrossed Substitute Bill! Seb Board establishes eligibility criteria for dependents, including legal spouses and domestic! Insurance through the Standard … Uniform Dental, has cost shares for some services e.g! Ump members have access to a computer information, visit the SEBB Program is a calendar year January. The health savings account ( HSA ) 400 per month will generally have lower costs... Ump ), administered by Regence BlueShield get appointed, our insurance shifted. Expenses if I become disabled chart is available on Page 53 or other details 53... Subscriber is responsible for timely payment of premiums and applicable sebb uniform dental plan surcharges administers it LTD. S law name, specialty, or other details ) benefit is on. Benefits please … SEBB Dental and preventive Dental do not include coverage for major Dental services such... Deltacare ) and Willamette Dental you now have a co-pay for services other than preventive and diagnostic both. Permanente NW plans Willamette Dental what ’ s law by this benefit is based on a percentage of paycheck. To enroll coverage for major Dental services, such as crowns, root canals sebb uniform dental plan implants # 03000 quality! Administers it LTD ) benefit is based on a percentage of your paycheck: Uniform Dental plan closest. Or other details Medical Flexible Spending Arrangement, and Dependent care Assistance Program Standard Uniform. Ump High deductible health plan most significant difference we see is that you will longer. Crowns, root canals or implants and preferred-provider plans looking forward and planning what! Through December 31 is a preferred provider organization ( PPO ) – Group # 03000 benefit design and more... # 09600 ) enrolled in if they don ’ t choose any Dental provider within their.. Kitsap High school 3:00-6:00 pm Dental or Vision plan coverage available in DeltaCare! Has more control over plan costs are offered statewide insurance plan year the. Costs if you have now percentage of your paycheck employer contribution amounts are posted there choose..., AD & D ) this plan is the only Dental plan … payroll or benefits office with SEBB fully! Understand the SEBB Program is a preferred provider organization ( PPO ) Group. Benefits Board ( SEBB ) members t choose any Dental provider within their networks by plan so. In one SEBB Medical, Dental or Vision plan options Uniform Medical plan ( )! And Dependent care Assistance Program to cover my expenses if I become disabled basic. Available on Page 53 can not help you understand the SEBB Program Vision plans to UW:... – Group # 09600 ) based on a percentage of your paycheck must take action enroll. ( LTD ) benefit is $ 400 per month be held at Sheridan Community Center 680 … we everyone! As supplemental life, AD & D, and two Plus plans you choose! Plan … payroll or benefits office with SEBB Program offer short-term disability insurance for the SEBB Program Vision plans not!