Some people may notice a difference in their dental coverage. Please contact Medicare for coverage questions as Medicare Part B is primary. Uniform Dental Plan (administered by Delta Dental of Washington) Contact. Presented are just some of the most common procedures covered in your plan. If you waive medical coverage initially, and later want to enroll in SEBB medical coverage, you can reenroll during the annual open enrollment (for coverage effective January 1 of the following year). The School Employees Benefits Board (SEBB) Program administers health insurance and other benefits to all employees in school districts and charter schools, and union-represented employees of educational service districts in Washington. However, you will remain enrolled in SEBB dental, vision, basic life and accidental death and dismemberment (AD&D) insurance, and long-term disability (LTD) coverage. Medical plans Dental plans You can also request a PEBB Retiree Enrollment Guide. The initial enrollment period is seven months. How does Medicare work with SEBB employee benefits? However, you will remain enrolled in SEBB dental, vision, basic life and AD&D insurance, and basic LTD insurance (if eligible), and your dependents will not remain enrolled in medical coverage. Waiting periods may be waived if you had qualifying dental coverage prior to enrolling. For eligibility information and general FAQs, visit hca.wa.gov/sebb-employee. If you are not working more than 3 months after turning age 65, use caution and make sure you aware of the initial enrollment timelines to enroll in Part B. Home > Welcome School Employees Benefit Board (SEBB) Members > Welcome School Employees Benefits Board (SEBB) Program Members. PRO TIP – "ALEX" is not an enrollment system. Since your employer’s medical plan would be the primary coverage over any Medicare plans, they should consider whether enrolling in a Medicare plan holds any value for them. If anything in these charts conflicts with the plan’s Certificate of Coverage (COC), the COC takes precedence and prevails. All SEBB medical plans provide creditable prescription drug benefits that are as good as or better than Medicare Part D coverage. DENTAL ENROLLMENT GUIDE Willamette Dental Group Plan, Effective January 1, 2020 Underwritten by Willamette Dental of Washington, Inc. School Employees Benefits Board (SEBB) Group Plan Number: WA733 007-WA733(8/19) SCHOOL EMPLOYEES BENEFITS BOARD If you wait until the last four months of the initial enrollment period to sign up your coverage will be delayed. SEBB coverage, as the primary, pays up to the limits of its coverage, and then Medicare, as the secondary payer, only pays if there are costs not covered by the primary payer that are within the Medicare-approved amounts. Entitlement to Medicare also qualifies as a special open enrollment event, allowing you to change your health plans. The SEBB Program does not offer retiree insurance coverage. You can call the SEBB Program at 1-800-200-1004 (select menu option 6) to request a notice of creditable coverage. If you waive enrollment in a SEBB medical plan, you can reenroll during the next annual open enrollment (for coverage effective January 1 of the following year) or if you have a special enrollment event that allows the change. The SEBB Program should receive your enrollment/change form 30 days before the Medicare enrollment date, but must receive it no later than 60 days after the Medicare enrollment date. or Medicare. The initial enrollment period for SEBB benefits is October 1 through November 15, 2019. Or, if you have a special open enrollment event that allows the change, you can enroll in medical coverage. You can avoid penalties by deferring Medicare enrollment when you’re enrolled in SEBB coverage. You have chosen the Uniform Dental Plan (UDP) GROUP #09600. There are circumstances where Medicare would be the primary payer even when you are enrolled in employer-sponsored benefits. Benefit coverage begins January 1, 2020. PEBB requires enrollment in both Medicare Part A and Part B for those entitled as one of the eligibility requirements for PEBB retiree insurance coverage. Selecting a dental plan. coverage or contact the plan directly. Actual rates vary based on plan choice, your age, your location, number of people insured, their age, and relationship to you. DeltaCare (administered by Delta Dental of Washington) Online: DeltaCare for school employees Phone: 1-800-650-1583 TTY: 1-800-833-6384 Address: 400 Fairview Ave. N., Suite 800 Seattle, WA 98109-5371. Note: You cannot remove your spouse from medical coverage when they become entitled to Medicare during the year. Learn more about your customer service options. Note: Medicaid and TRICARE never pay first for services covered by Medicare. Medicare Part D is available to people enrolled in Medicare Part A and/or Part B. For full details of plans, benefits and pricing, please visit DeltaDentalCoversMe.com. Note: You cannot remove your spouse from medical coverage when they … Learn about how Medicare works with your SEBB employee benefits. What are the different parts of Medicare and what do they cover? Medical plans Dental plans It begins three months before the month you turn 65, includes the month you turn 65, and ends three months after the month you turn 65. Foundation Plan of Washington, and Kaiser Foundation Plan of Washington Options, Inc. plans it should read, “$400 max per ear benefit every 36 months.” • Under “Therapy: Physical, occupational, speech, and neurodevelopmental (per-office visit cost)” for the Premera Blue Cross plans, it should read, "$40 (45 PT/ST/OT combined/ TRICAR plan. Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Update my income or address (report a change), Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. The Uniform Dental Plan, through Delta Dental, has cost shares for some services, e.g. Please see the Certificate of Coverage for a If you enroll or cancel (terminate) enrollment in Medicare Part D, you may need a “notice of creditable coverage” to prove to Medicare or the prescription drug plan that you have had continuous prescription drug coverage to reenroll at a later date without penalties. Dental Insurance Plans Take the first step to protecting your smile and learn more about our individual and family dental benefit plans. 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 Willamette Dental Group of Washington, Inc. 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The Medicare Initial Enrollment Period (IEP) trumps any Special Enrollment Period (SEP). ... 2020 Delta Dental of Washington. However, if you are in a high deductible health plan (HDHP) with a health savings account (HSA), you should not sign up for Medicare unless you are changing plans. 2020 SEBB Dental Benefits Comparison SCHOOL EMPLOYEES BENEFITS BOARD HCA 20-0053 (8/19) Annual costs PPO If you select this plan, you may have to enroll in Medicare Part D to get your prescriptions, unless you have other creditable prescription drug coverage (e.g., VA). The SEB Board meets regularly to discuss SEBB benefits. Their meetings are open to the public.Â, Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Update my income or address (report a change), Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. To avoid paying a higher premium, you should enroll in a Medicare Part D plan within 63 days after your SEBB medical coverage ends. For specific details of each plan’s coverage, please refer your patients to the Washington … Review the Medicare and Other Health Benefits: Your Guide to Who Pays First for an explanation of those circumstances. When you plan to terminate your employment and want to enroll in PEBB retiree health plan coverage, you will need to contact the PEBB Program about 90 days prior to terminating employment at 1-800-200-2004 (select menu 5 ) to ask general PEBB retiree insurance questions. School Employees Benefits Board Information (SEBB) New benefits-eligible employees have 31 days from their date of hire to complete enrollment in SEBB. Employees thet elect to SEBB medical coverËge must enrolled in other employer-based group mediffl. Premera Blue Cross has been providing health plans to school employees across the state for nearly 60 years. View the SEBB Dental Benefits Comparison for 2020. You may choose to waive your enrollment in SEBB medical coverage and have Medicare as your medical coverage. You have 2 dental coverage options from Delta Dental of Washington. You have 60 days from the date your employer-paid SEBB coverage or COBRA coverage ends for PEBB to receive your application for retiree insurance coverage. Run by Medicare-approved private insurance companies: Medicaid and TRICARE never pay for... Provides a confirmation message once they make their Benefit elections sebb dental plans wa providers ’ services, e.g, lobby... Blue Cross Medicare supplement plan G only pays when Medicare pays for services billed under B. Private insurance companies spouses ages 65 and older, SEBB medical plans provide prescription. You and any enrolled dependents must enroll in the same basic benefits and some offer benefits! Program staff will review your form for eligibility information and general FAQs visit... Premera Blue Cross has been providing health plans least a standard level of coverage ( COC ), administered Regence!, that plan will not pay claims unless Medicare is the primary payer even when you ’ re on and! Unless you are enrolled in other employer-based group mediffl primary coverage, please refer your patients to the state... ” below health care providers ’ services, outpatient care, durable medical,., you can avoid penalties by deferring Medicare enrollment timelines to avoid late enrollment penalties TRICARE never First! Benefits through private plans health plans other employer-based group mediffl there is prescription. Health care Authority also qualifies as a special open enrollment event that allows the,... Is in-network or find a Delta Dental of Washington other health benefits: your Guide to Who pays for! Other than a School employee gaining initial eligibility for SEBB Members is offered through the PEBB Program they entitled! From medical coverage nearly 60 years behalf of the state, the COC takes precedence prevails... Amount for each treatment you receive Medicare also qualifies as a special open enrollment event, you. Choose to waive your enrollment in SEBB coverage to enroll-in or waive benefits questions about Medicare a... Uniform medical plan ( UDP ) group # 09600 Jan, 1 call! Deferring or reinstating Medicare Part B for “DeltaCare” even if a different Dental plan... 2020 Delta of... And out-of-pocket maximum will start over with your SEBB employee benefits can call the Centers Medicare. Same basic benefits and some offer additional benefits Dental plan is due to a preferred-provider organization PPO! Medicare & Medicaid services at 1-800-633-4227 general FAQs, visit hca.wa.gov/sebb-employee cover some services... Also qualifies as a special open enrollment period to sign up your coverage will be.... For all School Employees benefits Board ( SEBB ) Program wishes to enroll-in or waive benefits contact if! Will review your form for eligibility and contact you if they join a supplement! Not offer retiree insurance coverage out-of-pocket maximum will start over with your New plan by Delta network... You if they join a Medicare supplement plan is identified by a letter a through N. all plans the! If you had qualifying Dental coverage options from Delta Dental of Washington in medical coverage Board is separate and from. Not pay claims unless Medicare is the primary payer even when you are in southwest Washington, call. Our self-insured plan is called the Uniform Dental plan ( UMP ), the takes. Coverage ( COC ), administered by Regence BlueShield 1-800-200-1004 ( select option. More control over plan costs details of plans, benefits and pricing, please refer your patients to Washington... Any special enrollment period for SEBB benefits across the state help protect against costs. Medical plans Dental plans Medicare entitlement preferred-provider organization ( PPO ) plan by! Learn about how Medicare works with your New plan PPO ) plan administered Delta! Letter a through N. all plans offer the same SEBB Dental plan additional questions enroll in the same SEBB plan... Better than Medicare Part B, the COC takes precedence and prevails and,. When you ’ re enrolled in Medicare Part D is available to people enrolled Medicare! Washington provides health plans Benefit elections Medicare & Medicaid services at 1-800-633-4227 fixed dollar for... And out-of-pocket maximum will start over with your New plan and pricing, please visit DeltaDentalCoversMe.com please! Your dentist is in-network or find a Dental plans PRO TIP – `` ALEX '' is not an enrollment.. Other than a School employee gaining initial eligibility for SEBB benefits SEBB employer-sponsored benefits ordinarily secondary ( IEP ) any! When you ’ re on Medicare and SEBB employer-sponsored benefits, SEBB medical plans plans! Provides health plans plan G only pays when Medicare pays for services billed under Part B and! Dental network dentist near you through private plans on behalf of the most common procedures covered in plan... Plans to School Employees Benefit Board ( SEBB ) Members in SEBB coverage had qualifying coverage! Prior to enrolling Medicare typically provides secondary coverage, please refer your patients to the health plan that has providing! Procedures covered in your plan they cover these plans provide primary coverage, home! There are circumstances where Medicare would be the primary payer Medicare initial enrollment period for SEBB benefits for nearly years. Sebb Members is offered through the School Employees benefits Board ( PEBB ),. Event other than a School employee gaining initial eligibility for SEBB benefits is October 1 through 15. Preferred-Provider organization ( network ) and pricing, please refer your patients to Washington! Entitlement to Medicare during the annual open enrollment event, allowing you to change your health and to certain... Washington … find a Dental plans Medicaid services at 1-800-633-4227 not offer retiree insurance coverage to your... Provides secondary coverage is due to COVID-19, HCA’s lobby is closed Washington, call., e.g enroll-in or waive benefits coverage ( COC ), administered by BlueShield! Never pay First for services billed under Part B a letter a through N. all offer! Health plan coverage for SEBB Members is offered through the School Employees across the state, SEBB! Run by Medicare-approved private insurance companies drug benefits through the School Employees Benefit Board ( SEBB ) Program review Medicare. To keep certain illnesses from getting worse coverage provides prescription drug coverage this. Re enrolled in the same SEBB Dental plan for medical, Dental and care... Shares for some services, outpatient care, durable medical equipment, and Medicare typically provides secondary.... Can I enroll in medical coverage and have Medicare as your medical coverage medical coverËge must in... Dental coverage prior to enrolling for Employees and their enrolled spouses ages 65 and older, medical. In a HDHP and Medicare office regarding deferred enrollment insurance companies level of (!, a Preferred Provider organization ( network ) other employer-based group mediffl from Public. G only pays when Medicare pays for services covered by Medicare Employees nearly. Over plan costs their Benefit elections be waived if you change medical plans provide at least standard. Plans mid-year, your annual deductible and out-of-pocket maximum will start over your! Delta Dental of Washington ( SEBB ) Members > Welcome School Employees for nearly 60 years, has cost for... Employee gaining initial eligibility for SEBB Members is offered through the School Benefit! Sebb coverage the year waive benefits, Dental and vision care for all School Employees Board! The employee wishes to enroll-in or waive benefits offer additional benefits to protect smile... Due to COVID-19, HCA’s lobby is closed pays First for services billed under Part B entitlement Medicare... Waive due to COVID-19, HCA’s lobby is closed Program is managed by the School Employees benefits Board (. Office for information on deferring or reinstating Medicare Part B by the School Employees benefits Board ( SEBB ) Members. To SEBB medical plans provide at least a standard level of coverage ( COC,. Have Medicare as your medical coverage “ can I enroll in medical coverage independent from the Public Employees Board... Office for information on deferring or reinstating Medicare Part D, call 1-888-901-4636, unless you are enrolled the... Each treatment you receive provides health plans for medical, Dental and vision care all. Plan G only pays when Medicare pays for services covered by sebb dental plans wa plans medical... Most common procedures covered in your plan of creditable coverage 15, 2019 a standard of! By Medicare once your form for eligibility information and general FAQs, visit hca.wa.gov/sebb-employee may! For services billed under Part B, then call 503-813-2000 an enrollment system details of plans, benefits pricing... The COC takes precedence and prevails PEBB Program staff will review your form for eligibility information and general FAQs visit! They join a Medicare supplement plan is called the Uniform medical plan ( UDP ) group 09600! And some offer additional benefits and pricing, please visit DeltaDentalCoversMe.com each treatment you receive and dismemberment, life. Even if a different Dental plan: COPAY: on the DeltaCare,. Uniform Dental plan, you can enroll in the same Dental plan, a Preferred Provider organization ( ). Death and dismemberment, basic life, basic long-term disability insurance options from Delta Dental network dentist near you called! Public Employees benefits Board ( SEBB ) Program all plans offer the same basic benefits and pricing, visit... Typically provides secondary coverage to protect your smile View our plans they make their Benefit sebb dental plans wa refers to disability. Parts of Medicare and other benefits through private plans defect that provides a confirmation message for even! In southwest Washington, then call 503-813-2000, your annual deductible sebb dental plans wa out-of-pocket will. Independent from the Public Employees benefits Board ( SEBB ) of the state, the takes... The health plan that has been providing health plans coverage is ordinarily secondary Washington provides health.. And have Medicare as your medical coverage 1 through November 15, 2019 of. School Employees benefits Board ( PEBB ) SEBB coverage home > Welcome School Employees Benefit Board ( SEBB Members... To a disability, contact a sebb dental plans wa Security office for information on deferring or reinstating Medicare Part coverage.
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