Our self-insured plan is called the Uniform Medical Plan (UMP), administered by Regence BlueShield. Selecting a dental plan. Contact your nearest Social Security office for information on deferring or reinstating Medicare Part B. (3) A dependent enrolled in SEBB medical, dental, or vision who becomes eligible for SEBB benefits as a school employee must elect to enroll in SEBB benefits as described in WAC 182-30-080(1). Premera Blue Cross has been providing health plans to school employees across the state for nearly 60 years. The State of Washington provides health plans for medical, dental and vision care for all school employees across the state. Dental Plans. After Jan, 1, call 1-888-901-4636, unless you are in southwest Washington, then call 503-813-2000. 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). Make sure you understand the Medicare enrollment timelines to avoid late enrollment penalties. Part D coverage provides prescription drug benefits through private plans. Uniform Dental Plan (administered by Delta Dental of Washington) Delta Dental of Washington offers private dental insurance plans to meet the needs of individuals, families, and employers. fillings, crowns and root canals. Eligible employees must enroll in SEBB dental. The initial enrollment period for SEBB benefits is October 1 through November 15, 2019. Find contact information for your local office. 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. 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. Program Members . Premera Blue Cross Medicare Supplement Plan G only pays when Medicare pays for services billed under Part B. health insurance and other benefits through the School Employees Benefits Board (SEBB) Program. 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. When you or your covered dependents become entitled to Medicare, the person entitled to Medicare should contact the nearest Social Security office to ask about the advantages of immediate or deferred enrollment in Medicare Part B. Medicare will not penalize you for delaying enrollment in Medicare Part B when covered by employer-sponsored health care. Please contact Medicare for coverage questions as Medicare Part B is primary. Your employer pays the premium. For specific details of each plan’s coverage, please refer your patients to the Washington … If you are eligible for SEBB Program benefits, dental coverage is included for you and your eligible dependents; your employer pays the premium. Dental benefits. ... (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. Explore our dental plans. For eligibility information and general FAQs, visit hca.wa.gov/sebb-employee. 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 The School Employees Benefits Board (SEB Board) studies, designs, and approves comprehensive and cost-effective insurance benefit plans for school employees, and establishes eligibility criteria for participation in these plans. The SEBB Program does not offer retiree insurance coverage. If you don’t enroll within the 63-day deadline, your Medicare Part D plan’s monthly premium may increase by 1 percent or more for every month you didn’t have creditable coverage. If you are age 65, still working, and enrolled in SEBB benefits through your employer, you may choose to: Sign up for Medicare Part A at age 65 since most people do not pay a premium for Part A, and Part A may help pay some costs not covered by your SEBB health plan. 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). PRO TIP – "ALEX" is not an enrollment system. A special open enrollment event must be an event other than a school employee gaining initial eligibility for SEBB benefits. Designed with K-12 employees in mind, our School Employees Benefits Board (SEBB) health plans offer robust benefits and include the same great service you have come to expect from Premera. 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. health insurance and other benefits through the School Employees Benefits Board (SEBB) Program. Benefit coverage begins January 1, 2020. Be sure you understand the Medicare enrollment timelines, especially if you will be leaving employment within a few months of becoming eligible for Medicare or are in your Medicare Initial Enrollment Period (IEP) and want to enroll in PEBB retiree health plan coverage. Plan (UDP) Group #09600. The initial enrollment period for SEBB benefits is October 1 through November 15, 2019. Learn about how Medicare works with your SEBB employee benefits. Dental plans and benefits. If you are eligible for SEBB benefits, dental coverage is included for you and your eligible dependents. coverage or contact the plan directly. School Employees Benefits Board Information (SEBB) New benefits-eligible employees have 31 days from their date of hire to complete enrollment in SEBB. Welcome to the health plan that has been supporting school employees for nearly 60 years. Some people may notice a difference in their dental coverage. A PPO refers to a preferred-provider organization (network). 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. Entitlement to Medicare also qualifies as a special open enrollment event, allowing you to change your health plans. View the SEBB Dental Benefits Comparison for 2020. Contact Social Security for advice. or Medicare. You have chosen the Uniform Dental Plan (UDP) GROUP #09600. 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. You may choose to purchase a Medicare supplement plan from a private insurance company or enroll in the supplement plan PEBB offers, if eligible for PEBB retiree insurance coverage. 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. The Medicare Initial Enrollment Period (IEP) trumps any Special Enrollment Period (SEP). There are three SEBB Program dental plans to choose from—two managed care plans and one 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. Learn more about your customer service options. Welcome School Employees Benefit Board (SEBB) Members. Uniform Dental . Please see the Certificate of Coverage for a You may choose to waive your enrollment in SEBB medical coverage and have Medicare as your medical coverage. Or, if you have a special open enrollment event that allows the change, you can enroll in medical coverage. Welcome to School Employees Benefit Board (SEBB) Members . Part D plans are run by Medicare-approved private insurance companies. Note: You cannot remove your spouse from medical coverage when they become entitled to Medicare during the year. Note: You cannot remove your spouse from medical coverage when they … Helps cover the cost of prescription drugs. For eligibility information and general FAQs, visit hca.wa.gov/sebb-employee. CTRL click to choose multiple options. If your Medicare entitlement is due to a disability, contact a Social Security office regarding deferred enrollment. We have a variety of plan options that make dental … 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. If you’re on Medicare and SEBB employer-sponsored benefits, SEBB medical plans provide primary coverage, and Medicare coverage is ordinarily secondary. 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. May help lower your prescription drug costs and help protect against higher costs. TRICAR plan. 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. Due to COVID-19, HCA’s lobby is closed. All SEBB medical plans provide creditable prescription drug benefits that are as good as or better than Medicare Part D coverage. 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. For example: If they join a Medicare supplement plan, that plan will not pay claims unless Medicare is the primary payer. Note: Medicaid and TRICARE never pay first for services covered by Medicare. Each supplement plan is identified by a letter A through N. All plans offer the same basic benefits and some offer additional benefits. 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). You and any enrolled dependents must enroll in the same SEBB dental plan. 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, Website feedback: Tell us how we’re doing. 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Message: Subscribers receive a confirmation message: Subscribers receive a confirmation message once they make their elections! We have become aware of a defect that provides a confirmation message: Subscribers receive a confirmation message for even! Be enrolled in SEBB wishes to enroll-in or waive benefits on the plan... Pay after employer group health plans Members is offered through the PEBB Program staff will review your form received. Plans, benefits and pricing, please refer your patients to the Washington health! Is the primary payer even when you are in southwest Washington, then 503-813-2000! Public Employees benefits Board information ( SEBB ) Program Who pays First an!