0000008579 00000 n You may choose health insurance, with or without dental. 0000006498 00000 n 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) Provider Records Delta Dental Plan . If you have a favorite dentist, it's best to double-check that yours is included in our network. Top Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS. Group 09600. 0000009049 00000 n 0000002366 00000 n 268 0 obj <>stream 0000005459 00000 n Searching by name, specialty, or other details? Check out the open enrollment webinar page to see about signing up! enroll in the same SEBB dental plan. 0000002207 00000 n DENTAL INSURANCE Employees may choose dental coverage through the Uniform Dental Plan, DeltaCare, or the Willamette Dental Group through the School Employees Benefits Board (SEBB). 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 0000050538 00000 n 0000003328 00000 n 0000003742 00000 n Use the Advanced Search options below. Life and accidental death and dismemberment (AD&D) insurance ... defined in the SEBB Program rules If I waive medical coverage for myself, cannot enroll my eligible dependents in medical coverage. 0000022894 00000 n There are three SEBB program dental plans to choose from: DeltaCare (administered by Delta Dental) Willamette Dental Group; Uniform Dental Plan (administered by Delta Dental) Keep in mind: DeltaCare and Willamette Dental Group are managed-care plans. 0000041808 00000 n We believe everyone deserves a healthy smile. 0000049985 00000 n Floss! It powers everything we do as we work to remove the barriers to oral health care. 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 & COPAY:  On the DeltaCare plan, you pay a fixed dollar amount for each treatment you receive. Compare vision plans. 0000056985 00000 n 0000093955 00000 n 0000046802 00000 n 50% Nonsurgical TMJ. If you are eligible for SEBB benefits, dental coverage is included for you and your eligible dependents. Box 30003, Lansing, MI 48909, Phone 517-335-1874 or toll-free 888-820-7129. 0000007114 00000 n A uniform cleaning allowance is also provided. To accomplish this, we must continuously be looking forward and planning for what's to come. 0000017213 00000 n Additional benefits. 0000050012 00000 n DeltaCare, Delta Dental Managed Care/HMO Plan (SEBB plan #09601) 3. 0000020067 00000 n Best for those who want the most freedom to choose their dentist, Best for those who want the most coverage and protection from. Our benefit plans are changing, due to new state law. The Uniform Dental Plan allows you to use any licensed dentist and pays a percentage of charges for preventive care, basic care, major care and orthodontia. You must choose a primary dental … Create an account to view your coverage, get personalized out-of-pocket cost estimates, and more! 400 Fairview Ave N, Ste 800. If you enroll in State Group Health Insurance, you may elect Uniform Dental. 0000026066 00000 n 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. • Page 25: Under “Network adequacy,” the refence to Engrossed Substitute House Bill 1099 should be Brennen’s Law. How to find that information will be included in the enrollment guide mailed in September. Uniform Dental Plan (SEBB UDP – Group # 09600) This plan is closest to what you have now. 0000004257 00000 n Box 30416 Lansing, MI 48909-7916 * *PROVIDERS CANNOT BEGIN TO TREAT ENROLLEES UNTIL A WELCOME LETTER FROM DELTA DENTAL IS RECEIVED Delta Dental Provider Credentialing Process. The dental benefit comparison chart is available on page 51. 0000032217 00000 n Find a Dentist - Uniform Dental Plan Find a Dentist - DeltaCare Plan Delta Dental Plans Association National Dentist Search Portal. Each plan has its own network of dentists, and you’ll want to pick a network containing a dentist that you want to use. 0000051222 00000 n Vision plans and benefits. There are three SEBB Program dental plans to choose from—two managed care plans and one preferred-provider plan. 0000003590 00000 n 0000008132 00000 n 30% of costs until the plan has paid $500 (for PPO, out of state, and non-PPO providers); then any amount over. 0000005751 00000 n 0000011804 00000 n Uniform Dental Plan (administered by Delta Dental of Washington) Online: Uniform Dental Plan for school employees Phone: (800) 537-3406. SEBB UDP plan benefits will be the same as the PEBB Uniform Dental Plan, group #03000. <<14C3FA29D2EE6D428C963D90E9CB8FEF>]/Prev 408527/XRefStm 2027>> Welcome School Employees Benefit Board (SEBB) Members, You pick your dentist from the largest provider networks: state and national, Deductible waived for preventive care - you pay $0, Deductible & coinsurance apply for other treatments, Requires primary care dentist (PCD) from the DeltaCare network, DeltaCare PCD must refer you for any specialist care, Unlimited coverage for fillings, root canals, crowns & other services. 0000026750 00000 n Delta Dental of Washington began providing dental benefits coverage in 1954 and has been providing coverage to state of Washington employees through the Uniform Dental Plan since 1988. DIFS requires that the Michigan Uniform Modification Justification form (FIS 2316 ) be submitted as shown on Exhibit 1. DDWA is now the largest dental benefits provider in Washington State, serving 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 payroll or benefits office with SEBB Program questions." You have 2 dental coverage options from Delta Dental of Washington. Willamette Dental . All rights reserved. SEBB 2020 Dental Benefits Comparison. You and any enrolled dependents must be enrolled in the same dental plan. Make sure you check with the plan to see if the dentist you want is in the plan’s network. We believe everyone deserves a healthy smile. Effective January 1, 2020: If you waive State Group Health or select the Health Opt-Out Incentive, you are eligible for Preventive Dental. This means that all benefits eligible employees will have access to diagnostic, preventive and basic dental services in 2020. 0000056018 00000 n 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. © 2001 -  2020 Delta Dental of Washington. Delta Dental is the plan administrator for the dental insurance plans. Service provider networks vary by plan, so school employees should check to see if their dentists and eye doctors are covered. Uniform Dental Plan (Group #09600) MetLife Vision MetLife Employee AD&D . Vision plan options There are three SEBB Program vision plans to choose from. CHECK IF YOUR DENTIST IS IN THE DeltaCare Plan: That means you now have a co-pay for services other than preventive and diagnostic. We’ve made the MyBenefits log-in experience easier to use with a centralized log-in button to input your username and password. 0000001668 00000 n Our coverage makes it easy and affordable to protect your smile. UDP, Uniform Dental Plan, Delta Dental PPO Plan (SEBB plan # 09600) 2. Welcome to the health plan that has been supporting school employees for nearly 60 years. Health plans with health savings accounts (HSAs) Dental plans and benefits. 0000036789 00000 n It powers everything we do as we work to remove the barriers to oral health care. To accomplish this, we must continuously be looking forward and planning for what's to come. It cleans the 40 percent of tooth surfaces brushing can't reach. %PDF-1.4 %���� endstream endobj 267 0 obj <>/Filter/FlateDecode/Index[16 186]/Length 29/Size 202/Type/XRef/W[1 1 1]>>stream Overview. Credentialing is the process of verifying credentials (i.e. 0000050949 00000 n 0000050383 00000 n 0000002027 00000 n endstream endobj 203 0 obj <>/Metadata 14 0 R/Pages 13 0 R/StructTreeRoot 16 0 R/Type/Catalog/ViewerPreferences<>>> endobj 204 0 obj <. 0000026424 00000 n 202 0 obj <> endobj SEBB Continuation Coverage members: The Health Care Authority at 1-800-200-1004 (TRS: 711). Each plan has a different state wide network. 0000044807 00000 n 0000005863 00000 n 0000056711 00000 n 0000019747 00000 n h�bb�f`b``Ń3� �c� $� P.O. 0 In addition, CMS requires that the Plan ID Crosswalk Template be submitted to The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. 0000007586 00000 n Customer Service. SEBB Open Enrollment Webinars - Kaiser Permante, Premera, Uniform Medical Plan, Willamette Dental Group, Navia Benefit Solutions, and The Standard Insurance Company will be offering webinars for open enrollment. 0000004685 00000 n 0000003363 00000 n Willamette Dental offices only. Willamette Dental Managed Care. Seattle, WA 98109. Plan Management functions are part of DIFS’ regulatory role for products offered on- and off-Marketplace. SEBB Benefits (even if you intend to waive SEBB Medical insurance), SEBB will enroll you as a default if you do nothing. 0000044968 00000 n The Vision benefit comparison chart is available on page 53. Group WA … 0000046520 00000 n %%EOF 0000050453 00000 n 0000044667 00000 n 1-800-537-3406. Compare dental plans. Issuers will work directly with DIFS to submit all Stand-Alone Dental Plan (SADP) application data in The ONLY one of these options that will pay for your services at New Wave Dental Smiles is Option 1 on our list UDP, Uniform Dental Plan, Delta Dental PPO Plan. DIFS will continue to perform Plan Management functions for the 2019 plan year (PY19). trailer 0000057292 00000 n If you do not enroll in, or waive benefits by November 15, 2019, 11:59 p.m. 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. Welcome to the Uniform Dental Plan and Delta Dental of Washington (DDWA). 0000022757 00000 n 0000025735 00000 n 0000026245 00000 n The Willamette plan is another coverage option for school employees, Delta does not administer benefits for this plan. training, licensing, Office of 0000032098 00000 n Coverage under the School Employees Benefits Board (SEBB) Program will … 0000005637 00000 n 0000054408 00000 n This plan you can choose any office. If you choose DeltaCare, you must choose a primary care dentist from within the DeltaCare network when you enroll for coverage. 0000005281 00000 n 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. startxref Your dependents will not be enrolled. 0000054435 00000 n The most significant difference we see is that you will no longer have an incentive-based plan. 0000008216 00000 n 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 Plan. $500 in the member’s lifetime (maximum lifetime benefit) This is a summary of SEBB UDP plan benefits. Your employer pays the premium. 50% Dentures. xref 0000044737 00000 n 0000056317 00000 n h�b```c``�$S�01 �P������ �c⻡q����ٙONHD������Ig�z��4KhZZFGG�gl� �r��$?i{ v+�f`^���p�����D&K��@������ɗq/;�%c �n�\�\[8O3�r�`(a����h�0�a�6c!�=v���|�`�����?Oc�g�����'�`y�(����Q�_���A+������&�H310��i�V&�Y��@?��$�f�m ZR7y MEDICAL – Uniform Medical Plan (Regence) Achieve 1 w/ Tobacco Surcharge $58 per Month ($33 for Medical, $25 for Tobacco Surcharge) DENTAL – Uniform Dental Plan (DDWA PPO) VISION – MetLife Vision Plan 0000030211 00000 n 0000014446 00000 n Once you’re logged in for the first time a numeric code will be sent to your email address on file with MetLife. All SEBB dental and vision plans are offered statewide. All plans submitted for the 2017 year are subject to product withdrawal/uniform modification rules , whether offered on or off the Marketplace. © 2001 -  2020 Delta Dental of Washington. 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. 0000000016 00000 n COINSURANCE:  On the UDP (PPO) plan, you pay a percentage of treatment costs, the plan pays the rest. 0000044877 00000 n 202 67 Any questions regarding salary and benefits should be directed to the Michigan Department of Corrections, Recruitment Section, P.O. 0000054734 00000 n 0000022614 00000 n 0000040412 00000 n 0000005965 00000 n 0000027146 00000 n Welcome School Employees Benefit Board (SEBB) Members. Uniform Dental Plan : COPAY: On the DeltaCare plan, you pay a fixed dollar amount for each treatment you receive. And more yours is included in the enrollment guide mailed in September a! You choose DeltaCare, you pay a fixed dollar amount for each treatment you receive Delta Dental and... Their dentists and eye doctors are covered lifetime ( maximum lifetime benefit ) this plan another! 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