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), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, 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. 9. 7. There is an exception for educational service district (ESD) employees who are not represented by a collective bargaining unit. Although the SEBB Program doesn’t currently offer health coverage for retirees, you may be able to enroll in Public Employees Benefits Board (PEBB) retiree health coverage once your SEBB employer or continuation coverage ends. We are in the process of determining if SEBB will use My Account. The green My Account button that is on the Public employee benefits main page will be absent from the Employee and retiree benefits main page after May 17. Starting in 2020, PEBB and SEBB member s who have a medical effective date of September 1, or later will receive 1,000 points for signing in for the first time. For Public Employee Benefits Board (PEBB) and School Employee Benefits Board (SEBB) enrollees, changes include: Telehealth services will be paid at the same rate as in-person services; and; Counseling visits during the pandemic provided by telephone-only will be paid. The Washington State Health Care Authority (HCA) administers health care benefits for Washington public employees. Changes will be made Thursday, May 17, after close of business. PEBB Statewide prescription drug plan (part-time) (PDF) PEBB Statewide member handbook (PDF) Summaries of Benefits and Coverage. Consolidation of PEBB and SEBB programs November 15, 2020 4 Background HCA purchases and manages health care and other insurance benefits for more than 385,000 eligible public employees, retirees, continuation coverage members, and their dependents through the Public Employees Benefits Board (PEBB) Program. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. Employees who opt out of PEBB medical coverage will receive a monthly opt-out amount of $233. Kaiser Permanente – With Kaiser Permanente, getting care when and where you need it is easier than ever. When you retire, your employer-supported insurance ends. There is no task too great or too small for this team to embrace in order to achieve our goals. PEBB Statewide Plan members. PEBB and SEBB members also were able to enroll in … Retired Employees in PEBB Program •Retired and disabled employees remain in PEBB Program until the Legislature makes a determination •Report on the most appropriate risk pool due to Legislature by December 15, 2018 –HCA will conduct study –In consultation with SEBB and PEBB 6 The purpose is to match up provisions of the ACA with employer-provided health care benefits. HCA Director Sue Birch gives a shout out to all our HCA customer ser... vice staff, who serve 2.5 million Washingtonians through the Apple Health (Medicaid), SEBB, PEBB, and COFA Islander health care programs. The Public Employees Benefits Board (PEBB) Program provides benefits primarily for employees of state agencies and higher education institutions. The type of relief you are seeking. For eligibility information and general FAQs, visit hca.wa.gov/sebb-employee. Eligible employees who participate in public employees benefits board (PEBB) life insurance as an employee and eligible school employees who participate in school employees benefits board (SEBB) life insurance as an employee and meet qualifications for PEBB retiree insurance coverage as provided in WAC 182-12-171 or 182-12-180, are eligible for retiree term life insurance. Your signature or your representative’s signature. Retirees. Instead of three main audience sections, there will be four: The link to view public employee benefits online is www.hca.wa.gov/public-employee-benefits. PEBB is mailing all members of our self-insured plans - Moda, PEBB Statewide and Providence Choice - a letter requesting SSNs of their covered dependents. We are updating the Public employee benefits section of our website to include benefit-related information for school employees who will be covered under the School Employees Benefits Board (SEBB) Program starting January 1, 2020. PEBB Statewide Full-Time Providence Choice Full-Time Medical Opt-Out i Employees may opt out of PEBB medical coverage if they have other medical coverage. For more information watch the UMP Plus – Puget Sound High Value Network (PEBB) Open Enrollment Webinar for 2021: UMP Plus — Puget Sound High Value Network (UMP Plus — PSHVN) brings together top-quality, independent providers from across Washington to deliver high quality, high value health care. 2017-18 School Employees Benefits Board (SEBB) Meeting Schedule The SEB Board meetings will be held at the Health Care Authority, Sue Crystal Center, Rooms A & B, 626 8th Avenue SE, Olympia, WA 98501. 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, Initiative 4: substance use disorder (SUD) IMD, 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, School Employees Benefits Board (SEBB) Program, Website feedback: Tell us how we’re doing. Similarly, www.hca.wa.gov/erb will take you to the Employee and retiree benefits main page. PEBB Statewide is a PPO plan. Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. SmartHealth offers a wide variety of free activities that can help reduce stress, build resiliency and increase connections. Starting January 1, 2020, all school districts and educational service districts will be required to participate in the SEBB Program. UMP Plus — Puget Sound High Value Network (UMP Plus — PSHVN) brings together top-quality, independent providers from across Washington to deliver high quality, high value health care. In the past year, our Apple Health customer service representatives answered 690,000 phone calls, had 109,000 client interactions, and fielded 66,000 emails. October 23, 2017 November 6, 2017 December 11, 2017 January 17, 2018 With over 6,500 providers, our members have access to health care at close to 1,050 clinics, 40 urgent care clinics, and 14 hospitals and emergency departments throughout the region. The amount is prorated for part-time employees according to hours worked compared with full-time. The Public Employees Benefit Board (PEBB) and School Employees Benefit Board (SEBB) programs, in coordination with HCA’s Division of Behavioral Health and Recovery, created webpages to provide resources for PEBB and SEBB Program members to find mental health and substance use disorder services and supports through their medical plans. Home / Uncategorised / kaiser permanente vs uniform medical plan. If you have medical coverage through SEBB or PEBB, the SmartHealth wellness platform is another free tool you can sue to help support your mental health and wellbeing. The Public employee benefits banner will change to Employee and retiree benefits to be more inclusive. The Public Employees Benefits Board (PEBB) met on July 10 and approved the rates for both Non-Medicare and Medicare Eligible retirees for 2020. For 2019, PEBB members that have a medical effective date of July 1, or later, will receive 1,000 points for signing in for the first time. Employers who access PEBB Program Our Kaiser Permanente Medicare specialist will guide you step-by-step so you can make the right decision about your Medicare health plan coverage. 8. This resulted in about 2,400 new covered lives in the PEBB and SEBB programs as of August 1. The intent is to allow an “apples to apples” comparison of medical health plan benefits across carriers. To learn more about working with My Account, visit our Help with My Account webpage. For K-12 PEBB members who are eligible for the SEBB Program, you will need to enroll during the The Affordable Care Act (ACA) requires that we ask for and provide this information to the IRS. After May 17, if you use the old link, you will be directed to the new location. Our strong, cohesive leadership team adds an enormous amount of value to our partners because we do what we say and say what we do. They have similarities in benefit design and premiums, but differ in eligibility criteria and rules. We recommend using your personal email address to access your account. kaiser permanente vs uniform medical plan. Note: Benefit and eligibility information for the SEBB Program will be added over time. A new Customer Type (School employees) will be added to the Forms & publications page. 9th January 2021 The Boca Raton, Fla.–based company — a private equity investor known for turnarounds of distressed shopping centers — managed to court new executive talent even while ramping up its property acquisitions, dispositions and redevelopments nationally. The initial enrollment period for SEBB benefits is October 1 through November 15, 2019. Employees Benefits Board (SEBB) Program. The School Employees Benefits Board (SEBB) Public employees – for state agency and higher-education employees covered under PEBB. Your participation in PEBB insurance coverage and other benefits will not change for 2018. It allows access to care from a national network of primary care providers, specialists and pharmacies of your choice, including OHSU, without a referral. The changes from 2019 vary by plan. PEBB members and their dependents can talk with a health care worker while at work, home, school or anywhere if a health issue is a concern. The green My Account button is in the upper right corner of the webpage. Both programs are administered by the Health Care Authority. The SEBB would be made up of 13 members from the public-education community: administrators, teachers, classified staff and school board officials. You may be eligible for the PEBB Program if you’re: The Public Employees Benefits Board (PEBB) Program provides benefits primarily for employees of state agencies and higher education institutions. The content under the Employee and retiree benefits section will be adjusted to include school employees. Both programs are administered by the Health Care Authority. What are the differences between PEBB and SEBB? A statement that says you believe the contents of your appeal are truthful and correct. The SEBB Program will obtain health care and other benefits for eligible school employees statewide, and the The My Account button will not appear on the School employees section at this time. Retiree health insurance through the PEBB Program. To access My Account, click into your audience section (Public employees, Retirees, or COBRA and continuation coverage). Enrollment in a PEBB health plan may be deferred when they are enrolled as a dependent in a health plan sponsored by PEBB, a Washington state educational service district, or SEBB, including such coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA) or continuation coverage. School employees (starting January 1, 2020) – for K-12 school employees covered under SEBB, effective January 1, 2020. Public Employees (PEBB) School Employees (SEBB) Phone: 360.725.0440 or 800.200.1004 >Retiree Enrollment Guide >Acronyms used in this segment –HCA Health Care Authority –PEBB Public Employees Benefits Board –FSA Flexible Spending Account –CDHP Consumer Directed Health Plan –HSA Health Savings Account –VEBA Voluntary Employee Beneficiary Association PLEASE HAVE THESE DOCUMENTS READY FOR THIS SEGMENT PEBB RETIREE HEALTH INSURANCE >State agency in … The School Employees Benefits Board (SEBB) provides benefits for employees of school districts and charter schools, and for represented employees of ESDs. Medical plans … The new link will be www.hca.wa.gov/employee-retiree-benefits. PEBB Annual Report: Customer Service Complaints and Appeals September 30, 2020 2 Executive summary This 2020 report, submitted in response to ESSB 6584 (2010), details complaints and appeals in the Public Employee Benefits Board (PEBB) populations. The meetings begin at 1:00 p.m., unless otherwise noted below. This webinar is free* and open to Public Employees Benefits Board (PEBB) Program and School Employee Benefits Board (SEBB) Program members who want a clearer understanding of how Medicare works. While you’re working, the School Employees Benefits Board (SEBB) Program offers employer-paid health insurance options for teachers and school employees. the Public Employees Benefits Board (PEBB) Program, your PEBB coverage will change to the SEBB Program for 2020. PEBB's leadership team reflects the company's inherent entrepreneurial spirit and sense of collaboration. Pebb Enterprises’ growth over the past year would be notable even under normal circumstances. requested by the PEBB/SEBB Appeals Unit, may not be considered in the appeal decision. Benefit coverage begins January 1, 2020. Non-Medicare Retirees will see increases of $5-27 per month depending on their 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, Initiative 4: substance use disorder (SUD) IMD, 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, Website feedback: Tell us how we’re doing. The remaining SEBB members would include a representative from the Health Care Authority, the Office of Financial Management and the Office of Superintendent of Public Instruction. Questions about PEBB or SEBB retiree benefits? PEBB/My Account login Log into My Account to view your coverage and premium surcharge information, get your statement of insurance, and make open enrollment changes. You pay less for in-network services, more for out-of-network services. 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), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, 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. 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Content under the Employee and retiree benefits section will be four: the link to view Public benefits. The IRS are required under the Affordable Care Act ( ACA ) requires that we ask for provide.