These are the same benefits you have as an employee however the monthly premiums you pay are different. You have chosen the Uniform Dental Plan (UDP) GROUP #03000. What are the differences between your two medical plan options? > Preferred Provider Organization Plans > Managed Care Plans > Consumer Directed Health Plans (CDHP) You … Under state law, the Uniform Medical Plans (UMP Achieve 1, UMP Achieve 2, UMP Classic, UMP CDHP, UMP High Deductible, UMP Plus – Puget Sound High Value Network, and UMP Plus – UW Medicine ACN) must comply with decisions made by the Health Technology Clinical Committee (HTCC). Compared to the other PEBB plans, CDHPs cover the same basic health care services and have a similar benefit structure. Now that you can see the math, it is up to you to decide which plan is better for you! If at least one plan results in “You will have to pay the surcharge,” then you will be charged the premium surcharge in addition to your monthly medical premium. With the Uniform Dental Plan (UDP), you get the best coverage and financial protection when you see a dentist who is part of the Delta Dental PPO network. Uniform Medical Plan Plus (PPO) Uniform CDHP (PPO) Group Health Value Group Health SoundChoice (HMO) Kaiser CDHP (HMO) Kaiser Classic Group Health CDHP (PPO) Multiple Plan Options • Managed Care plans • Preferred Provider plans • Varying levels of deductibles • Varying networks 2017 Monthly Medical Premiums (pg. Quick Links: Why Choose Us. Health Plan (CDHP) 2019 Quick Start Guide Health insurance can seem complicated, especially if you’re new to the plan. Like other plans, you pay coinsurance for services, your care costs less when using network providers, and you receive coverage for common services like vision and prescriptions. The UW Medicine Accountable Care Network (ACN) brings together leading healthcare providers in the Puget Sound region to offer an innovative coverage option to PEBB-eligible employees in King, Kitsap, Pierce, Skagit, Snohomish and Thurston counties. Below are some tips to help you get the most out of your benefits and save money. Medical plan benefits, coverage areas, and premium rates are found in the PEBB Retiree Enrollment Guide for Non-Medicare Medical plans. Three plan design options available which look similar to those available for employees. Medical Plan Comparison PEBB and Current Pierce County Plans The chart below briefly compares the per-visit costs of some in-network benefits for current Pierce County and PEBB medical plans. That’s because they submit claim forms directly to Delta Dental and agree to provide care at discounted fees. Bookmark not defined. If you are eligible for the employer contribution toward PEBB benefits but do not waive or enroll in PEBB Program medical coverage, you will be enrolled by default as a single subscriber in Uniform Medical Plan (UMP) Classic. For Medicare Questions. • Switch the CDHP network from Access PPO to Core HMO, adding: ... a non-CDHP PEBB medical plan or remove the Medicare-eligible family member from your coverage. Kaiser Permanente of Washington (formerly Group Health) will: Introduce a prescription drug deductible and prescription drug out-of-pocket maximum to all of their plans except the consumer-directed health plan (CDHP) with a health savings account (HSA) and Original Medicare. 2014 medical plan benefits cost comparison (continued) The chart below briefly compares the per-visit costs of some in-network benefits for PEBB plans, and extended-network … If you are interested in a Medicare Advantage health plan and want to speak with a Kaiser Permanente Medicare specialist: 1-800-581-8252 (TTY 711) For eligibility and enrollment questions: Visit the PEBB website. Uniform Medical Plan CDHP 553.72 1,049.10 939.84 1,376.89 Effective 7/1/2014: The following surcharges will be applied to some employees Tobacco use surcharge 25.00 25.00 25.00 25.00 Spouse surcharge 50.00 50.00. The family member you remove would not be eligible for COBRA. Because a CDHP is an HSA-eligible plan, you cannot be covered by another non-HSA eligible plan. If more than one plan meets the criteria, submit one copy of this form for each medical plan. On-Demand Virtual Care. eligible for COBRA. The SBC shows you how you and the plan would share the cost for covered health care services. COB – Coordination of benefits . 10003948 RX BIN:003585 RX PCN:38600 UDW W123456789 RX Group:10008217 M D RX V 00 SUBSCRIBER SAMPLE Y N Y MedImpact* Y SUBSCRIBER SAMPLE 1259-RE 229F IC(WA05) WA05 … Uniform Medical Plans (Regence) 24 Hour Health Line: (800) 267-6729097 Customer Service: UMP Classic & UMP CDHP: (888) 849-3681 UMP Plus Puget Sound: … Non-Medicare Retiree plans. Medical plan premiums are partly . Enter the amount of your medical expenses or choose from the estimates below. For Medicare Questions. Kaiser WA (formerly Group Health) plans. (continued) Why is the Uniform Medical . 2017 PPO Benefits Booklet PEBB HSA (CDHP) Plan for Retired Employees . PEBB HSARPPO 2017 2 Important Notice Under Federal Health Care Reform Group Health recommends each Enrollee choose a personal physician. Medical Plan Comparisons PEBB 2020 & Premera 2021 . COBRA – Consolidated Omnibus Budget Reconciliation Act . Uniform Medical Plan Plus (PPO) Uniform CDHP (PPO) Kaiser WA Value Kaiser WA SoundChoice (HMO) Kaiser WA CDHP (PPO) Kaiser NW Classic Kaiser NW CDHP (HMO) Multiple Plan Options • Managed Care plans • Preferred Provider plans • Varying levels of deductibles • Varying networks 2017 Monthly Medical Premiums (pg. Section 3 Medical plan selection . Subscriber becomes eligible for Medicare. Check only one. Uniform Medical Plan. Some copays and coinsurance do not apply until after you have paid your annual deductible. ID NO Group No. PEBB-CHANGING PLANS. The family member you remove is . DME – Durable medical equipment . Provider Directories. 2020 Kaiser CDHP & 2021 Premera HDHP.....4 2020 Kaiser Classic Plan & 2021 Premera Classic Plan .....5 2020 Kaiser Sound Choice Plan & 2021 Premera Classic Plan.....6 2020 Kaiser Value Plan & 2021 Premera Value Plan .....7 2020 UMP CDHP & 2021 Premera … Enter the amount of your medical expenses or choose from the estimates below.