PEBB Statewide plan (part-time) (PDF) PEBB Statewide + 100 plan (part-time) (PDF) PEBB Statewide prescription drug plan (part-time) (PDF) PEBB Statewide member handbook (PDF) Summaries of Benefits and Coverage. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>>
However, the actual amount a plan subscriber pays can vary depending on if Search. PEBB Plan F pays 20% of the Medicare allowed amount for out patient behavioral health visits. PEBB offers Premera Blue Cross Medicare Supplement Plan F. There is no prescription drug coverage with this plan so a Part D prescription drug plan is also needed unless you have other creditable drug coverage (e.g., VA) Plan F (Group), administered by Premera Blue Cross www.premera.com (general information, not specific to the PEBB Program) 1-800-817-3049 1-800-842-5357 ... enrollment in Public Employees Benefits Board (PEBB) retiree insurance coverage after the … Medicare Retirees will see increase that range from $0.68 per month for Premera Medicare Plan F to a $7.45 increase for Uniform Medical Plan (UMP) Classic Medicare. PEBB Health Care and Dependent Care FSAs offer a grace period. 4 0 obj
Learn more about your customer service options. x��=]�#���[��������4���]���x��ısvU�{�j43*�j�#�ƛ_ Hv��$��ͥb�F� @ ٿ�|Q���2+�^�NfO�/��i�}���O/_���ڼ(��n^� Vd"�]�*�Z�� ���v�[��5}��E� Summaries of benefits and coverage are not available for Medicare supplement plans. <>
To learn more about working with My Account, visit our Help with My Account webpage. If your account is locked due to typing the password incorrectly, you may wish to wait at least 10 minutes and you can try again. Plan F DO I NEED MEDICARE PART D? stream
Premium rates will change little in calendar year 2014. It allows members to use their 2019 funds for certain 2020 claims. 2 0 obj
Scan and send this completed form and any required documents back to us as a secure email attachment. Questions about PEBB or SEBB retiree benefits? The 2019 plan year’s grace period was from January 1, through March 15, 2020. Online: Premera website (general information, not PEBB specific)Phone: 1-800-817-3049TTY: 1-800-842-5357, 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. Premera Blue Cross For PEBB Program Medicare plan summaries, see the medical benefits comparison tool. Accountable Care Net. Medicare Supplement Plan F does not include prescription drug coverage. Supplement Plan F, submit the Group Medicare Supplement Enrollment Application (form B). Premera Blue Cross is an independent licensee of the Blue Cross Blue Shield Association serving businesses and residents of Alaska and Washington state, excluding Clark County. **PEBB contains both State Employees and Higher Education employees. Compare medical plans. should contact Premera now, before any claim arises. >PEBB does not offer a Medicare Part D plan. Identity confirmation - Step 1 of 3. premera.com and select Secure Inbox. Otherwise, you can change your password here. Call: 800-722-1471 (TTY: 711) Monday through Friday 5 a.m. to 8 p.m. Pacific Time Email: Sign into your account at premera.com It pays some Medicare deductibles and coinsurances, but primarily supplements only those services covered by Medicare. If you select Medicare Supplement Plan F, any eligible family members who are not entitled to Medicare will be enrolled in UMP Classic. Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. Box 327 Seattle, WA 98111-0327 Plan F $216.05 Plan F $427.08 Plan F $361.03 Plan F $722.06 Please Note: The subscription charge amount charged is the same for all plan subscribers with certificates like yours. ... PEBB Continuation Coverage (COBRA Medicare) PEBB Continuation Coverage (COBRA non-Medicare) PEBB Continuation Coverage … The Washington State Health Care Authority (HCA) administers health care benefits for Washington public employees. These rates are for Washington state residents who are NOT a Public Employees Benefits Board (PEBB) member (PEBB members must enroll directly with the HCA). MEDICARE: PART D –Uniform Medical Classic (Coordination of Benefit Plan) –Kaiser Permanente WA & NW (Medicare Advantage Plans) –Medicare Supplement Plan F … P.O. Group Name: Washington State Health Care Authority Contract Effective Date: June 1, 2010 Plan: Group Medicare Supplement Plan F (by reason of age) Contract Form Number: GMSF65 (06-2010) NOTICE TO BUYER This plan may not cover all of your medical expenses. If you do not live in an area that offers a Medicare Advantage plan, Kaiser Permanente NW and Kaiser Permanente WA will enroll you in … *Educational Service Districts are contained within the K-12 group. >PEBB 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 We recommend using your personal email address to access your account. Patients must pay … • SHIBA is familiar with how the standardized Medicare Supplement (Medigap) plans work, so we can give PEBB retirees general informationabout the Premera Medicare Supplement Plan F and how it works with Medicare. PEBB Retiree PEBB Retiree & Spouse State Resident State Resident & Spouse Plan G $165.96 Plan G $326.36 Plan G $320.79 Plan G $641.58 Please Note: The subscription charge amount charged is the same for all plan subscribers with certificates like yours. Yes No Your Other Health Coverage Please answer all the questions below as best you know how. endobj
PEBB Continuation Coverage monthly premiums (2021), PEBB Continuation Coverage monthly premiums(2020), Website feedback: Tell us how we’re doing. >PEBB plans offer secondary coverage to Medicare Parts A & B and provide coverage for important services not covered by Medicare. Compare our easy-to-use plans and enroll online or attend a seminar near you. •PEBB Premera Medicare Supplement Plan F … endobj
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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. The plan is designed to supplement your Medicare coverage by reducing your out-of-pocket expenses and providing additional benefits. 3 0 obj
Premera Blue Cross Medicare Supplement Plan F and Plan G premiums Subscriber Subscriber and spouse1 Subscriber Click here to read the PEBB Announcement. Plan F Did you receive a copy of the Premera Blue Cross “Outline of Coverage”? Welcome to the health plan that has been supporting school employees for nearly 60 years. Is there a quick way to see benefits and costs? Plan F $109.59 Plan F $214.46 Plan F $209.74 Plan F $419.48 Eligible By Reason Of Disability Subscription Charges -Per Month PEBB Retiree PEBB Retiree & Spouse State Resident State Resident & Spouse Plan F $211.27 Plan F $417.82 Plan F $356.55 Plan F $713.10 Like Anthem, Regence BlueShield (the Uniform Medical Plan’s third-party administrator) and Premera Blue Cross (which serves PEBB retirees and Washington State residents enrolled in Medicare Supplement Plan F) are also independent licensees of the Blue Cross and Blue Shield Association. SHIBA can help with comparing stand-alone Part D drug plans by running a Medicare Plan Finder analysis. Plan pays Part A deductible and coinsurance. Public Employees (PEBB) School Employees (SEBB) Phone: 360.725.0440 or 800.200.1004 Kaiser Permanente plans. Benefits & coverage by plan. Visit Premera's online provider directory. • If enrolling a state-registered domestic partner or the partner’s child, submit the Declaration of Tax Status form. Open enrollment when you can switch health plans will be in November. <>
Note: The PEBB Program does not offer the high-deductible Plan F shown in the Outline of Medicare Supplement Coverage. Tools ... here: the PEBB home page. For many it is causing stress. Supplement Plan F and how it works with Medicare. 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, Learn more about your customer service options, Plan F no longer accepts new members as of January 1, 2020. This change allows you to access all UMP benefits information in one place. There is no prescription drug coverage with this plan so a Part D prescription drug plan is also needed unless you have other creditable drug coverage (e.g., VA benefits). Group Health plans. 1 0 obj
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