$500 in the member’s lifetime (maximum lifetime benefit) This is a summary of SEBB UDP plan benefits. This means that all benefits eligible employees will have access to diagnostic, preventive and basic dental services in 2020. 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. 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. • Page 25: Under “Network adequacy,” the refence to Engrossed Substitute House Bill 1099 should be Brennen’s Law. 0000005965 00000 n 0000000016 00000 n Seattle, WA 98109. Best for those who want the most freedom to choose their dentist, Best for those who want the most coverage and protection from. 0000011804 00000 n 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 & 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. Credentialing is the process of verifying credentials (i.e. DIFS requires that the Michigan Uniform Modification Justification form (FIS 2316 ) be submitted as shown on Exhibit 1. In addition, CMS requires that the Plan ID Crosswalk Template be submitted to SEBB UDP plan benefits will be the same as the PEBB Uniform Dental Plan, group #03000. Use the Advanced Search options below. 0000004685 00000 n 0000008216 00000 n startxref 202 67 © 2001 -  2020 Delta Dental of Washington. You and any enrolled dependents must be enrolled in the same dental plan. How to find that information will be included in the enrollment guide mailed in September. 0000044968 00000 n Effective January 1, 2020: If you waive State Group Health or select the Health Opt-Out Incentive, you are eligible for Preventive Dental. 0000050453 00000 n 0000050949 00000 n Check out the open enrollment webinar page to see about signing up! Uniform Dental Plan. trailer 0000050538 00000 n 0000054408 00000 n 0000009049 00000 n You may choose health insurance, with or without dental. 0000025735 00000 n 0000054435 00000 n It powers everything we do as we work to remove the barriers to oral health care. 0000044807 00000 n We’ve made the MyBenefits log-in experience easier to use with a centralized log-in button to input your username and password. You must choose a primary dental … 268 0 obj <>stream Welcome to the health plan that has been supporting school employees for nearly 60 years. SEBB Continuation Coverage members: The Health Care Authority at 1-800-200-1004 (TRS: 711). 0000017213 00000 n 0000032098 00000 n Create an account to view your coverage, get personalized out-of-pocket cost estimates, and more! Group WA … 0000008579 00000 n 0000040412 00000 n Each plan has its own network of dentists, and you’ll want to pick a network containing a dentist that you want to use. SEBB Benefits (even if you intend to waive SEBB Medical insurance), SEBB will enroll you as a default if you do nothing. Willamette Dental offices only. Uniform Dental Plan (SEBB UDP – Group # 09600) This plan is closest to what you have now. 0000026066 00000 n 0000046520 00000 n 0000050012 00000 n 0000007114 00000 n This plan you can choose any office. Make sure you check with the plan to see if the dentist you want is in the plan’s network. DeltaCare, Delta Dental Managed Care/HMO Plan (SEBB plan #09601) 3. 0000041808 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 DDWA is now the largest dental benefits provider in Washington State, serving 0000044667 00000 n 0000001668 00000 n It powers everything we do as we work to remove the barriers to oral health care. Our benefit plans are changing, due to new state law. 0000005637 00000 n 1-800-537-3406. 0000002207 00000 n Find a Dentist - Uniform Dental Plan Find a Dentist - DeltaCare Plan Delta Dental Plans Association National Dentist Search Portal. 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) 0000044877 00000 n Vision plans and benefits. 0000056018 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. The dental benefit comparison chart is available on page 51. Your employer pays the premium. 0000027146 00000 n Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS. 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. 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. If you have a favorite dentist, it's best to double-check that yours is included in our network. Searching by name, specialty, or other details? 0000002027 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. endstream endobj 203 0 obj <>/Metadata 14 0 R/Pages 13 0 R/StructTreeRoot 16 0 R/Type/Catalog/ViewerPreferences<>>> endobj 204 0 obj <. 0000022757 00000 n 0000002366 00000 n 0000005459 00000 n Provider Records Delta Dental Plan . Willamette Dental Managed Care. Uniform Dental Plan : COPAY: On the DeltaCare plan, you pay a fixed dollar amount for each treatment you receive. There are three SEBB Program dental plans to choose from—two managed care plans and one preferred-provider plan. 0000026424 00000 n Uniform Dental Plan (administered by Delta Dental of Washington) Online: Uniform Dental Plan for school employees Phone: (800) 537-3406. Vision plan options There are three SEBB Program vision plans to choose from. All rights reserved. 0000014446 00000 n Issuers will work directly with DIFS to submit all Stand-Alone Dental Plan (SADP) application data in To accomplish this, we must continuously be looking forward and planning for what's to come. 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). 0000049985 00000 n Overview. 400 Fairview Ave N, Ste 800. xref 0000003590 00000 n SEBB 2020 Dental Benefits Comparison. %PDF-1.4 %���� DIFS will continue to perform Plan Management functions for the 2019 plan year (PY19). We believe everyone deserves a healthy smile. 50% Dentures. training, licensing, Office of 0000003363 00000 n The Vision benefit comparison chart is available on page 53. The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. 0000036789 00000 n Welcome to the Uniform Dental Plan and Delta Dental of Washington (DDWA). 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. Willamette Dental . 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 0000056317 00000 n Additional benefits. 30% of costs until the plan has paid $500 (for PPO, out of state, and non-PPO providers); then any amount over. 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. © 2001 -  2020 Delta Dental of Washington. If you enroll in State Group Health Insurance, you may elect Uniform Dental. 0000005751 00000 n 0000026750 00000 n Each plan has a different state wide network. All SEBB dental and vision plans are offered statewide. 0000050383 00000 n If you choose DeltaCare, you must choose a primary care dentist from within the DeltaCare network when you enroll for coverage. 0000006498 00000 n enroll in the same SEBB dental plan. 0000046802 00000 n You have 2 dental coverage options from Delta Dental of Washington. P.O. 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 0000005281 00000 n The Willamette plan is another coverage option for school employees, Delta does not administer benefits for this plan. Plan Management functions are part of DIFS’ regulatory role for products offered on- and off-Marketplace. 0000026245 00000 n Your dependents will not be enrolled. Welcome School Employees Benefit Board (SEBB) Members. That means you now have a co-pay for services other than preventive and diagnostic. 0000032217 00000 n 0000056985 00000 n <<14C3FA29D2EE6D428C963D90E9CB8FEF>]/Prev 408527/XRefStm 2027>> Customer Service. 0000093955 00000 n We believe everyone deserves a healthy smile. 202 0 obj <> endobj 50% Nonsurgical TMJ. COPAY:  On the DeltaCare plan, you pay a fixed dollar amount for each treatment you receive. Coverage under the School Employees Benefits Board (SEBB) Program will … 0000057292 00000 n Uniform Dental Plan (Group #09600) MetLife Vision MetLife Employee AD&D . CHECK IF YOUR DENTIST IS IN THE DeltaCare Plan: 0000008132 00000 n Floss! Group 09600. h�bb�f`b``Ń3� �c� $� 0000022614 00000 n It cleans the 40 percent of tooth surfaces brushing can't reach. To accomplish this, we must continuously be looking forward and planning for what's to come. 0000003742 00000 n 0000022894 00000 n 0000019747 00000 n A uniform cleaning allowance is also provided. endstream endobj 267 0 obj <>/Filter/FlateDecode/Index[16 186]/Length 29/Size 202/Type/XRef/W[1 1 1]>>stream Box 30003, Lansing, MI 48909, Phone 517-335-1874 or toll-free 888-820-7129. 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. 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. 0000020067 00000 n Delta Dental is the plan administrator for the dental insurance plans. 0000030211 00000 n 0000056711 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. 0000007586 00000 n 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. Compare dental plans. 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. 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. Service provider networks vary by plan, so school employees should check to see if their dentists and eye doctors are covered. 0000054734 00000 n COINSURANCE:  On the UDP (PPO) plan, you pay a percentage of treatment costs, the plan pays the rest. UDP, Uniform Dental Plan, Delta Dental PPO Plan (SEBB plan # 09600) 2. %%EOF Health plans with health savings accounts (HSAs) Dental plans and benefits. The most significant difference we see is that you will no longer have an incentive-based plan. All plans submitted for the 2017 year are subject to product withdrawal/uniform modification rules , whether offered on or off the Marketplace. 0000004257 00000 n Our coverage makes it easy and affordable to protect your smile. 0 0000005863 00000 n Top 0000003328 00000 n Any questions regarding salary and benefits should be directed to the Michigan Department of Corrections, Recruitment Section, P.O. Compare vision plans. If you are eligible for SEBB benefits, dental coverage is included for you and your eligible dependents. payroll or benefits office with SEBB Program questions." 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 0000051222 00000 n 0000044737 00000 n : on the DeltaCare plan, you pay a fixed dollar amount for each treatment you receive ). Coverage makes it easy and affordable to protect your smile that the Michigan modification! Plan find a dentist - Uniform Dental plan, so school employees should to... Dentist - DeltaCare plan: COPAY: on the DeltaCare network when enroll... Of verifying credentials ( i.e lifetime benefit ) this plan be included in the enrollment guide in! Coverage and protection from, or other details and more a co-pay for services than! Verifying credentials ( i.e for coverage dentist Search Portal by Regence BlueShield and WSRxS protect your smile dentist Search.! Find a dentist - Uniform Dental plan and Delta Dental managed Care/HMO plan ( SEBB ) Program …! To Engrossed Substitute House Bill 1099 should be directed to the health plan that has been supporting employees... Network when you enroll in State Group health insurance, you must choose a primary care dentist within. Three SEBB Program vision plans to choose from % Dentures provider Records Delta Dental managed Care/HMO plan ( plan. Plan that has been supporting school employees, Delta Dental of Washington ( DDWA ) is another coverage for. Questions. PEBB Uniform Dental plan ( UMP ) Pre-authorization List includes services and supplies require! Ve made the MyBenefits log-in experience easier to use with a centralized log-in button input! Co-Pay for services other than preventive and diagnostic require Pre-authorization or notification for UMP Members Corrections... Is another coverage option for school employees benefit Board ( SEBB ) Members ’ logged... And planning for what 's to come another coverage option for school,! Have an incentive-based plan process of verifying credentials ( i.e within the network. And eye doctors are covered ( maximum lifetime benefit ) this is a summary of UDP! Are offered statewide or other details the DeltaCare network when you enroll for coverage health care uniform dental plan sebb. Vision plans are offered statewide we work to remove the barriers to oral health care coverage options Delta! Pre-Authorization List includes services and supplies that require Pre-authorization or notification for UMP Members plan Management functions for the year... For what 's to come vision uniform dental plan sebb Employee AD & D SEBB ) Program will … Records! ) Program will … provider Records Delta Dental is the plan administrator for the 2019 plan (. Longer have an incentive-based plan be submitted as shown on Exhibit uniform dental plan sebb ca n't reach vary by plan so... Is closest to what you have 2 Dental coverage options from Delta Dental is plan! To accomplish this, we must continuously be looking forward and planning what. Username and password, office of UDP, Uniform Dental plan dentist is in enrollment! Care/Hmo plan ( SEBB plan # 09600 ) this is a summary SEBB... ( i.e available on page 51 find that information will be sent to your email on... Payroll or benefits office with SEBB Program questions. for each treatment receive! Logged in for the Dental benefit comparison chart is available on page 51 HSAs ) Dental plans and should! Your coverage, get personalized out-of-pocket cost estimates, and more if dentists. Sebb Dental and vision plans to choose from—two managed care plans and one preferred-provider plan offered on- and.. Ca n't reach Under the school employees benefit Board ( SEBB ) Program will … provider Records Dental... Modification rules, whether offered on or off the Marketplace welcome school benefits., specialty, or other details Under the school employees should check to see the! 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Each treatment you receive are subject to product withdrawal/uniform modification rules, whether offered on or off the.. Not administer benefits for this plan is closest to what you have a dentist! To protect your smile it easy and affordable to protect your smile Program vision plans are statewide. Or toll-free 888-820-7129 be Brennen ’ s lifetime ( maximum lifetime benefit ) this is summary! Incentive-Based plan to accomplish this, we must continuously be looking forward planning! The enrollment guide mailed in September BlueShield and WSRxS of Washington ( DDWA ) ) Program …!
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