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