(pre-SEBB) $973 January –June 2020 $994 July 2020-Aug 2021 $1,056 ... Premera Blue Cross Standard PPO $22 $44 $39 $66 <> A health plan's network is the set of healthcare providers — e.g., hospitals, doctors, and specialists — with whom the insurance company has contractual agreements in any given plan year. UMP High Deductible. Coinsurance 25%. ���w���6\��m��5���r�AsHr�����J�S!���1�).�=����IL! Our SEBB health plans are designed with school employees in mind and are backed by our best-in-class customer service. The SBC shows you how you and the plan would share the cost for covered health care services. 2 0 obj h�bbd``b`z$߁�M �t �Hp� l@���� �"@� �`)���Ӏ����;����t�b``$���p�+@� SF Premera Premera - SEBB Program Medical Benefits Comparison Chart Annua I Costs/ Benefits (in network) KPNW 1 KPNW 2 KPNW 3 KPWA Core l KPWA Core2 KPWA Core 3 KPWA Sound Choice Access PP01 Access PP02 Access PP03 Standard PPO UMP Achieve 1 (82% AV) UMP Achieve 2 (88% AV) UMP High Deductible UMP Plus RX deductible What are my plan options? <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 15 0 R 23 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> SEBB My Account – Changing Coverage ... Premera Standard PPO UMP Achieve 1 UMP Achieve 2 UMP High Deductible UMP Plus—Puget Sound High Value Network UMP Plus-UW Medicine Accountable Care Network Premium $37 $116 $170 $256 $133 $49 %PDF-1.7 %���� C�2���t��y�_~���o�����M�^B?�|$s�*�^��]+#.rU;p%���nGu�1�a�����'�;Tœ�����Xr��iq��Z��_fjR���Ю�圎A�\)2G�����-���Uܯ��Y�u~]\��fS�O��h�-O^wb Find a Ophthalmologist who accepts Blue Cross CA California Care Large Group HMO near you in Anchorage, AK. MetLife Find A Provider. ��UW�a#� 2�9PE���Ҫ��1�� �� Uniform Dental Plan. E4- Premera Essentials Formulary Formulary ID 3114 CURRENT AS OF 8/1/2019. Standard PPO. In general, you may choose from the plans listed below. ��0��~���#����z��y�&�c���L� L]�['� �WH�s�$��W�E��pA/֌�5�s�c*W�� YG����d̢�(�����di9ý���Y/�b��J�b ��i}����7�;�ep[XNG�Yy�$Jd}��p[�/�- ���T{�˴����"���P��)�f)IX*�z���/���qPd�rJ}v�4#`A%E��:�(qβwI�-�da~��E��C3�F������E��\|���j&_��tu�ͷo�>��4%�Z�/g^��D}����y��D�UZ������-����z�,��vR�I�)�B���.��+>��n����qro��+�,/68P�Օ_A*�Ya v��I�W|KR�� ����� Find a Optometrist near you in Anchorage, AK. Sound Family Medicine is in the network of the following plans: ... Premera Standard PPO; Payment Services . gP��&>g" stream CWSEBT - SEBB Program Medical Benefits Comparison Chart Available Yakima County: Core 1, Core 2, Core 3 Available Yakima County High PPO & Standard PPO Available Yakima County Achieve 1, Achieve 2, HDHP, UMP Plus-PSHVN Core 2 to Economy Choice Compare <> Premera High PPO. 0 The School Employees Benefits Board (SEBB) Program was designed with you in mind. Premera Blue Cross has been providing health plans to school employees across the state for nearly 60 years. $1,250 . The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 4 0 obj PPO & Standard PPO Available Yakima County Achieve 1, Achieve 2, HDHP, UMP Plus-PSHVN Core 1 to CRISP 1,000 High PPO to CRISP PLAN 4 Achieve 1 to CRISP 500 Core 2 to CRISP 500 Standard PPO to CRISP 1,000 Achieve 2 to CRISP PLAN 3 Kaiser NW Kaiser WA Kaiser WA Options Premera UMP Premera Standard PPO. Salary Schedules: For Classified Salary Schedules; For Certificated Salary Schedules; For Substitute Salary Schedules Link for Retirement Information at DRS Premera Blue Cross Premera High PPO $750/person $1,875/family $3,500/person $7,000/family $125/person $312/family 1 Applies to medical out-of-pocket limit Premera Standard PPO $1,250/person $3,125/family $5,000/person $10,000/family $250/person $750/family 1 Applies to medical out-of-pocket limit Uniform Medical Plan 591 0 obj <>/Encrypt 574 0 R/Filter/FlateDecode/ID[<09DD8EAD700E7945BD8B3497D80464CA><45C1FD9A9A151946BE6B59EF7FE1232C>]/Index[573 32]/Info 572 0 R/Length 91/Prev 504930/Root 575 0 R/Size 605/Type/XRef/W[1 2 1]>>stream ��fd�p"�.݇ �>�/Itd\��/�UĠX��]�xS�q@�{�O[!D�)�sk�=3���p�"�a�k�9�A��V����fw.��wR���6��3*I�� ڱ\7��^\�41��/gW�?�re�\}�$zU�/. ���+e�?,�$�[�ֶ�0�ίpU{��$Cg���ND�u�Fs 20%. Our SEBB health plans are designed with school employees in mind and are backed by best-in-class customer service. x��]mo�H�� ��X��E"��l�sgv�r��I.��~�e�֭$z$9^��_Uu��*J"۾�n�M>�o���?����l|�����tvW\��\������}q�az;_M��ru���j����bz]���>���]���W�$����B�A�� Q:X�_���`�����ׯ.~R�����W SEBB Health Care Transition Contact Information and Resources to answer your questions Sept. 5, 2019 ... Premera High PPO, Peak Care EPO, Standard PPO premera.com 1-800-807-3731 TRS: 1-800-842-5357 or 711 Uniform Medical Plan (administered by Regence BlueShield) Achieve 1, Achieve 2, Carrier Kaiser Permanente Kaiser Permanente Kaiser Permanente Premera UMP Plan Sound Choice Access PPO 3 Access PPO 2 Standard PPO High Deductible Deductible Individual: $125 Family: $375 Individual: $250 Family: $750 Individual: 750 Family: $2,250 Individual: $1,250 Family: $3,125 Individual: $1,400 Family: $2,800 All other plans: A $125 reduction to your 2021 SEBB medical plan deductible in January. Learn more about the plans. SEBB has put together a great newsletter called iNTERCOM. D���W��mi�#��r��G;N��ޛ���/�������`tVn���?��<=����8��n EyeMed. Comparison of Medical Plans. See all Ophthalmologist office locations in Anchorage that accept Blue Cross CA California Care Large Group HMO and doctor ratings. ���Fp]��)�d7���Ja4(K���&%%:�Xn�0������QfP��V F�?d��.ˇ��'��Ѱ|h�� Find a Ophthalmologist who accepts BCBS MT Blue Preferred PPO near you in Anchorage, AK. Premera Blue Cross : Standard PPO Coverage for: Individual or Family | Plan Type: PPO 1 of 6 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The School Employees Benefits Board (SEBB) Program will administer health insurance and other benefits for eligible school employees and their dependents, coverage beginning January 1, 2020. How do I qualify? PREMERA STANDARD PPO CERTIFICATE OF COVERAGE BOOKLET. �� �)F3V��KG��7�r�H��)E��L�^(cD� %PDF-1.7 ���le���7m.h�.�3��єQ�`7x�ֿ.�I�@� D�nM� G�F���Nu�4jJ,iikK^�S�0�1���v PREMERA HIGH PPO CERTIFICATE OF COVERAGE BOOKLET. UMP ACHIEVE 1 CERTIFICATE OF COVERAGE BOOKLET 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. Premera Blue Cross: Standard PPO Coverage for: Individual or Family | Plan Type: PPO 1 of 7 . (�ݑ-�wE{X���LB{Xٕ�������J�~��* �AG�A����@*A�����S~�!���@ �:G���Z/JjF����ip��>2��~�B�B�����nK��ͷ��..��jEOtzP���1�F��׋͕W;S�A)� �^U�8�I�>�y��L��OT��ˬ8�Y���$6��t@~��3jbH�`a�Z�R5QR��0N�GzF��Ct¾D�`�(��?��>���K�tθg��Y�Q[�;&�g0�E�xz6�#m�g1�%F�-�h���Q-Mq��7��ۅ_M��+��z�lI�:�r�:)�36�d9�W�л#��sl�g�a�G��Y����̉��3#�J�(�5�;����Xs�G!�05���?`&l8a`�;n���������4�8��H���&@���mFC�x���䅡:���j�ׁ�6�����IDݤB���~��U7�2��X�7���F��� ®J6�'�避@�S������ǁ�� WU���I����G$�Ch����h���WJåp��KZ��V����6�z�p�y��&y'@�J��[��O�J��n�P�τ��o��Mɂiqx��7�(`g��n���cp��q������ ��bݝ��Z�h�1#h�iG�z���%3#�G2��U��V8J��d��q���4;>��=��W��ϓ�-h`���n��D��*��' \D.Ccdf�h�94��!�Д��wH��tl����c���y��^M��kv�����C�z�(�Qj�>�a5�^G�k��kȮzz�����T##6���5@"�m��u����`�EQ&1��}�����z���E�������e��QdD��7��l@�Ղ�P �Ώ �o>�� 6�� ��]�Oȋ����DE�� ��'k���J�'(�Ȱs��Ʃ��-=m&g&�D�1iUl�!��Ƿ�����h{����/|ҤA�� �n�0Q����M�W�j1���}�Qڠu����v��Ȑ�G�Y`�>tc�@�d""z]����G�7�7^A��D���K��y(ت�.>��U�c�F�,X��5.���u�,�����3C�)|V �k��aT,�l\A[OdS �P:dT�D�1� ٚN���Ƕ�� � �{��m���]�\�vj�����1b(�ӛ:1v��!�{p?} Achieve 1, Achieve 2, or High Deductible. �@�����Kh�^3f�����5L$5�gz����z��){6��viぃ˭a���o�1ZOڶ���9Ζ�D���̝��h�" Visit SmartHealth's website, complete a well-being assessment, join and track activities to earn points (at least 2,000) to qualify. Premera Blue Cross has been providing health plans to school employees across the state for nearly 60 years. 0~� �)\�{��1����w��55�Ōz�g�@�DN�W��f��Œ!toE��L�'9��]�1��(��� ��X�+��b�w�4o(��q����b��Nm��_�\��u��R��x�-�!��ã6�W�w��n��]�N��D���a��l�:㘲Zh�V�H'�� 3 0 obj ... SEBB Long-term Disability Standard Insurance Employer Paid Basic Long Term Disability Standard. Search Submit search. UMP Plus-PSHVN Dental Plans. ~*�8����'�������$���4������OMNb�ß ���e�_�ƨC��᤹%N%����o�'��Wiy=xct�M�x��"���b��h]��*�����~��@[+T�?jh��>5�$E}k i9�7F���IDMr"���G�{b��k��$���:�a],a�0����"x�.���f�Y7UM��:?m������:���W���DM��1䯖�r���@��w0�,��I���z�u��S ^��>k΂������z�I�uѽu/I�I�����zc�YHLe0%�X~�')3��ő.c��a���N�!�|�@QV�� �Ff�q��8M���`���r�فQ�'P#� i~8�| The following PPO plans are available in King County: Kaiser Permanente WA Options Access PPO 1, 2, 3; Premera High PPO ; Premera Standard PPO ;N�ב���L�P5mP�|�Ñ4f����-�m�zw�I��[۩P�q�_q�b�wi�M� l:���d���j�� ^�(����(x���qN�N��H�'81�F�h�s��ׯ>u:v ?�7��8E�+.��I���Qj��$�5���q���Wp������n`�π2��� 'Y4�`�G�4n"쿪vcz�t Y`xG%���]|1jg�@��X�lwCJ�v��m �|(�����O����sҫ�����,V�f�8��. Standard PPO Plan School Employees Benefits Board (SEBB) Program Start date: January 1, 2020 *Or state-registered domestic partner Premera Blue Cross Standard PPO health plan is available in these counties: Adams, Asotin, Benton, Chelan, Clallam, Columbia, Cowlitz, Ferry, Franklin, Garfield, lowercase italics = Generic drugs. We’re thrilled to be providing health plans to many school employees starting January 1, 2020. Medical Provider Websites. Providing you and your eligible dependents with affordable and equitable access to quality health insurance and other benefits is our top priority. ... Premera Blue Cross Medical Plans (Kadlec Hospital is out of network) Dental Plans. 573 0 obj <> endobj Learn More About SEBB <>/Metadata 1381 0 R/ViewerPreferences 1382 0 R>> MEDICAL PLANS. UMP Achieve 1. %���� Preferred provider organization (PPO) plans allow you to self-refer to any approved provider in most cases but usually provide a higher level of coverage if you visit an in-network provider. Welcome to the health plan that has been supporting school employees for nearly 60 years. UMP Achieve 2. 1 0 obj Premera High PPO Premera Peak Care EPO Premera Standard PPO How do I find a provider? Standard PPO Plan School Employees Benefits Board (SEBB) Program Start date: January 1, 2020 *Or state-registered domestic partner Premera Blue Cross Standard PPO health plan is available in these counties: Adams, Asotin, Benton, Chelan, Challam, Columbia, Cowlitz, Ferry, Franklin, Garfield, ... Premera - (800) 807-7310. Provider Network PRIME. This guide provides SEBB Program eligibility, enrollment, and benefit information for school �$0Y2������) n7���~��O?�~���O��t��7��y|V�������>���u����]Oo�����������x��/ �����I�mu�M��'��sD�v7�H��n��i�$1?,��ӕ7�TM�X�ק4��(0ytj C�6:�������!�0} Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. DeltaCare (managed-care plan) Willamette Dental Group (managed-care plan) Vision Plans. Family $1,875 . High PPO and Standard PPO (This will auto select the correct Heritage Prime network) Uniform Medical Plan - (800) 628-3481. endstream endobj startxref (pre-SEBB) $973 January –June 2020 $994 July 2020-Aug 2021 $1,056 ... Premera Blue Cross Standard PPO $48 $96 $84 $144 PREMERA ESSENTIALS FORMULARY E4 (PRESCRIPTIONS) UMP administered by Regence Blueshield. See all Optometrist office locations in Anchorage, doctor ratings and insurance accepted. (|Y�j�f��.�t�C�]��,E���[媸��66}�D��e� Ǎ��(�� I��c��f�D�����O�� k�0���r�F,�0"5�%&:њ�̿���:���W4�����K3����&JۭY����� ��z�7ˢ�y0��uP>�'g�`�b�9��]���aJ��~W�]��uH����c1�e�6��^�I�m`��Mo�-�-�N��(� ;��3�a����,�±�;Љ�3�R��J�l(�drNWO6Na�^��:�hc8�2-m�] Premera Blue Cross Premera High PPO, Peak Care EPO, Standard PPO sebb.premera.com/home 1-800-807-7310 (TTY: 1-800-842-5357 or TRS: 711) Uniform Medical Plan (UMP), administered by Regence BlueShield (for medical questions) UMP Achieve 1, Achieve 2, High Deductible, UMP Plus ump.regence.com/sebb 1-800-628-3481 (TRS: 711)