HCA’s website at hca.wa.gov/erb. Washington State All Payer Claims Database (WA-APCD) Announcements. Delta Dental of Washington is a part of Delta Dental Plans Association. First-time test takers will pay $137. Please check with your plan to ensure coverage. ERB – Employee and Retiree Benefits . Kaiser Permanente WA offers coverage for both Medicare-eligible retirees as well as those retiring before they are Medicare-eligible. 6 Use this Quick start guide for an overview of the enrollment process. Proposals are now . When you need information about what mental health and substance use disorders are covered, you can read the SEBB medical plans’ Certificates of Coverage. Current Plan Year 2021 Mid-Year Enrollment Form Enrollment Form for participants enrolling in a 2021 FSA or DCAP 2021 FSA Enrollment Guide Read this guide to learn about the 2021 FSA program. Visit us in person at the Health Care Authority, 626 8th Avenue SE, Olympia, WA 98501 Note: The PEBB Program does not take appointments. Apple Health (Medicaid) rulemaking. Register. HDHP – High-deductible health plan . School Employees Benefits Board rulemaking. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 20 0 R 22 0 R 23 0 R 24 0 R 26 0 R 27 0 R 29 0 R 31 0 R 32 0 R 36 0 R 37 0 R 39 0 R 40 0 R 41 0 R 42 0 R 44 0 R 45 0 R 46 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Box 42713 • Olympia, Washington 98504-2713 • www.hca.wa.gov • 360-725-0856 • FAX 360-586-9511 • TTY 711 School Employees Benefits Board December 11, 2017 1:00 – 5:00 Health Care Authority Sue Crystal A & B 626 8th Avenue SE Olympia, Washington Table of Contents Employee: Retiree (Medicare) Retiree (non-Medicare) PEBB Continuation Coverage (COBRA Medicare) PEBB Continuation Coverage (COBRA non-Medicare) PEBB Continuation Coverage (Unpaid Leave) 24 hours, seven days a week . <>>> These criteria do not imply or guarantee approval. This is not the same User ID and password for your Postal Prescription Services (PPS) account. Does the tobacco use premium surcharge apply to you? They may have changed from previous months and may change in future months. Behavioral health and recovery rulemaking. <> Coverage under plans chosen during the annual open enrollment period begins January 1, 20201 Find out more about other coverage start dates for school employees or for continuation coverage members. Prometric is raising its examination fees effective July 1, 2018. hca.wa.gov/erb. Quick start guide. General Health Care Authority rulemaking. To change your previous attestation, use the . www.hca.wa.gov/erb Mailing address: Street address PEBB Program Health Care Authority Health Care Authority 626 8th Avenue SE PO Box 42684 Olympia, WA 98501 Olympia, WA 98504-2684 Notify the PEBB Program of address changes To protect your rights and the rights of your dependents, you must Connect with us. General Health Care Authority rulemaking. Use this form if you are a School employee and you wish to cancel your supplemental life and/or accidental death and dismemberment (AD&D) insurance. Starting in 2020, all carriers must provide information on their websites for mental health and substance abuse treatment providers’ ability to ensure timely access to care. %PDF-1.5 Visitors are seen on a first-come, first-served basis. x���]O#7�����H����� RFP Coordinator . Olympia, Washington 98504-2720 • www.hca.wa.gov • 360-725-0856 (TTY 711) • FAX 360-586-9551 AGENDA School Employees Benefits Board Health Care Authority October 23, 2017 Cherry Street Plaza 1:00 p.m. – 5:00 p.m. Sue Crystal Rooms A & B 626 8 th Avenue SE Olympia, WA 98501 PEBB/My Account login Log into My Account to view your coverage and premium surcharge information, get your statement of insurance, and make open enrollment changes. Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Use this form to certify your dependent's disability and enroll them on your PEBB coverage. FDA – Food and Drug Administration . (August 15, 2017). Washington State Public Employees and Retirees. If you are eligible for Medicare and have enrolled in Medicare Part A and Part B, you can enroll in our Kaiser Permanente PEBB retiree Medicare Advantage (HMO) health plan. hca.wa.gov/erb Mailing address Street address Health Care Authority Health Care Authority PEBB Program 626 8th Avenue SE PO Box 42684 Olympia, WA 98501 Olympia, WA 98504 Note: The Health Care Authority (HCA) is open between 8 a.m. and 5 p.m. Monday through Friday. PL -DA Pay1 System Replacement, Decision Package, 2018 Supplemental Budget Request, p. 2. %���� 5. hca.wa.gov/sebb-employee . Check one. Employing agency (Employees only) 4 Form return Sign, date and return form and documentation to the appropriate location: For employees: your payroll or benefits office. HCA’s ERB Division operates the Public Employees Benefits Board (PEBB) and the School Employees Benefits Board (SEBB) programs, and will implement transformative purchasing strategies with Healthier Washington (powered by the State Innovation Models [SIM] … Visit: quitnow.net. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. After turning 26, your dependent may be eligible for enrollment under your PEBB coverage. HCA Executive Leadership 10/1/2020 Assist Dir P1OS KEY Director EMS 70005165 Sue Birch Executive Secretary EMS1 71029331 Michelle Cleary Vacant Deputy Director EMS5 71036980 ... ERB Deputy Asst. HIPAA – Health Insurance Portability and Accountability Act . Forms & Documents The following forms and documents are available for you to download in PDF format. Behavioral health and recovery rulemaking. Apple Health (Medicaid) rulemaking. You have provided dedicated service to the residents of Washington state and Kaiser Foundation Health Plan of Washington is dedicated to improving your health care. Director EMS3 70005184 Scott Palafox Deputy CFO - Operations EMS3 71066440 Kristin Collins Assist Dir ETS EMS4 71028580 Jerry Britcher Assist Dir ERD EMS3 Visitors are seen on a first-come, first-served basis. <> hca.wa.gov/erb. Help with register FSA – Flexible Spending Arrangement . Good to know! endobj Public Employees Benefits Board rulemaking. 2 0 obj To proceed, please select an authentication provider from the … P.O. School Employees Benefits Board rulemaking. D e e t r au t a n g i S [20] Last four digits of Social Security number Last name. See page . Apple Health (Medicaid) rulemaking. Washington State All Payer Claims Database (WA-APCD) Announcements. contracts@hca.wa.gov. contracts@hca.wa.gov Behavioral health and recovery rulemaking. Healthier Washington is a project that allows the Health Care Authority and the Department of Social and Health Services to establish integrated clinical models of physical and behavioral health care to improve the effectiveness of health care purchasing and delivery. Connect with us. 5 WA State Health Care Authority. 6 Hanscome, R., et al. ��Ri�}X�^�z1�Y�����O^l{��wE��=����ؓ�Ū�}k���a|�u���}@_�w˗?�w�_����q�h��r1��v��G���C�:?G�'����d|M��t���"b�SĘ�J�Z\3t�|zB�#��|z�u��?�ݯ�'W�. Savings assumed in the current budget will not be realized this biennium. 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After turning 26, your dependent may be eligible for enrollment under your SEBB coverage. a new system will enable ERB Division leadership to use data and technology tools to better . Health Details: Health Care Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684. Public Employees Benefits Board rulemaking. • Washington’s annual health care cost growth will be below the national health expenditure trend. FMLA – Family Medical Leave Act . Medicare and PEBB Program benefits - hca.wa.gov. In Engrossed Substitute House Bill (ESHB) 1109 (2019) codified as C 415 L 19 PV Section 213 (3), the Legislature requires that the Health Care Authority (HCA) study the potential cost savings and improved efficiency that could be gained by consolidating the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs starting January 1, 2022. Willamette Dental Group of Washington, Inc. 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You must also provide proof of the If you need an accommodation or HCA – Health Care Authority . Outside of the annual open enrollment, you must also change your attestation no later than 60 days after the date your spouse’s or state-registered domestic partner’s employer-based group medical status changes. Communication directed to parties other than the RFP Coordinator may result in disqualification of the potential Bidder. HCA purchasing goals By 2021: • 90 percent of state-financed health care and 50 percent of commercial health care will be in value-based payment arrangements (measured at the provider/practice level). 2020 UMP Plus–UW Medicine ACN (SEBB) Certificate of Coverage 3 Directory: Prescription drug services . My spouse or partner has used tobacco products in the past two months. Public Employees Benefits Board rulemaking. Please complete your registration by entering the code you see below and clicking the Submit button. Use this form to certify your dependent's disability and enroll them on your SEBB coverage. hosted by Washington Technology Services (WaTech) You've been directed to this page because the WaTech SharePoint Service cannot associate your computer's IP address with an authentication provider. Applications received, or postmarked if mailed, on or after July 1, will pay the increased examination fee. 61: American Cancer Society’s Quit for Life program . This benefits book describes what is covered as a SEBB member under Davis vision, including vision services and specific services not covered by the plan. endobj Rules. We will reduce your medical premium to the lower Medicare rate, if applicable, and notify your medical plan of your Medicare enrollment. due April 14, 2017 Thank you, Andria Howerton . endobj See “Surcharges” on HCA’s website at hca.wa.gov/erb to learn about these situations. Connect with us. Rulemaking. Rules. Don't have a Washington State Rx Services account? Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays. PEBB Premium Surcharge Attestation Change Form. General Health Care Authority rulemaking. Rulemaking. Rules. Washington State All Payer Claims Database (WA-APCD) Announcements. or email to amy.corrigan@hca.wa.gov For questions, call the ERB Division’s Outreach and Training Unit at 1-800-700-1555. Look for the . (n.d.). Preauthorization requirements are only valid for the month published. 4 0 obj pebb washington state employees retired › Verified 2 days ago 22) When does my coverage start? Washington State law RCW 48.43.115 (3)(f), known as the Erin Act, requires that health plan's that provide maternity benefits must provide comparable coverage, at no additional charge, for an insured mother’s newborn for up to three weeks (21 days) even if there are separate hospital admissions. boxes stream Call: 1-866-784-8454 . Visit: hca.wa.gov/erb Tobacco cessation services . In Washington State: Washington Health Benefit Exchange www.wahbexchange.org or 1-855-923-4633 (TTY 1-855-627-9604) Outside Washington State: Health Insurance Marketplace www.healthcare.gov or 1-800-318-2596 (TTY 1-855-889-4325) HCA is committed to providing equal access to our services. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. Rulemaking. hca.wa.gov/erb . Find out more about eligibility and when you can change your coverage, visit hca.wa.gov/erb. For references to page numbers where you ’ ll find more information below and clicking the button! 20 ] Last four digits of Social Security number Last name Postal services. Postal Prescription services ( PPS ) account or treatments ( except emergencies ) require. – health reimbursement arrangement – health savings account hca.wa.gov/erb Subscriber records of Social Security Last. 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