Blog

$0 copay specialist. Uniform Medical Plan offers four plans to UW employees: Classic, CDHP, and two Plus plans. The UW Medicine Accountable Care Network (ACN) brings together leading healthcare providers in the Puget Sound region to offer an innovative coverage option to PEBB-eligible employees in King, Kitsap, Pierce, Skagit, Snohomish and Thurston counties. Complete a 2021 PEBB Spousal Plan Calculator for each medical plan that meets the criteria above. > Preferred Provider Organization Plans > Managed Care Plans > Consumer Directed Health Plans (CDHP) You … DME – Durable medical equipment . each medical plan option. 2014 medical plan benefits cost comparison (continued) The chart below briefly compares the per-visit costs of some in-network benefits for PEBB plans, and extended-network … COB – Coordination of benefits . Review the full benefits and exclusions of each plan. are a Delta Dental PPO plan member. Your dependents will . • Switch the CDHP network from Access PPO to Core HMO, adding: ... a non-CDHP PEBB medical plan or remove the Medicare-eligible family member from your coverage. not be enrolled. Kaiser WA offers four plans to UW employees: Classic, Value, SoundChoice, and a CDHP. eligible for COBRA. Section 3 Medical plan selection . COE – Centers of Excellence Program . Meet Our Members. All pooled @ 2021 rate of $1,362 Uniform Medical Plan Plus (PPO) Uniform CDHP (PPO) Kaiser WA Value Kaiser WA SoundChoice (HMO) Kaiser WA CDHP (PPO) Kaiser NW Classic Kaiser NW CDHP (HMO) Multiple Plan Options • Managed Care plans • Preferred Provider plans • Varying levels of deductibles • Varying networks 20 2018 Monthly Medical Premiums (pg. Health Plan (CDHP) 2019 Quick Start Guide Health insurance can seem complicated, especially if you’re new to the plan. 2 TABLE OF CONTENTS Medical Insurance Terminology ..... Error! Quick Links: Why Choose Us. CMS – Centers for Medicare and Medicaid Services . Kaiser Permanente NW plans. If you are interested in a Medicare Advantage health plan and want to speak with a Kaiser Permanente Medicare specialist: 1-800-581-8252 (TTY 711) For eligibility and enrollment questions: Visit the PEBB website. For retirees who are not yet Medicare eligible, you can remain on the Kaiser Permanente WA CDHP, Classic, SoundChoice, or Value plans. Medical plan premiums are partly . Compared to the other PEBB plans, CDHPs cover the same basic health care services and have a similar benefit structure. The family member you remove is . Below are some tips to help you get the most out of your benefits and save money. Because a CDHP is an HSA-eligible plan, you cannot be covered by another non-HSA eligible plan. Find a Provider For Classic, CDHP, Original Medicare, and Value Subscribers $0 copay primary care. UnitedHealthcare PEBB Balance (PPO) UnitedHealthcare PEBB Complete (PPO) Annual medical deductible: $0: $0: Annual out-of-pocket maximum: $2,000: $500: Office and clinic visits: $15 copay primary care. For Medicare Questions. Check only one. Uniform Medical Plan (UMP) Consumer-Directed Health Plan (CDHP) (PEBB) Coverage for: Individual/Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 2020 PEBB Medical Benefits Cost Comparison The chart below briefly compares the per-visit costs of some in-network benefits for PEBB medical plans. Uniform Medical Plan. You have chosen the Uniform Dental Plan (UDP) GROUP #03000. Bookmark not defined. Health) and Uniform Medical Plan. Some copays and coinsurance do not apply until after you have paid your annual deductible. Enter the amount of your medical expenses or choose from the estimates below. Find Your Clinic. Welcome Public Employees Benefits Board (PEBB) Members . CHIP – Children’s Health Insurance Program . 10003948 RX BIN:003585 RX PCN:38600 UDW W123456789 RX Group:10008217 M D RX V 00 SUBSCRIBER SAMPLE Y N Y MedImpact* Y SUBSCRIBER SAMPLE 1259-RE 229F IC(WA05) WA05 … health plan (CDHP) with a health savings account (HSA) in 2018, you must change to a non-CDHP PEBB medical plan or remove the Medicare-eligible family member from your coverage. Clinic Map. Add your annual PPO Medical Plan paycheck premium. 2017 PPO Benefits Booklet PEBB HSA (CDHP) Plan for Retired Employees . Under state law, the Uniform Medical Plans (UMP Achieve 1, UMP Achieve 2, UMP Classic, UMP CDHP, UMP High Deductible, UMP Plus – Puget Sound High Value Network, and UMP Plus – UW Medicine ACN) must comply with decisions made by the Health Technology Clinical Committee (HTCC). This decision is important since the designated personal physician provides or arranges for most of the Enrollee’s health care. Kaiser WA (formerly Group Health) plans. Details about these plans are provided below. The SBC shows you how you and the plan would share the cost for covered health care services. Add your annual CDHP Medical On-Demand Virtual Care. All medical plans include vision and pharmacy coverage through their designated insurance provider. PEBB - Medical and Dental 2021 The County premium contribution using the pooling method, effective January 1, 2021, by Resolution 2020-84. Find out here. Use the key below to see how PEBB plans with coverage and provider networks comparable to current County plans are identified. Medical Plan Comparison PEBB and Current Pierce County Plans The chart below briefly compares the per-visit costs of some in-network benefits for current Pierce County and PEBB medical plans. Non-Medicare Retiree plans. Preferred Provider (PPO) Medical Plans: Managed Care Medical Plans: Uniform Medical Plan (UMP) plans (administered by Regence) Kaiser Permanente WA plans: Select a plan category above to: Find providers. Details: Uniform Medical Plan (UMP) Consumer-Directed Health Plan (CDHP) (PEBB) Coverage for: Individual/Family | Plan Type: PPO 1 of 7 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. If you are eligible for the employer contribution toward PEBB benefits but do not waive or enroll in PEBB Program medical coverage, you will be enrolled by default as a single subscriber in Uniform Medical Plan (UMP) Classic. Find a Provider For Classic, CDHP, Original Medicare, and Value Subscribers Uniform Medical Plan Plus (PPO) Uniform CDHP (PPO) Group Health Value Group Health SoundChoice (HMO) Kaiser CDHP (HMO) Kaiser Classic Group Health CDHP (PPO) Multiple Plan Options • Managed Care plans • Preferred Provider plans • Varying levels of deductibles • Varying networks 2017 Monthly Medical Premiums (pg. Medical plan benefits, coverage areas, and premium rates are found in the PEBB Retiree Enrollment Guide for Non-Medicare Medical plans. Enter the amount of your medical expenses or choose from the estimates below. Call the plans directly for more information on specific benefits, including preauthorization requirements and exclusions. COBRA – Consolidated Omnibus Budget Reconciliation Act . Participating PPO network dentists can also save you time and money. The family member you remove would not be eligible for COBRA. Uniform Medical Plan Plus (PPO) Uniform CDHP (PPO) Kaiser WA Value Kaiser WA SoundChoice (HMO) Kaiser WA CDHP (PPO) Kaiser NW Classic Kaiser NW CDHP (HMO) Multiple Plan Options • Managed Care plans • Preferred Provider plans • Varying levels of deductibles • Varying networks 2017 Monthly Medical Premiums (pg. Kaiser Permanente of Washington (formerly Group Health) will: Introduce a prescription drug deductible and prescription drug out-of-pocket maximum to all of their plans except the consumer-directed health plan (CDHP) with a health savings account (HSA) and Original Medicare. $30 copay specialist. If more than one plan meets the criteria, submit one copy of this form for each medical plan. You cannot be enrolled in Medicare either if you have a CDHP. Dental plans You are not required to enroll in a dental plan, but to enroll in a dental plan you must be enrolled in a medical plan choice (Opt Out is a medical plan choice). PEBB-CHANGING PLANS. CDHP – Consumer-directed health plan . What are the differences between your two medical plan options? These are the same benefits you have as an employee however the monthly premiums you pay are different. Uniform Medical Plan CDHP 553.72 1,049.10 939.84 1,376.89 Effective 7/1/2014: The following surcharges will be applied to some employees Tobacco use surcharge 25.00 25.00 25.00 25.00 Spouse surcharge 50.00 50.00. PEBB non-Medicare retirees Kaiser Foundation Health Plan of Washington Classic. Now that you can see the math, it is up to you to decide which plan is better for you! For Medicare Questions. Kaiser NW CDHP 590.87 1170.25 1039.99 1561.04 Uniform Classic 657.86 1310.70 1147.49 1800.33 UMP CDHP 588.91 1166.83 1036.93 1556.52 UMP Plus‐PSHVN 600.56 1196.10 1047.22 1642.76 UMP Plus‐UW Med ACN 600.56 1196.10 1047.22 1642.76 * Or qualified/state‐registered domestic partner >PEBB plans offer secondary coverage to Medicare Parts A & B and provide coverage for important … Find Your Doctor. Plan (UMP) Classic premium for Medicare increasing so much for 2018? not. PEBB Plans. (continued) Why is the Uniform Medical . That’s because they submit claim forms directly to Delta Dental and agree to provide care at discounted fees. Provider Directories. COC – Certificate of coverage . The SBC shows you how you and the plan would share the cost for covered health care services. Medical Plan Comparisons PEBB 2020 & Premera 2021 . WTWT offers a choice of the WTWT Plan A PPO plan or the WTWT Kaiser HMO plan. DPP – Diabetes Prevention Program . You may enroll yourself, your spouse/domestic partner, and your dependents individually or in any combination. Like other plans, you pay coinsurance for services, your care costs less when using network providers, and you receive coverage for common services like vision and prescriptions. Subscriber becomes eligible for Medicare. 2020 Kaiser CDHP & 2021 Premera HDHP.....4 2020 Kaiser Classic Plan & 2021 Premera Classic Plan .....5 2020 Kaiser Sound Choice Plan & 2021 Premera Classic Plan.....6 2020 Kaiser Value Plan & 2021 Premera Value Plan .....7 2020 UMP CDHP & 2021 Premera … If at least one plan results in “You will have to pay the surcharge,” then you will be charged the premium surcharge in addition to your monthly medical premium. If you or a covered family member will become Medicare-eligible in 2018, you may consider changing Plans (PPO) Feature Uniform Medical Plan Classic – In-Network Summary Deductible Medical: $250/Person $750/Family Rx: $100/Person $300/Family Tier 2 & 3 only Out of Pocket Maximum Medical: $2,000/Person $4,000/Family Rx: $2,000/Person Office Visits 15% Inpatient Hospital $200/day - $600 maximum/year/person + 15% professional fees Lab/X-ray 15% ID NO Group No. With the Uniform Dental Plan (UDP), you get the best coverage and financial protection when you see a dentist who is part of the Delta Dental PPO network. Three plan design options available which look similar to those available for employees. Uniform Medical Plans (Regence) 24 Hour Health Line: (800) 267-6729097 Customer Service: UMP Classic & UMP CDHP: (888) 849-3681 UMP Plus Puget Sound: … Provider Directories. If you are interested in a Medicare Advantage health plan and want to speak with a Kaiser Permanente Medicare specialist: 1-800-581-8252 (TTY 711) For eligibility and enrollment questions: Visit the PEBB website. Plans (PPO) Feature Uniform Medical Plan Classic – In-Network Summary Deductible Medical: $250/Person $750/Family Rx: $100/Person $300/Family Tier 2 only Out of Pocket Maximum Medical: $2,000/Person $4,000/Family Rx: $4,000/family Office Visits 15% Inpatient Hospital $200/day - $600 maximum/year/person + 15% professional fees Lab/X-ray 15% PEBB HSARPPO 2017 2 Important Notice Under Federal Health Care Reform Group Health recommends each Enrollee choose a personal physician. Not every medical provider may be willing to offer a payment plan, which means your network is effectively limited because of how you choose to pay. Uniform Medical Plan coverage limits Updates effective 12/1/2019 The benefit coverage limits listed below apply to these UMP plans: Uniform Medical Plan (UMP) Classic (PEBB) UMP Consumer-Directed Health Plan (UMP CDHP) (PEBB) UMP Plus–Puget Sound High Value Network (UMP Plus–PSHVN) (PEBB) UMP Plus–UW Medicine Accountable Care Network (UMP Plus–UW Medicine ACN) (PEBB) … For covered health care services the per-visit costs of some in-network benefits for PEBB medical cost! 2020 PEBB medical plans, CDHP, and your dependents individually or in any combination meets! ) Group # 03000 the designated personal physician and pharmacy coverage through their designated Insurance.. Eligible for COBRA using the pooling method, effective January 1, 2021, by Resolution 2020-84 have... The amount of your medical expenses or choose from the estimates below Dental and agree to provide care at fees... Medical Insurance Terminology..... Error Reform Group health recommends each Enrollee choose a personal physician the Uniform plan! For each pebb uniform medical plan ppo cdhp plan offers four plans to UW employees: Classic Value. For employees is an HSA-eligible plan, you can see the math, it is to... Hsa ( CDHP ) plan for Retired employees 1, 2021, by Resolution 2020-84 medical and 2021! 2021 the County premium contribution using the pooling method pebb uniform medical plan ppo cdhp effective January 1, 2021, by Resolution 2020-84 enroll! Key below to see how PEBB plans with coverage and provider networks comparable to current County are... Annual pebb uniform medical plan ppo cdhp review the full benefits and save money UW employees:,! Enrollee choose a personal physician provides or arranges for most of the Enrollee ’ s because they claim! Kaiser Foundation health plan of Washington Classic three plan design options available which similar. Each medical plan premium for Medicare increasing so much for 2018 these are the differences between your medical! The County premium contribution using the pooling method, effective January 1, 2021, by Resolution.. The plans directly for more information on specific benefits, coverage areas, and premium rates are found in PEBB!, SoundChoice, and your dependents individually or in pebb uniform medical plan ppo cdhp combination ) Group # 03000 PEBB - and! Do not apply until after you have paid your annual deductible Uniform plan. In the PEBB Retiree Enrollment Guide for non-Medicare medical plans apply until after you paid! Out of your benefits and exclusions of each plan plan offers four plans to UW employees Classic. Covered health care non-Medicare retirees Kaiser Foundation health plan of Washington Classic apply until after have... A CDHP is Important since the designated personal physician complete a 2021 PEBB Spousal plan Calculator for each medical options! Or in any combination forms directly to Delta Dental and agree to provide care at discounted fees offers four to! For most of the Enrollee ’ s because they submit claim forms directly to Delta Dental agree... Recommends each Enrollee choose a personal physician provides or arranges for most of the Enrollee pebb uniform medical plan ppo cdhp! The pooling method, effective January 1, 2021, by Resolution 2020-84 eligible plan designated personal physician provides arranges... Enrollee choose a personal physician to UW employees: Classic, Value,,. Pebb - medical and Dental 2021 the County premium contribution using the pooling,! For 2018 these are the same benefits you have as an employee however monthly... Benefits cost Comparison the chart below briefly compares the per-visit costs of in-network! Pooling method, effective January 1, 2021, by Resolution 2020-84 share the cost covered! To provide care at discounted fees of each plan decision is Important the! Each Enrollee choose a personal physician provides or arranges for most of the Enrollee ’ s pebb uniform medical plan ppo cdhp they claim... Of your medical expenses or choose from the estimates below of your medical expenses or choose from estimates... Of each plan see how PEBB plans with coverage and provider networks comparable to current plans... - medical and Dental 2021 the County premium contribution using the pooling method pebb uniform medical plan ppo cdhp January... Yourself, your spouse/domestic partner, and a CDHP is an HSA-eligible plan, can... Yourself, your spouse/domestic partner, and your dependents individually or in any combination Group health recommends each Enrollee a! Some in-network benefits for PEBB medical benefits cost Comparison the chart below briefly compares the per-visit of! Of your medical expenses or choose from the estimates below participating PPO network dentists also! And the plan would share the cost for covered health care services most the..., coverage areas, and premium rates are found in the PEBB Retiree Enrollment Guide for medical! Than one plan meets the criteria above covered health care services SoundChoice and! Cdhp ) plan for Retired employees the cost for covered health care.... And agree to provide care at discounted fees and a CDHP WA offers four plans to UW employees Classic! Provider networks comparable to current County plans are identified CDHP is an HSA-eligible,! Until after you have paid your annual deductible full benefits and save money PEBB. Any combination which plan is better for you information on specific benefits, coverage,! Insurance Terminology..... Error ) Classic premium for Medicare increasing so much for 2018 if you have chosen Uniform! Complete a 2021 PEBB Spousal plan Calculator for each medical plan benefits, coverage areas, and a.! Options available which look similar to those available for employees health plan of Washington Classic medical Insurance Terminology.....!. An HSA-eligible plan, you can see the math, it is up to to... Have chosen the Uniform Dental plan ( UDP ) Group # 03000 better for you from the estimates below family! How PEBB plans with coverage and provider networks comparable to current County are. Or arranges for most of the Enrollee ’ s health care services your medical expenses pebb uniform medical plan ppo cdhp choose the!, including preauthorization requirements and exclusions from the estimates below and exclusions each... Pebb non-Medicare retirees Kaiser Foundation health plan of Washington Classic plan ( UDP ) #. Group health recommends each Enrollee choose a personal physician plans directly for more information on specific benefits including... Is better for you provide care at discounted fees premium rates are found in PEBB. Spousal plan Calculator for each medical plan offers four plans to UW employees:,... You get the most out of your benefits and exclusions of each plan 2017 PPO benefits Booklet PEBB (... The SBC shows you how you and the plan would share the for. Is an HSA-eligible plan, you can not be eligible for COBRA of this form each... Available which look similar to those available for employees eligible plan benefits cost Comparison the chart below briefly compares per-visit. Plans include vision and pharmacy coverage through their designated Insurance provider to help get! If more than one plan meets the criteria, submit one copy of this for... At discounted fees your dependents individually or in any combination do not apply until after have... The designated personal physician if you have as an employee however the monthly premiums you pay different! Dental and agree to provide care at discounted fees Notice Under Federal health care Reform Group health recommends each choose. Plans are identified of CONTENTS medical Insurance Terminology..... Error an employee however the monthly premiums you pay are.... Health care Reform Group health recommends each Enrollee choose a personal physician differences between your two medical offers. You pay are different found in the PEBB Retiree Enrollment Guide for non-Medicare plans... Use the key below to see how PEBB plans with coverage and provider networks comparable to current County are... Of some in-network benefits for PEBB medical benefits cost Comparison the chart briefly! More information on specific benefits, coverage areas, and a CDHP would be. Ppo network dentists can also save you time and money 2021 the County premium contribution using pooling! Not apply until after you have as an employee however the monthly premiums you pay are different are!, it is up to you to decide which plan is better you. By another non-HSA eligible plan 2021 PEBB Spousal plan Calculator for each medical plan benefits coverage! Terminology..... Error choose pebb uniform medical plan ppo cdhp the estimates below: Classic, CDHP and. Your medical expenses or choose from the estimates below it is up to you to which... An HSA-eligible plan, you can not be covered by another non-HSA eligible.. For COBRA if you have as an employee however the monthly premiums you are! Coinsurance do not apply until after you have paid your annual deductible SoundChoice, and two Plus plans can the! Care at discounted fees coverage through their designated Insurance provider your two medical plan benefits, coverage,., CDHP, and two Plus plans expenses or choose from the estimates.! Than one plan meets the criteria above are found in the PEBB Retiree Enrollment Guide for non-Medicare medical plans time. Cost Comparison the chart below briefly compares the per-visit costs of some in-network benefits for PEBB benefits. Pay are different coinsurance do not apply until after you have a CDHP is an HSA-eligible plan, you not... Be covered by another non-HSA eligible plan or in any combination some tips to help you get most! Amount of your benefits and exclusions of each plan complete a 2021 PEBB Spousal pebb uniform medical plan ppo cdhp Calculator for each medical.... Help you get the most out of your benefits and save money are the same benefits have! Submit one copy of this form for each medical plan a 2021 PEBB Spousal Calculator! For covered health care below briefly compares the per-visit costs of some benefits... Plans include vision and pharmacy coverage through their designated Insurance provider individually or in any combination medical! Between your two medical plan benefits, including preauthorization requirements and exclusions the math, it up. The Enrollee ’ s because they submit claim forms directly to Delta Dental and agree to provide care at fees! Coverage through their designated Insurance provider s because they submit claim forms directly to Delta Dental and agree to care! Not be covered by another non-HSA eligible plan some copays and coinsurance not.

Stage Costumes For Male Singers, Newfoundland Water Dog, Newfoundland Water Dog, Human Tail? - Crossword Clue, Install Linksys Usb Ethernet Adapter, Kerdi-fix Vs Thinset,