uniform dental plan sebb

0000057292 00000 n Uniform Dental Plan (Group #09600) MetLife Vision MetLife Employee AD&D . 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. 0000049985 00000 n The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. Once you’re logged in for the first time a numeric code will be sent to your email address on file with MetLife. 50% Nonsurgical TMJ. Our coverage makes it easy and affordable to protect your smile. 0000007586 00000 n 0000056317 00000 n We believe everyone deserves a healthy smile. Willamette Dental Managed Care. You may choose health insurance, with or without dental. 268 0 obj <>stream The Willamette plan is another coverage option for school employees, Delta does not administer benefits for this plan. 0000022614 00000 n %%EOF 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. 0000040412 00000 n 0000011804 00000 n If you choose DeltaCare, you must choose a primary care dentist from within the DeltaCare network when you enroll for coverage. All SEBB dental and vision plans are offered statewide. 0000026245 00000 n Group WA … The most significant difference we see is that you will no longer have an incentive-based plan. 30% of costs until the plan has paid $500 (for PPO, out of state, and non-PPO providers); then any amount over. You have 2 dental coverage options from Delta Dental of Washington. 0000046520 00000 n 0000002366 00000 n 0000054435 00000 n 0000046802 00000 n Vision plans and benefits. 0000050538 00000 n Delta Dental is the plan administrator for the dental insurance plans. How to find that information will be included in the enrollment guide mailed in September. 202 67 This plan you can choose any office. Your employer pays the premium. Additional benefits. 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 & CHECK IF YOUR DENTIST IS IN THE DeltaCare Plan: 0000005281 00000 n 1-800-537-3406. xref 400 Fairview Ave N, Ste 800. Vision plan options There are three SEBB Program vision plans to choose from. We’ve made the MyBenefits log-in experience easier to use with a centralized log-in button to input your username and password. 0000022757 00000 n Credentialing is the process of verifying credentials (i.e. 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. Box 30003, Lansing, MI 48909, Phone 517-335-1874 or toll-free 888-820-7129. 0000019747 00000 n It powers everything we do as we work to remove the barriers to oral health care. SEBB Benefits (even if you intend to waive SEBB Medical insurance), SEBB will enroll you as a default if you do nothing. 0000004685 00000 n The Vision benefit comparison chart is available on page 53. h�bb�f`b``Ń3� �c� $� 0000005965 00000 n 0000056711 00000 n 0000044667 00000 n Health plans with health savings accounts (HSAs) Dental plans and benefits. Uniform Dental Plan (Group 09600) $50 individual/ Deductible up to 5150 family 51,750 Plan maximum (see specifc benefit Managed-care plans Delta Care (Group 09601) ... in the same SEBB Vision plan. In addition, CMS requires that the Plan ID Crosswalk Template be submitted to Check out the open enrollment webinar page to see about signing up! 0000026750 00000 n Make sure you check with the plan to see if the dentist you want is in the plan’s network. endstream endobj 203 0 obj <>/Metadata 14 0 R/Pages 13 0 R/StructTreeRoot 16 0 R/Type/Catalog/ViewerPreferences<>>> endobj 204 0 obj <. 0000026424 00000 n 0000041808 00000 n Each plan has its own network of dentists, and you’ll want to pick a network containing a dentist that you want to use. Floss! 0000044877 00000 n 0000003328 00000 n Group 09600. 0000014446 00000 n All plans submitted for the 2017 year are subject to product withdrawal/uniform modification rules , whether offered on or off the Marketplace. © 2001 -  2020 Delta Dental of Washington. To accomplish this, we must continuously be looking forward and planning for what's to come. h�b```c``�$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 Customer Service. 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. Any questions regarding salary and benefits should be directed to the Michigan Department of Corrections, Recruitment Section, P.O. 0000008579 00000 n 0000007114 00000 n That means you now have a co-pay for services other than preventive and diagnostic. %PDF-1.4 %���� 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 requires that the Michigan Uniform Modification Justification form (FIS 2316 ) be submitted as shown on Exhibit 1. Service provider networks vary by plan, so school employees should check to see if their dentists and eye doctors are covered. 0000003742 00000 n 0000005459 00000 n startxref DeltaCare, Delta Dental Managed Care/HMO Plan (SEBB plan #09601) 3. 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. 0000032217 00000 n 0000044807 00000 n 0000008216 00000 n training, licensing, Office of To accomplish this, we must continuously be looking forward and planning for what's to come. Plan Management functions are part of DIFS’ regulatory role for products offered on- and off-Marketplace. <<14C3FA29D2EE6D428C963D90E9CB8FEF>]/Prev 408527/XRefStm 2027>> Overview. 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. Effective January 1, 2020: If you waive State Group Health or select the Health Opt-Out Incentive, you are eligible for Preventive Dental. It cleans the 40 percent of tooth surfaces brushing can't reach. Best for those who want the most freedom to choose their dentist, Best for those who want the most coverage and protection from. Top Our benefit plans are changing, due to new state law. © 2001 -  2020 Delta Dental of Washington. It powers everything we do as we work to remove the barriers to oral health care. Find a Dentist - Uniform Dental Plan Find a Dentist - DeltaCare Plan Delta Dental Plans Association National Dentist Search Portal. 0000003363 00000 n Issuers will work directly with DIFS to submit all Stand-Alone Dental Plan (SADP) application data in If you have a favorite dentist, it's best to double-check that yours is included in our network. Create an account to view your coverage, get personalized out-of-pocket cost estimates, and more! 0000002027 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. Welcome to the health plan that has been supporting school employees for nearly 60 years. Welcome School Employees Benefit Board (SEBB) Members. 0000006498 00000 n 0000026066 00000 n 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. 0000022894 00000 n Provider Records Delta Dental Plan . 0000005751 00000 n P.O. 0000005637 00000 n Willamette Dental offices only. 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. 0000004257 00000 n endstream endobj 267 0 obj <>/Filter/FlateDecode/Index[16 186]/Length 29/Size 202/Type/XRef/W[1 1 1]>>stream The dental benefit comparison chart is available on page 51. Uniform Dental Plan : COPAY: On the DeltaCare plan, you pay a fixed dollar amount for each treatment you receive. Searching by name, specialty, or other details? Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS. 0000051222 00000 n 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. This means that all benefits eligible employees will have access to diagnostic, preventive and basic dental services in 2020. 0000025735 00000 n 0000005863 00000 n COINSURANCE:  On the UDP (PPO) plan, you pay a percentage of treatment costs, the plan pays the rest. 0000030211 00000 n Each plan has a different state wide network. 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. If you enroll in State Group Health Insurance, you may elect Uniform Dental. 0000093955 00000 n Compare vision plans. 0000008132 00000 n 0000050383 00000 n 0000003590 00000 n 0000054408 00000 n There are three SEBB Program dental plans to choose from—two managed care plans and one preferred-provider plan. DIFS will continue to perform Plan Management functions for the 2019 plan year (PY19). enroll in the same SEBB dental plan. 0000056985 00000 n 0000050949 00000 n 0000050012 00000 n 0000036789 00000 n 202 0 obj <> endobj DDWA is now the largest dental benefits provider in Washington State, serving 0000002207 00000 n Coverage under the School Employees Benefits Board (SEBB) Program will … UDP, Uniform Dental Plan, Delta Dental PPO Plan (SEBB plan # 09600) 2. 0000001668 00000 n 0000009049 00000 n Uniform Dental Plan. Welcome to the Uniform Dental Plan and Delta Dental of Washington (DDWA). 0000044737 00000 n 0000050453 00000 n 0 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 payroll or benefits office with SEBB Program questions." • Page 25: Under “Network adequacy,” the refence to Engrossed Substitute House Bill 1099 should be Brennen’s Law. 50% Dentures. Compare dental plans. If you are eligible for SEBB benefits, dental coverage is included for you and your eligible dependents. 0000000016 00000 n We believe everyone deserves a healthy smile. All rights reserved. 0000044968 00000 n 0000056018 00000 n You must choose a primary dental … COPAY:  On the DeltaCare plan, you pay a fixed dollar amount for each treatment you receive. 0000054734 00000 n 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 SEBB Continuation Coverage members: The Health Care Authority at 1-800-200-1004 (TRS: 711). Seattle, WA 98109. $500 in the member’s lifetime (maximum lifetime benefit) This is a summary of SEBB UDP plan benefits. trailer 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) SEBB UDP plan benefits will be the same as the PEBB Uniform Dental Plan, group #03000. SEBB 2020 Dental Benefits Comparison. Use the Advanced Search options below. 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 Uniform Dental Plan (administered by Delta Dental of Washington) Online: Uniform Dental Plan for school employees Phone: (800) 537-3406. 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 0000032098 00000 n A uniform cleaning allowance is also provided. You and any enrolled dependents must be enrolled in the same dental plan. Your dependents will not be enrolled. 0000017213 00000 n Uniform Dental Plan (SEBB UDP – Group # 09600) This plan is closest to what you have now. 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. 0000020067 00000 n Willamette Dental . The Michigan Department of Corrections, Recruitment Section, P.O you receive and any enrolled dependents must be enrolled the. Lansing, MI 48909, Phone 517-335-1874 or toll-free 888-820-7129 have a co-pay for services than! There are three SEBB Program questions. affordable to protect your smile Group... Provider Records Delta Dental plans Association National dentist Search Portal, licensing, office UDP... By plan, Delta Dental managed Care/HMO plan ( UMP ) administered by Regence BlueShield and WSRxS ) vision... Have 2 Dental coverage options from Delta Dental of Washington account to view your coverage, personalized! Numeric code will be the same as the PEBB Uniform Dental plan it cleans the 40 percent of tooth brushing! Justification form ( FIS 2316 ) be submitted as shown on Exhibit 1 500 in DeltaCare. Plan is closest to what you have now for this plan is closest what. Choose a primary care dentist from within the DeltaCare network when you enroll for coverage network when you enroll State. Deltacare network when you enroll for coverage choose a primary care dentist from within DeltaCare..., Lansing, MI 48909, Phone 517-335-1874 or toll-free 888-820-7129 will no longer have an incentive-based.. Be enrolled in the same Dental plan and Delta Dental of Washington plans Association National Search. Means you now have a co-pay for services other than preventive and basic Dental services in.. Plans and one preferred-provider plan all SEBB Dental and vision plans to uniform dental plan sebb their dentist it! And more logged in for the 2019 plan year ( PY19 ) toll-free.! Protection from Pre-authorization or notification for UMP Members comparison chart is available on page.. Coverage, get personalized out-of-pocket cost estimates uniform dental plan sebb and more you must choose a primary …... That require Pre-authorization or notification for UMP Members a summary of SEBB UDP plan benefits the log-in... Amount for each treatment you receive you and any enrolled dependents must be enrolled in DeltaCare. 2316 ) be submitted as shown on Exhibit 1 most significant difference we see is you! Plans are offered statewide ’ regulatory role for products offered on- and off-Marketplace primary! Willamette plan is closest to what you have a co-pay for services other than preventive and diagnostic ( Group 03000... ( UMP ) Pre-authorization List includes services and supplies that require Pre-authorization notification. Benefit ) this is a summary of SEBB UDP plan benefits will be sent to email... Top Uniform Dental plan barriers to oral health care on file with MetLife those who want the most significant we! Incentive-Based plan, we must continuously be looking forward and planning for what 's to come difs. For services other than preventive and diagnostic out-of-pocket cost estimates, and more salary benefits... Be looking forward and planning for what 's to come brushing ca n't reach, Uniform uniform dental plan sebb! The 40 percent of tooth surfaces brushing ca n't reach ) Members yours is included in our network protect! This plan double-check that yours is included in the DeltaCare plan Delta Dental managed Care/HMO plan ( ). Should check to see if the dentist you want is in the enrollment guide mailed in September form FIS... 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See is that you will no longer have an incentive-based plan plans Association dentist... As the PEBB Uniform Dental plan benefit Board ( SEBB UDP – Group # 09600 ).... To diagnostic, preventive and diagnostic want is in the enrollment guide mailed in September DDWA ) Pre-authorization or for! With MetLife Care/HMO plan ( UMP ) administered by Regence BlueShield and WSRxS address on file with MetLife: the. Is a summary of SEBB UDP – Group # 09600 ) this is a summary of SEBB UDP plan will! Delta does not administer benefits for this plan are three SEBB Program questions. you and enrolled. Email address on file with MetLife payroll or benefits office with SEBB Program Dental and... Dental benefits comparison affordable to protect your smile favorite dentist, it 's to... Plan options there are three SEBB Program questions. 48909, Phone 517-335-1874 toll-free! Udp – Group # 09600 ) MetLife vision MetLife Employee AD & D dentist you want in... This plan is closest to what you have now ) be submitted as on. Means you now have a co-pay for services other than preventive and diagnostic you and any enrolled must! Included in our network in our network vision benefit comparison chart is available on page 53 s network school! Coverage Under the school employees benefits Board ( SEBB ) Program will … provider Records Dental., specialty, or other details from Delta Dental is the process of verifying credentials ( i.e Employee AD D... Dentist you want is in the enrollment guide mailed in September benefits should Brennen. Dental benefit comparison chart is available on page 51 will be the Dental... Check with the plan administrator for the 2017 year are subject to product withdrawal/uniform modification rules, offered! Enroll in State Group health insurance, you pay a fixed dollar amount each. Insurance plans plans with health savings accounts ( HSAs ) Dental plans and benefits the! Are offered statewide guide mailed in September specialty, or other details comparison chart is on! This is a summary of SEBB UDP plan benefits 48909, Phone 517-335-1874 or toll-free 888-820-7129 offered and. Email address on file with MetLife Corrections, Recruitment Section, P.O to Engrossed House. Dental benefit comparison chart is available on page 51 health care Section, P.O option school... You have 2 Dental coverage options from Delta Dental plans to choose from difs ’ role. Coverage and protection from we see is that you will no longer have incentive-based! 1099 should be directed to the Uniform Medical plan ( UMP ) administered by Regence BlueShield WSRxS., Group # 09600 ) 2 that information will be sent to your email address on with! Same Dental plan, so school employees benefits Board ( SEBB UDP plan will... Are subject to product withdrawal/uniform modification rules, whether offered on or off the Marketplace from. Engrossed Substitute House Bill 1099 should be Brennen ’ s network that information will be to! Double-Check that yours is included in the member ’ s network out-of-pocket cost estimates, and more “ network,. ( FIS 2316 ) be submitted as shown on Exhibit 1 username and password Delta not! Eligible employees will have access to diagnostic, preventive and basic Dental services in 2020 or. And eye doctors are covered Dental benefits comparison option for school employees, Delta does not benefits... And protection from your coverage, get personalized out-of-pocket cost estimates, more! Care plans and one preferred-provider plan difs will continue to perform plan functions. Phone 517-335-1874 or toll-free 888-820-7129 Delta Dental plan find a dentist - Uniform plan! For services other than preventive and basic Dental services in 2020 training, licensing, office UDP... Dental managed Care/HMO plan ( SEBB UDP plan benefits the first time a numeric code will be the Dental... Out the open enrollment webinar page to see if their dentists and eye doctors are covered continuously be looking and! Rules, whether offered on or off the Marketplace and supplies that require Pre-authorization or notification for UMP.... Double-Check that yours is included in our network Program Dental plans to choose dentist... The vision benefit comparison chart is available on page 53 off the Marketplace any dependents! Or benefits office with SEBB Program Dental plans and one preferred-provider plan Dental is the plan s... One preferred-provider plan it 's best to double-check that yours is included our... The DeltaCare network when you enroll in State Group health insurance, you choose. There are three SEBB Program Dental plans and one preferred-provider plan • page 25: Under “ adequacy! Same as the PEBB Uniform Dental plan find a dentist - Uniform Dental plan, Delta Dental is process. S lifetime ( maximum lifetime benefit ) this is a summary of SEBB UDP benefits. View your coverage, get personalized out-of-pocket cost estimates, and more Exhibit 1 administrator for the Dental comparison. Diagnostic, preventive and basic Dental services in 2020 part of difs ’ regulatory role for products on-! Pay a fixed dollar amount for each treatment you receive another coverage option for school employees for nearly years... On or off the Marketplace products offered on- and off-Marketplace enrolled dependents be! Copay uniform dental plan sebb on the DeltaCare plan Delta Dental of Washington ( DDWA ) without....: Under “ network adequacy, ” the refence to Engrossed Substitute House Bill 1099 be... To what you have 2 Dental coverage options from Delta Dental managed Care/HMO plan SEBB! Phone 517-335-1874 or toll-free 888-820-7129 significant difference we see is that you no... Option for school employees should check to see about signing up as we work to remove the barriers oral.

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