Connect with us. To proceed, please select an authentication provider from the … See page . Use this form to certify your dependent's disability and enroll them on your PEBB coverage. Watch for references to page numbers where you’ll find more information. 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. First-time test takers will pay $137. x���]O#7�����H����� 2021 DCAP Enrollment Guide Read this […] Medicare and PEBB Program benefits - hca.wa.gov. contracts@hca.wa.gov 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. Behavioral health and recovery 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. Willamette Dental Group of Washington, Inc. 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D e e t r au t a n g i S [20] Last four digits of Social Security number Last name. HRA – Health reimbursement arrangement – Health savings account To change your previous attestation, use the . Washington State All Payer Claims Database (WA-APCD) Announcements. School Employees Benefits Board rulemaking. 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. RFP Coordinator . These criteria do not imply or guarantee approval. Connect with us. %PDF-1.5 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. Proposals are now . 2020 UMP Plus–UW Medicine ACN (SEBB) Certificate of Coverage 3 Directory: Prescription drug services . 3 0 obj Connect with us. Rulemaking. Applicants who have applied but not paid in full before July 1, 2018, will pay the full $137 examination fee. Public Employees Benefits Board rulemaking. Find out more about eligibility and when you can change your coverage, visit hca.wa.gov/erb. After turning 26, your dependent may be eligible for enrollment under your PEBB coverage. My spouse or partner has used tobacco products in the past two months. Preauthorization requirements are only valid for the month published. <> Use this form to certify your dependent's disability and enroll them on your SEBB coverage. contracts@hca.wa.gov. Applications received, or postmarked if mailed, on or after July 1, will pay the increased examination fee. This is not the same User ID and password for your Postal Prescription Services (PPS) account. Behavioral health and recovery rulemaking. 6 Hanscome, R., et al. HCA – Health Care Authority . Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. 24 hours, seven days a week . 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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. Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays. Apple Health (Medicaid) rulemaking. Quick start guide. 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 Forms & Documents The following forms and documents are available for you to download in PDF format. hca.wa.gov/erb. Delta Dental of Washington is a part of Delta Dental Plans Association. YES, I am subject to the $25 premium surcharge. 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. Call: 1-866-784-8454 . Visit: hca.wa.gov/erb Tobacco cessation services . Visitors are seen on a first-come, first-served basis. Public Employees Benefits Board rulemaking. FMLA – Family Medical Leave Act . If this is a change to a previous HCA is committed to providing equal access to our services. School Employees Benefits Board rulemaking. Don't have a Washington State Rx Services account? 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. Check one. Director EMS3 70005184 Scott Palafox Deputy CFO - Operations EMS3 71066440 Kristin Collins Assist Dir ETS EMS4 71028580 Jerry Britcher Assist Dir ERD EMS3 Rules. General Health Care Authority rulemaking. hca.wa.gov/erb . We will reduce your medical premium to the lower Medicare rate, if applicable, and notify your medical plan of your Medicare enrollment. FSA – Flexible Spending Arrangement . When you need information about what mental health and substance use disorders are covered, you can read the SEBB medical plans’ Certificates of Coverage. 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. They may have changed from previous months and may change in future months. See “Surcharges” on HCA’s website at hca.wa.gov/erb to learn about these situations. due April 14, 2017 Thank you, Andria Howerton . 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. HDHP – High-deductible health plan . All other communication will be considered unofficial and non-binding on HCA. Preauthorization requirements for Davis Vision plan. 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). Public Employees Benefits Board rulemaking. Please check with your plan to ensure coverage. Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Please provide the following information so we can first verify that we have you in our PEBB Subscriber records. The written examination will increase to $45 and the skills exam will increase to $92. (n.d.). Washington State Public Employees and Retirees. 2 0 obj Help with register HCA’s website at hca.wa.gov/erb. <>>> <>/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>> • Washington’s annual health care cost growth will be below the national health expenditure trend. FDA – Food and Drug Administration . Use this Quick start guide for an overview of the enrollment process. Washington State All Payer Claims Database (WA-APCD) Announcements. a new system will enable ERB Division leadership to use data and technology tools to better . PL -DA Pay1 System Replacement, Decision Package, 2018 Supplemental Budget Request, p. 2. 5. hca.wa.gov/sebb-employee . Good to know! Rulemaking. Visit us in person at the Health Care Authority, 626 8th Avenue SE, Olympia, WA 98501 Note: The PEBB Program does not take appointments. General Health Care Authority rulemaking. 1 0 obj 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. After turning 26, your dependent may be eligible for enrollment under your SEBB coverage. This document includes behavioral health benefits for SEBB medical plans. 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. Please complete your registration by entering the code you see below and clicking the Submit button. 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. Employee: Retiree (Medicare) Retiree (non-Medicare) PEBB Continuation Coverage (COBRA Medicare) PEBB Continuation Coverage (COBRA non-Medicare) PEBB Continuation Coverage (Unpaid Leave) 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. Washington State All Payer Claims Database (WA-APCD) Announcements. You must also provide proof of the Visitors are seen on a first-come, first-served basis. 6 Communication directed to parties other than the RFP Coordinator may result in disqualification of the potential Bidder. endobj Prometric is raising its examination fees effective July 1, 2018. 4 0 obj Does the tobacco use premium surcharge apply to you? Apple Health (Medicaid) rulemaking. Visit: quitnow.net. endobj 5 WA State Health Care Authority. P.O. Apple Health (Medicaid) rulemaking. pebb washington state employees retired › Verified 2 days ago If you need an accommodation or hca.wa.gov/erb. 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] … 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. Rules. PEBB Premium Surcharge Attestation Change Form. 61: American Cancer Society’s Quit for Life program . Rulemaking. Look for the . %���� (August 15, 2017). boxes endobj 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. School Employees Benefits Board rulemaking. 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. 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 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 HIPAA – Health Insurance Portability and Accountability Act . Savings assumed in the current budget will not be realized this biennium. Health Details: Health Care Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684. <> Register. Behavioral health and recovery rulemaking. ��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�. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Rules. General Health Care Authority rulemaking. Kaiser Permanente WA offers coverage for both Medicare-eligible retirees as well as those retiring before they are Medicare-eligible. ERB – Employee and Retiree Benefits . 22) When does my coverage start? stream or email to amy.corrigan@hca.wa.gov For questions, call the ERB Division’s Outreach and Training Unit at 1-800-700-1555. A previous find out more about eligibility and when you seek approval from your health plan for coverage specific! You, Andria Howerton, call the ERB Division leadership to use data and tools... 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