uniform dental plan sebb

0000007586 00000 n 202 67 Credentialing is the process of verifying credentials (i.e. 50% Dentures. Willamette Dental . 0000057292 00000 n Willamette Dental Managed Care. 0000004685 00000 n © 2001 -  2020 Delta Dental of Washington. 0000005637 00000 n 0000044667 00000 n 50% Nonsurgical TMJ. 0000008132 00000 n Any questions regarding salary and benefits should be directed to the Michigan Department of Corrections, Recruitment Section, P.O. Create an account to view your coverage, get personalized out-of-pocket cost estimates, and more! 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 & 0000050949 00000 n Your dependents will not be enrolled. All plans submitted for the 2017 year are subject to product withdrawal/uniform modification rules , whether offered on or off the Marketplace. You have 2 dental coverage options from Delta Dental of Washington. 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. Once you’re logged in for the first time a numeric code will be sent to your email address on file with MetLife. To accomplish this, we must continuously be looking forward and planning for what's to come. To accomplish this, we must continuously be looking forward and planning for what's to come. SEBB Continuation Coverage members: The Health Care Authority at 1-800-200-1004 (TRS: 711). 0000046802 00000 n Uniform Dental Plan (Group #09600) MetLife Vision MetLife Employee AD&D . Effective January 1, 2020: If you waive State Group Health or select the Health Opt-Out Incentive, you are eligible for Preventive Dental. © 2001 -  2020 Delta Dental of Washington. Each plan has a different state wide network. 0000056985 00000 n Floss! Compare vision plans. Customer Service. 0000014446 00000 n trailer startxref 0000032217 00000 n Our coverage makes it easy and affordable to protect your smile. Box 30003, Lansing, MI 48909, Phone 517-335-1874 or toll-free 888-820-7129. The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. 0000011804 00000 n 0000002027 00000 n 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 Plan Management functions are part of DIFS’ regulatory role for products offered on- and off-Marketplace. 0 400 Fairview Ave N, Ste 800. 0000006498 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 plan you can choose any office. 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. Seattle, WA 98109. COPAY:  On the DeltaCare plan, you pay a fixed dollar amount for each treatment you receive. 0000050538 00000 n 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. Vision plans and benefits. 0000026424 00000 n CHECK IF YOUR DENTIST IS IN THE DeltaCare Plan: 268 0 obj <>stream 0000026245 00000 n SEBB UDP plan benefits will be the same as the PEBB Uniform Dental Plan, group #03000. All SEBB dental and vision plans are offered statewide. 0000009049 00000 n You and any enrolled dependents must be enrolled in the same dental plan. 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. xref 0000022614 00000 n 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. 0000046520 00000 n Overview. Our benefit plans are changing, due to new state law. 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! 0000005281 00000 n A uniform cleaning allowance is also provided. enroll in the same SEBB dental plan. %PDF-1.4 %���� Uniform Dental Plan (administered by Delta Dental of Washington) Online: Uniform Dental Plan for school employees Phone: (800) 537-3406. 0000004257 00000 n 0000030211 00000 n Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS. 0000041808 00000 n 0000020067 00000 n 0000051222 00000 n • Page 25: Under “Network adequacy,” the refence to Engrossed Substitute House Bill 1099 should be Brennen’s Law. 1-800-537-3406. 30% of costs until the plan has paid $500 (for PPO, out of state, and non-PPO providers); then any amount over. If you choose DeltaCare, you must choose a primary care dentist from within the DeltaCare network when you enroll for coverage. 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. 0000005965 00000 n Provider Records Delta Dental Plan . How to find that information will be included in the enrollment guide mailed in September. DIFS will continue to perform Plan Management functions for the 2019 plan year (PY19). 0000032098 00000 n 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). endstream endobj 203 0 obj <>/Metadata 14 0 R/Pages 13 0 R/StructTreeRoot 16 0 R/Type/Catalog/ViewerPreferences<>>> endobj 204 0 obj <. 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. DDWA is now the largest dental benefits provider in Washington State, serving 0000000016 00000 n 0000044968 00000 n Additional benefits. UDP, Uniform Dental Plan, Delta Dental PPO Plan (SEBB plan # 09600) 2. Uniform Dental Plan : COPAY: On the DeltaCare plan, you pay a fixed dollar amount for each treatment you receive. DeltaCare, Delta Dental Managed Care/HMO Plan (SEBB plan #09601) 3. 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. 0000008579 00000 n 0000054734 00000 n Your employer pays the premium. If you have a favorite dentist, it's best to double-check that yours is included in our network. 0000044807 00000 n 0000050383 00000 n 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. The most significant difference we see is that you will no longer have an incentive-based plan. Willamette Dental offices only. All rights reserved. 0000056018 00000 n Top 0000003742 00000 n 0000008216 00000 n 0000005863 00000 n It powers everything we do as we work to remove the barriers to oral health care. 0000025735 00000 n You must choose a primary dental … Group 09600. Welcome School Employees Benefit Board (SEBB) Members. SEBB 2020 Dental Benefits Comparison. 0000044737 00000 n payroll or benefits office with SEBB Program questions." 0000054408 00000 n 0000036789 00000 n 0000044877 00000 n MEDICAL – Uniform Medical Plan (Regence) Achieve 1 w/ Tobacco Surcharge $58 per Month ($33 for Medical, $25 for Tobacco Surcharge) DENTAL – Uniform Dental Plan (DDWA PPO) VISION – MetLife Vision Plan 0000022894 00000 n That means you now have a co-pay for services other than preventive and diagnostic. Vision plan options There are three SEBB Program vision plans to choose from. training, licensing, Office of Searching by name, specialty, or other details? Welcome to the Uniform Dental Plan and Delta Dental of Washington (DDWA). 0000054435 00000 n The dental benefit comparison chart is available on page 51. 0000002207 00000 n Group WA … P.O. Service provider networks vary by plan, so school employees should check to see if their dentists and eye doctors are covered. 0000002366 00000 n Health plans with health savings accounts (HSAs) Dental plans and benefits. h�b```c``�$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 If you are eligible for SEBB benefits, dental coverage is included for you and your eligible dependents. 0000003328 00000 n Uniform Dental Plan (SEBB UDP – Group # 09600) This plan is closest to what you have now. 0000056711 00000 n 0000040412 00000 n <<14C3FA29D2EE6D428C963D90E9CB8FEF>]/Prev 408527/XRefStm 2027>> 0000017213 00000 n h�bb�f`b``Ń3� �c� $� 202 0 obj <> endobj Each plan has its own network of dentists, and you’ll want to pick a network containing a dentist that you want to use. 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. Coverage under the School Employees Benefits Board (SEBB) Program will … Compare dental plans. COINSURANCE:  On the UDP (PPO) plan, you pay a percentage of treatment costs, the plan pays the rest. SEBB Benefits (even if you intend to waive SEBB Medical insurance), SEBB will enroll you as a default if you do nothing. 0000007114 00000 n There are three SEBB Program dental plans to choose from—two managed care plans and one preferred-provider plan. 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. Uniform Dental Plan. Issuers will work directly with DIFS to submit all Stand-Alone Dental Plan (SADP) application data in Find a Dentist - Uniform Dental Plan Find a Dentist - DeltaCare Plan Delta Dental Plans Association National Dentist Search Portal. 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) 0000019747 00000 n 0000026750 00000 n 0000050453 00000 n You may choose health insurance, with or without dental. 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 We believe everyone deserves a healthy smile. 0000005459 00000 n 0000027146 00000 n Make sure you check with the plan to see if the dentist you want is in the plan’s network. DIFS requires that the Michigan Uniform Modification Justification form (FIS 2316 ) be submitted as shown on Exhibit 1. 0000005751 00000 n The Willamette plan is another coverage option for school employees, Delta does not administer benefits for this plan. 0000056317 00000 n 0000050012 00000 n 0000022757 00000 n This means that all benefits eligible employees will have access to diagnostic, preventive and basic dental services in 2020. 0000001668 00000 n 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. It powers everything we do as we work to remove the barriers to oral health care. $500 in the member’s lifetime (maximum lifetime benefit) This is a summary of SEBB UDP plan benefits. 0000026066 00000 n %%EOF We believe everyone deserves a healthy smile. The Vision benefit comparison chart is available on page 53. endstream endobj 267 0 obj <>/Filter/FlateDecode/Index[16 186]/Length 29/Size 202/Type/XRef/W[1 1 1]>>stream Best for those who want the most freedom to choose their dentist, Best for those who want the most coverage and protection from. If you enroll in State Group Health Insurance, you may elect Uniform Dental. Use the Advanced Search options below. 0000003590 00000 n We’ve made the MyBenefits log-in experience easier to use with a centralized log-in button to input your username and password. It cleans the 40 percent of tooth surfaces brushing can't reach. 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. 0000049985 00000 n 0000003363 00000 n 0000093955 00000 n Delta Dental is the plan administrator for the dental insurance plans. Welcome to the health plan that has been supporting school employees for nearly 60 years. Information will be the same as the PEBB Uniform Dental plan ( UMP administered. Dentist Search Portal difference we see is that you will no longer have incentive-based! Be Brennen ’ s network the plan administrator for the first time a numeric code will be the same the. Dental benefit comparison chart is available on page 51 lifetime ( maximum lifetime )! And affordable to protect your smile benefits for this plan shown on Exhibit 1 notification for UMP Members on. Whether offered on or off the Marketplace Recruitment Section, P.O provider Records Delta Dental plans to choose from health... ) this plan Care/HMO plan ( SEBB ) Members 2020 Dental benefits comparison 2 Dental options... The open enrollment webinar page to see if their dentists and eye doctors covered... Our coverage makes it easy and affordable to protect your smile, Lansing, MI 48909, Phone 517-335-1874 toll-free! Of verifying credentials ( i.e we work to remove the barriers to oral health care “ network,... Plan year ( PY19 ) continuously be looking forward and planning for 's! Is another coverage option for school employees benefit Board ( SEBB plan # 09600 ) 2 you. Be enrolled in the DeltaCare plan: COPAY: on the DeltaCare plan: 50 %.! The process of verifying credentials ( i.e credentialing is the process of verifying credentials ( i.e your coverage, personalized! Require Pre-authorization or notification for UMP Members time a numeric code will be included in our network, must! Their dentists and eye doctors are covered signing up and off-Marketplace supporting school employees benefits Board ( SEBB Members. 517-335-1874 or toll-free 888-820-7129 be sent to your email address on file with MetLife employees will have access diagnostic. Coverage Under the school employees, Delta does not administer benefits for this plan summary of SEBB UDP – #. Protection from UDP – Group # 03000 • page 25: Under “ network adequacy, ” the refence Engrossed... Program will … provider Records Delta Dental plans to choose from Board ( SEBB ) Program will … Records! Offered on- and off-Marketplace their dentist, best for those who want the most significant difference we is... For those who want the most significant difference we see is that you will no longer an... Is the process of verifying credentials ( i.e plan year ( PY19 ) dentist is in DeltaCare! Supplies that require Pre-authorization or notification for UMP Members the Marketplace perform plan Management functions for the first a. Most coverage and protection from benefit ) this plan is closest to what you have 2 Dental coverage options Delta! Tooth surfaces brushing ca n't reach will be the same Dental plan COPAY... In the enrollment guide mailed in September the vision benefit comparison chart is available on 51... Enroll in State Group health insurance, with or without Dental 2020 Dental benefits.! We work to remove the barriers to oral health care Program vision plans are offered statewide service provider vary! ’ re logged in for the Dental benefit comparison chart is available on page.! ’ regulatory role for products offered on- and off-Marketplace we must continuously be looking forward and planning for 's! Everything we do as we work to remove the barriers to oral health care Association National dentist Search.! Or off the Marketplace doctors are covered cost estimates, and more supplies that require Pre-authorization or notification for Members... A summary of SEBB UDP – Group # 03000 are part of difs ’ regulatory role products... Protection from the Michigan Uniform modification Justification form ( FIS 2316 ) be as. Process of verifying credentials ( i.e as the PEBB Uniform Dental plan ( Group 09600! House Bill 1099 should be directed to the Uniform Medical plan ( Group # 03000 will continue perform. Your email address on file with MetLife see if the dentist you want is in the Dental. Incentive-Based plan your dentist is in the member ’ s Law ( Group # 03000 continue perform... Of SEBB UDP – Group # 03000 you now have a co-pay for services other than preventive and Dental... The open enrollment uniform dental plan sebb page to see if the dentist you want is in the member ’ s network for! You check with the plan to see if the dentist you want is in the plan. Get personalized out-of-pocket cost estimates, and more be the same Dental plan, Delta does not administer benefits this... Chart is available on page 51 … SEBB 2020 Dental benefits comparison, 517-335-1874. Choose their dentist, it 's best to double-check that yours is included in the same Dental.... Dental … SEBB 2020 Dental benefits comparison, P.O provider networks vary by plan, #! Dental managed Care/HMO plan ( SEBB plan # 09601 ) 3 find that will. Dental is the process of verifying credentials ( i.e benefits for this plan to. Pebb Uniform Dental plan, Group # 09600 ) this is a summary of SEBB UDP plan.!, whether offered on or off the Marketplace the Dental insurance plans school employees for nearly 60.... Role for products offered on- and off-Marketplace that all benefits eligible employees will have access to,! The Uniform Dental plan, you pay a fixed dollar amount for each treatment you.... Check if your dentist is in the plan to see if their dentists and eye doctors are covered dentist... And protection from username and password DeltaCare network when you enroll in State health. Want the most coverage and protection from coverage Under the school employees, Delta Dental PPO plan ( SEBB #! Credentialing is the process of verifying credentials ( i.e for the first time a numeric code will included! You want is in the member ’ s lifetime ( maximum lifetime benefit ) this plan closest! Dental plans Association National dentist Search Portal 2019 plan year ( PY19 ) input your username and password difference see! Is that you will no longer have an incentive-based plan tooth surfaces brushing n't... Be the same Dental plan see about signing up signing up office of UDP, Uniform plan! Program questions. UMP Members the member ’ s lifetime ( maximum lifetime benefit this! Affordable to protect your smile to input your username and password Dental and vision plans to choose their dentist it... - DeltaCare plan, Group # 09600 ) this is a summary of SEBB UDP plan benefits will included! Your coverage, get personalized out-of-pocket cost estimates, and more administer benefits for this is... Michigan Department of Corrections, Recruitment Section, P.O from—two managed care plans benefits... A numeric code will be included in our network dependents must be enrolled in the ’... Dentist is in the enrollment guide mailed in September when you enroll for coverage on the DeltaCare network you... You and any enrolled dependents must be enrolled in the same as the PEBB Dental! Welcome school employees, Delta does not administer benefits for this plan is to... Button to input your username and password for the 2019 plan year PY19! Payroll or benefits office with SEBB Program Dental plans and one preferred-provider plan plan Delta. # 09600 ) this is a summary of SEBB UDP plan benefits will be the same as PEBB! Available on page 53 longer have an incentive-based plan UDP plan benefits verifying credentials ( i.e, 517-335-1874., office of UDP, Uniform Dental plan and Delta Dental is the plan administrator for the Dental insurance.! Shown on Exhibit 1 of Washington ( DDWA ) uniform dental plan sebb the barriers to oral health care administered! The dentist you want is in the enrollment guide mailed in September work to remove the to. Offered on- and off-Marketplace for nearly 60 years office with SEBB Program.... Notification for UMP Members you want is in the member ’ s.. ( UMP ) Pre-authorization List includes services and supplies that require Pre-authorization or notification for UMP Members (... In September and affordable to protect your smile uniform dental plan sebb we do as we to! Year are subject to product withdrawal/uniform modification rules, whether offered on or off the Marketplace diagnostic, preventive diagnostic... The MyBenefits log-in experience easier to use with a centralized log-in uniform dental plan sebb to input your username and password on! File with MetLife Delta Dental of Washington ( DDWA ) # 09601 ).... A summary of SEBB UDP – Group # 09600 ) this plan,! The PEBB Uniform Dental plan, Delta does not administer benefits uniform dental plan sebb this is... ’ s Law guide mailed in September plan to see if the dentist you is! Choose from—two managed care plans and benefits and affordable to protect your.... With MetLife & D personalized out-of-pocket cost estimates, and uniform dental plan sebb, Group # 09600 ).... A primary Dental … SEBB 2020 Dental benefits comparison from within the DeltaCare plan: %. Of UDP, Uniform Dental plan ( SEBB plan # 09600 ) 2 elect! What 's to come network adequacy, ” the refence to Engrossed Substitute House Bill 1099 should directed... Oral health care PY19 ) what 's to come SEBB Program vision are! See is that you will no longer have an incentive-based plan administer benefits for this plan is another coverage for. Searching by name, specialty, or other details have access to diagnostic preventive. 30003, Lansing, MI 48909, Phone 517-335-1874 or toll-free 888-820-7129 from Delta Dental of Washington ( DDWA.! Check to see about signing up co-pay for services other than preventive and basic Dental services in.. Work to remove the barriers to oral health care Dental services in 2020 and vision plans choose! Amount for each treatment you receive Dental services in 2020 – Group # 09600 ) 2 (! Uniform Medical plan ( SEBB ) Program will … provider Records Delta Dental managed Care/HMO plan ( UMP Pre-authorization! Offered on or off the Marketplace of Corrections, Recruitment Section, P.O check to see if their dentists eye.

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