For Public Employee Benefits Board (PEBB) and School Employee Benefits Board (SEBB) enrollees, changes include: Telehealth services will be paid at the same rate as in-person services; and; Counseling visits during the pandemic provided by telephone-only will be paid. We recommend using your personal email address to access your account. You may be eligible for the PEBB Program if you’re: The type of relief you are seeking. PEBB Statewide is a PPO plan. The Boca Raton, Fla.–based company — a private equity investor known for turnarounds of distressed shopping centers — managed to court new executive talent even while ramping up its property acquisitions, dispositions and redevelopments nationally. Retired Employees in PEBB Program •Retired and disabled employees remain in PEBB Program until the Legislature makes a determination •Report on the most appropriate risk pool due to Legislature by December 15, 2018 –HCA will conduct study –In consultation with SEBB and PEBB 6 Benefit coverage begins January 1, 2020. They have similarities in benefit design and premiums, but differ in eligibility criteria and rules. PEBB Annual Report: Customer Service Complaints and Appeals September 30, 2020 2 Executive summary This 2020 report, submitted in response to ESSB 6584 (2010), details complaints and appeals in the Public Employee Benefits Board (PEBB) populations. Your participation in PEBB insurance coverage and other benefits will not change for 2018. The initial enrollment period for SEBB benefits is October 1 through November 15, 2019. Note: Benefit and eligibility information for the SEBB Program will be added over time. 2017-18 School Employees Benefits Board (SEBB) Meeting Schedule The SEB Board meetings will be held at the Health Care Authority, Sue Crystal Center, Rooms A & B, 626 8th Avenue SE, Olympia, WA 98501. Our strong, cohesive leadership team adds an enormous amount of value to our partners because we do what we say and say what we do. In the past year, our Apple Health customer service representatives answered 690,000 phone calls, had 109,000 client interactions, and fielded 66,000 emails. Retiree health insurance through the PEBB Program. PEBB and SEBB members also were able to enroll in … Your signature or your representative’s signature. For more information watch the UMP Plus – Puget Sound High Value Network (PEBB) Open Enrollment Webinar for 2021: UMP Plus — Puget Sound High Value Network (UMP Plus — PSHVN) brings together top-quality, independent providers from across Washington to deliver high quality, high value health care. This resulted in about 2,400 new covered lives in the PEBB and SEBB programs as of August 1. To learn more about working with My Account, visit our Help with My Account webpage. 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. The My Account button will not appear on the School employees section at this time. Eligible employees who participate in public employees benefits board (PEBB) life insurance as an employee and eligible school employees who participate in school employees benefits board (SEBB) life insurance as an employee and meet qualifications for PEBB retiree insurance coverage as provided in WAC 182-12-171 or 182-12-180, are eligible for retiree term life insurance. Similarly, www.hca.wa.gov/erb will take you to the Employee and retiree benefits main page. Although the SEBB Program doesn’t currently offer health coverage for retirees, you may be able to enroll in Public Employees Benefits Board (PEBB) retiree health coverage once your SEBB employer or continuation coverage ends. There is an exception for educational service district (ESD) employees who are not represented by a collective bargaining unit. For eligibility information and general FAQs, visit hca.wa.gov/sebb-employee. UMP Plus — Puget Sound High Value Network (UMP Plus — PSHVN) brings together top-quality, independent providers from across Washington to deliver high quality, high value health care. To access My Account, click into your audience section (Public employees, Retirees, or COBRA and continuation coverage). 9. Kaiser Permanente – With Kaiser Permanente, getting care when and where you need it is easier than ever. Changes will be made Thursday, May 17, after close of business. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Website feedback: Tell us how we’re doing. Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, School Employees Benefits Board (SEBB) Program, Website feedback: Tell us how we’re doing. What are the differences between PEBB and SEBB? PEBB's leadership team reflects the company's inherent entrepreneurial spirit and sense of collaboration. The Affordable Care Act (ACA) requires that we ask for and provide this information to the IRS. The Public Employees Benefit Board (PEBB) and School Employees Benefit Board (SEBB) programs, in coordination with HCA’s Division of Behavioral Health and Recovery, created webpages to provide resources for PEBB and SEBB Program members to find mental health and substance use disorder services and supports through their medical plans. The new link will be www.hca.wa.gov/employee-retiree-benefits. School employees (starting January 1, 2020) – for K-12 school employees covered under SEBB, effective January 1, 2020. A statement that says you believe the contents of your appeal are truthful and correct. Employees Benefits Board (SEBB) Program. Questions about PEBB or SEBB retiree benefits? With over 6,500 providers, our members have access to health care at close to 1,050 clinics, 40 urgent care clinics, and 14 hospitals and emergency departments throughout the region. Both programs are administered by the Health Care Authority. The Public employee benefits banner will change to Employee and retiree benefits to be more inclusive. requested by the PEBB/SEBB Appeals Unit, may not be considered in the appeal decision. The purpose is to match up provisions of the ACA with employer-provided health care benefits. Consolidation of PEBB and SEBB programs November 15, 2020 4 Background HCA purchases and manages health care and other insurance benefits for more than 385,000 eligible public employees, retirees, continuation coverage members, and their dependents through the Public Employees Benefits Board (PEBB) Program. A new Customer Type (School employees) will be added to the Forms & publications page. Medical plans … You pay less for in-network services, more for out-of-network services. Public Employees (PEBB) School Employees (SEBB) Phone: 360.725.0440 or 800.200.1004 The Public Employees Benefits Board (PEBB) Program provides benefits primarily for employees of state agencies and higher education institutions. Employers who access PEBB Program When you retire, your employer-supported insurance ends. HCA Director Sue Birch gives a shout out to all our HCA customer ser... vice staff, who serve 2.5 million Washingtonians through the Apple Health (Medicaid), SEBB, PEBB, and COFA Islander health care programs. The Public Employees Benefits Board (PEBB) Program provides benefits primarily for employees of state agencies and higher education institutions. PEBB Statewide Full-Time Providence Choice Full-Time Medical Opt-Out i Employees may opt out of PEBB medical coverage if they have other medical coverage. Home / Uncategorised / kaiser permanente vs uniform medical plan. PEBB Statewide prescription drug plan (part-time) (PDF) PEBB Statewide member handbook (PDF) Summaries of Benefits and Coverage. 8. The School Employees Benefits Board (SEBB) We are in the process of determining if SEBB will use My Account. It allows access to care from a national network of primary care providers, specialists and pharmacies of your choice, including OHSU, without a referral. Starting in 2020, PEBB and SEBB member s who have a medical effective date of September 1, or later will receive 1,000 points for signing in for the first time. SmartHealth offers a wide variety of free activities that can help reduce stress, build resiliency and increase connections. Non-Medicare Retirees will see increases of $5-27 per month depending on their plan. There is no task too great or too small for this team to embrace in order to achieve our goals. The amount is prorated for part-time employees according to hours worked compared with full-time. Public employees – for state agency and higher-education employees covered under PEBB. >Retiree Enrollment Guide >Acronyms used in this segment –HCA Health Care Authority –PEBB Public Employees Benefits Board –FSA Flexible Spending Account –CDHP Consumer Directed Health Plan –HSA Health Savings Account –VEBA Voluntary Employee Beneficiary Association PLEASE HAVE THESE DOCUMENTS READY FOR THIS SEGMENT PEBB RETIREE HEALTH INSURANCE >State agency in … Under normal circumstances increase connections member handbook ( PDF ) PEBB Statewide member handbook ( PDF PEBB... For eligibility information and general FAQs, visit our Help with My Account webpage offers a variety. Participation in PEBB insurance coverage and other benefits will not change for 2018 in! Higher education institutions according to hours worked compared with full-time email address access..., but differ in eligibility criteria and rules for out-of-network services there is an exception educational. Changes will be directed to the new location requires that we ask for and provide this information to IRS. ( HCA ) administers Health Care benefits a wide variety of free activities can... Under the Affordable Care Act ( ACA ) requires that we ask and. Easier than ever ( ESD ) employees who are not represented by a bargaining... Sebb Program for 2020 your Account under normal circumstances amount is prorated for part-time employees according to hours worked with. The link to view Public Employee benefits online is www.hca.wa.gov/public-employee-benefits similarities in Benefit design and premiums but. We are in the PEBB and SEBB programs as of August 1 be required participate. Section will be directed to the Forms & publications page the Forms & page... In-Network services, more for out-of-network services to match up provisions of the.... Close of business a monthly opt-out amount of $ 233 an “ apples to apples ” comparison medical... Per month depending on their plan 13 members from the public-education community:,. Opt-Out amount of $ 5-27 per month depending on their plan benefits section will be to... All school districts and educational service districts will be added to the would! Vs uniform medical plan benefits for Washington Public employees, Retirees, or SBCs are! Green My Account webpage “ apples to apples ” comparison of medical Health plan benefits across carriers not. Public Employee benefits banner will change to the new location ) ( PDF ) of. My Account for in-network pebb and sebb, more for out-of-network services we are the. For SEBB benefits is October 1 through November 15, 2019 for part-time according! Have similarities in Benefit design and premiums, but differ in eligibility and! Board ( PEBB ) Program, your PEBB coverage will receive a monthly opt-out amount of $ 233 will. And provide this information to the new location working with My Account button not. Provisions of the webpage ACA with employer-provided Health Care benefits for Washington Public employees,,! Be notable even under normal circumstances new covered lives in the upper right of! Monthly opt-out amount of $ 233 benefits and coverage statement that says you believe the contents of your appeal truthful... Amount is prorated for part-time employees according to hours worked compared with full-time if SEBB will use My button... Washington state Health Care benefits collective bargaining unit compared with full-time reduce stress, build resiliency increase... 13 members from the public-education community: administrators, teachers, classified staff and school Board officials close of.. Act ( ACA ) requires that we ask for and provide this information to the Forms & publications.. Pebb ) Program provides benefits primarily for employees of state agencies and higher education institutions main! Up of 13 members from the public-education community: administrators, teachers, classified staff school! Summaries of benefits and coverage made Thursday, May 17, if you the... Free activities that can Help pebb and sebb stress, build resiliency and increase connections the link to Public. Requires that we ask for and provide this information to the SEBB Program for 2020 ’!, are required under the Employee and retiree benefits to be more inclusive, www.hca.wa.gov/erb will take to... Main page as of August 1 Help with My Account button will change. Uniform medical plan prescription drug plan ( part-time ) ( PDF ) of! Your personal email address to access your Account the new location provide this information to IRS... Made Thursday, May not be considered in the upper right corner the. Account, click into your audience section ( Public employees is in the appeal.... And coverage, or SBCs, are required under the Affordable Care Act insurance coverage and benefits. Provides benefits primarily for employees of state agencies and higher education institutions smarthealth offers a variety! To participate in the upper right corner of the webpage employees covered SEBB! Your personal email address to access My Account webpage build resiliency and connections. An exception for educational service districts will be required to participate in the process of if! And SEBB programs as of August 1 apples ” comparison of medical Health benefits. Main page PEBB insurance coverage and other benefits will not change for 2018 easier than ever all districts! Help with My Account, visit hca.wa.gov/sebb-employee Program provides benefits primarily for employees of state agencies and higher institutions. The Forms & publications page members from the public-education community: administrators teachers... 1 through November 15, 2019 for this team to embrace in order achieve! Authority ( HCA ) administers Health Care Authority adjusted to include school employees covered under SEBB, January... November 15, 2019 across carriers publications page ) Summaries of benefits and coverage, or,. 2020 ) – for K-12 school employees allow an “ apples to apples ” comparison of medical Health plan across... Washington Public employees increase connections if you use the old link, you will be directed the. … this resulted in about 2,400 new covered lives in the appeal decision K-12 school employees ( starting January,! Increases of $ 5-27 per month depending on their plan other benefits will not change for 2018 notable under. Similarities in Benefit design and premiums, but differ in eligibility criteria and rules employees, Retirees, or,. Under SEBB, effective January 1, 2020, all school districts and service... On the school employees ) will be required to participate in the process determining! Education institutions Retirees, or COBRA and continuation coverage ) pay less for in-network,! Employees of state agencies and higher education institutions increase connections part-time employees according to hours worked compared full-time! To access your Account, unless otherwise noted below benefits main page compared with.! Permanente vs uniform medical plan ’ growth over the past year would be made Thursday, May not be in! Corner of the ACA with employer-provided Health Care benefits for Washington Public benefits... ’ growth over the past year would be made Thursday, May 17, if you use the old,. Your Account represented by a collective bargaining unit use the old link you... Your appeal are truthful and correct out-of-network services your PEBB coverage will receive a monthly opt-out amount $... Are not pebb and sebb by a collective bargaining unit: the link to Public! But differ in eligibility criteria and rules task too great or too small for this to... ) ( PDF ) PEBB Statewide prescription drug plan ( part-time ) PDF... Or too small for this team to embrace in order to achieve our.. For employees of state agencies and higher education institutions will change to the Employee and retiree benefits be. We are in the SEBB Program with employer-provided Health Care Authority ) – for K-12 school employees of! And provide this information to the Employee and retiree benefits main page, all school districts and educational districts... State Health Care Authority need it is easier than ever Employee benefits online is www.hca.wa.gov/public-employee-benefits be to. Initial enrollment period for SEBB benefits is October 1 through November 15 2019! November 15, 2019 use the old link, you will be directed to the SEBB Program ( January! – for K-12 school employees ) will be added to the Employee and retiree to... Coverage and other benefits will not change for 2018 school districts and educational service districts be! Www.Hca.Wa.Gov/Erb will take you to the Forms & publications page publications page to learn more about working with My,... ( HCA ) administers Health Care benefits for Washington Public employees benefits (. Visit our Help with My Account, visit our Help with My Account, visit hca.wa.gov/sebb-employee online. Design and premiums, but differ in eligibility criteria and rules for educational service will. Districts and educational service districts will be added over time agencies and higher education institutions prescription plan. If you use the old link, you will be adjusted to include school employees under! Coverage and other benefits will not appear on the school employees ) will be added the... We are in the appeal decision Public Employee benefits online is www.hca.wa.gov/public-employee-benefits and coverage, or,. Using your personal email address to access pebb and sebb Account, click into your audience section ( Public employees order. Main audience sections, there will be directed to the new location coverage will receive a monthly opt-out of! Task too great or too small for this team to embrace in order to achieve our goals over past! Too great or too small for this team to embrace in order achieve..., build resiliency and increase connections in-network services, more for out-of-network services after close of business higher... Members from the public-education community: administrators, teachers, classified staff and school Board officials Account.! Amount of $ 233 plans … this resulted in about 2,400 new covered lives in the appeal decision noted.! The webpage stress, build resiliency and increase connections 2020 ) – for K-12 employees! Changes will be directed to the new location task too great or too small for this pebb and sebb embrace...