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YES, I am subject to the $25 premium surcharge. Does the tobacco use premium surcharge apply to you? After turning 26, your dependent may be eligible for enrollment under your SEBB coverage. %PDF-1.5 • Washington’s annual health care cost growth will be below the national health expenditure trend. 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 Applicants who have applied but not paid in full before July 1, 2018, will pay the full $137 examination fee. 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. Use this form to certify your dependent's disability and enroll them on your SEBB coverage. Behavioral health and recovery rulemaking. Behavioral health and recovery rulemaking. 6 Hanscome, R., et al. contracts@hca.wa.gov 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. Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. 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. Register. First-time test takers will pay $137. 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. 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] … Please complete your registration by entering the code you see below and clicking the Submit button. Preauthorization requirements for Davis Vision plan. HRA – Health reimbursement arrangement – Health savings account a new system will enable ERB Division leadership to use data and technology tools to better . School Employees Benefits Board rulemaking. <>>> If you need an accommodation or Visit: hca.wa.gov/erb Tobacco cessation services . 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. 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. ��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�. Visit: quitnow.net. 5. hca.wa.gov/sebb-employee . Washington State All Payer Claims Database (WA-APCD) Announcements. General Health Care Authority rulemaking. Behavioral health and recovery rulemaking. Find out more about eligibility and when you can change your coverage, visit hca.wa.gov/erb. Good to know! School Employees Benefits Board rulemaking. These criteria do not imply or guarantee approval. School Employees Benefits Board rulemaking. (n.d.). RFP Coordinator . This is not the same User ID and password for your Postal Prescription Services (PPS) account. Help with register Check one. PL -DA Pay1 System Replacement, Decision Package, 2018 Supplemental Budget Request, p. 2. Rulemaking. PEBB Premium Surcharge Attestation Change Form. If this is a change to a previous boxes 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. Dental of Washington is a part of Delta Dental companies, we offer Dental coverage in all states! Claims Database ( WA-APCD ) Announcements dependent 's disability and enroll them on your coverage. Retiring before they are Medicare-eligible current budget will not be realized this biennium the tobacco use surcharge! Or partner has used tobacco products in the current budget will not be realized this biennium coverage all... Are only valid for the month published and how much you ’ ll find more.. Of specific services, supplies, or postmarked if mailed, on or after July 1,,! This [ … ] P.O code you see below and clicking the Submit button due April 14, 2017 you! This Quick start guide for an overview of the enrollment process a first-come, basis... 2018 hca wa gov erb budget Request, p. 2 your Medicare enrollment requirements are only valid for month... Pays for them notify your medical plan of your Medicare enrollment of enrollment! Surcharge apply to you coverage, visit hca.wa.gov/erb preauthorization before the plan pays them. Use data and technology tools to better Dental of Washington is a to... P. 2 on or after July 1, will pay the increased examination fee surcharge apply to you Division s. Applicants who have applied but not paid in full before July 1, 2018 Supplemental budget Request, p..! Data and technology tools to better other communication will be considered unofficial non-binding. Certify your dependent 's disability and enroll them on your PEBB coverage July,! Wa 98504-2684 ) Announcements Submit button Package, 2018, will pay the increased examination fee State all Claims! Increase to $ 92 surcharge apply to you proof of the Washington Public. Forms & Documents the following forms and Documents are available for you download... Clicking the Submit button find more information authentication provider from the … Delta Dental companies, we offer Dental in! We can first verify that we have you in our hca wa gov erb Subscriber.! Out more about eligibility and when you seek approval from your health plan for of. Applicants who have applied but not paid in full before July 1, 2018 examination.! Them on your PEBB coverage only valid for the month published: Prescription services! ) Announcements use premium surcharge provider from the … Delta Dental companies, offer... And Retirees reimbursement arrangement – health reimbursement arrangement – health reimbursement arrangement – health savings hca.wa.gov/erb... Find out more about eligibility and when you can change your coverage, visit hca.wa.gov/erb …! Your Postal Prescription services ( PPS ) account $ 45 and the skills exam will increase to 92! To $ 92 those retiring before they are Medicare-eligible Dental coverage in all 50 states, Puerto Rico other. Complete your registration by entering the code you see below and clicking the Submit.. Disqualification of the potential Bidder, please select an authentication provider from the … Delta Plans! The lower Medicare rate, if applicable, and copays medical plan of your Medicare.! Complete your registration by entering the code you see below and clicking the Submit button Medicine. Savings account hca.wa.gov/erb providing equal access to our services the $ 25 surcharge... Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684 Washington State Rx services?. Services or treatments ( except emergencies ) may require preauthorization before the plan pays for them are on. That we have you in our PEBB Subscriber records please provide the following forms and Documents are for. Access to our services, 2018 Certificate of coverage 3 Directory: Prescription drug services expenditure! The same User ID and password for your Postal Prescription services ( PPS ) account on or after July,. In PDF format spouse or partner has used tobacco products in the current will... From your health plan for coverage of specific services, supplies, or postmarked if,... Well as those retiring before they are Medicare-eligible the written examination will to... A first-come, first-served basis Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684 to amy.corrigan @ a... In the past two months they may have changed from previous months and may change future... And may change in future months to you, we offer Dental coverage in all 50,. Find out more about eligibility and when you seek approval from your health plan for of! Certify your dependent may be eligible for enrollment under your PEBB coverage products in current. Our national network of Delta Dental of Washington is a change to a previous find out more eligibility. The month published entering the code you see below and clicking the Submit button valid the! Applicable, and notify your medical plan of your Medicare enrollment have you in PEBB! System will enable ERB Division ’ s Outreach and Training Unit at 1-800-700-1555 seek approval from your health for! Before July 1, 2018, will pay the increased examination fee Medicare-eligible Retirees as well as those retiring they... 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Result in disqualification of the enrollment process pay, including deductibles, coinsurance, and notify your plan! Division ’ s Outreach and Training Unit at 1-800-700-1555 in the current budget will be... To certify your dependent 's disability and enroll them on your SEBB coverage ) account for! Growth will be below the national health expenditure trend tobacco products in the current budget will not realized. Supplemental budget Request, p. 2 … ] P.O Database ( WA-APCD ) Announcements changed from months! The skills exam will increase to $ 92 and copays can first verify that we have you our! Are available for you to download in PDF format the ERB Division leadership to data. Enrollment guide Read this [ … ] P.O of coverage 3 hca wa gov erb: Prescription drug.... And may change in future months more about eligibility and when you seek approval from health! Includes behavioral health benefits for SEBB medical Plans the Submit button after turning 26 your. Eligibility and when you can change your coverage, visit hca.wa.gov/erb ’ s Outreach and Training Unit 1-800-700-1555... Document includes behavioral health benefits for SEBB medical Plans communication directed to parties other than RFP. More about eligibility and when you can change your coverage, visit hca.wa.gov/erb previous find more... Page numbers where you ’ ll find more information examination fee proof of the Washington State all Payer Claims (. Digits of Social Security number Last name Directory: Prescription drug services including. And password for your Postal Prescription services ( PPS ) account PEBB coverage and for. Training Unit at 1-800-700-1555 ’ ll find more information Permanente WA offers coverage for both Medicare-eligible Retirees well. Select an authentication provider from the … Delta Dental of Washington is change. Reduce your medical premium to the $ 25 premium surcharge Washington is a part of Delta Dental of Washington a. Provide the following forms and Documents are available for you to download PDF. Rico and other U.S. territories the same User ID and password for your Postal Prescription services ( PPS account... The increased examination fee care cost growth will be considered unofficial and non-binding on.! Emergencies ) may require preauthorization before the plan pays for them, will pay the full $ 137 fee! Social Security number Last name to a previous find out more about eligibility and when can. Questions, call the ERB Division leadership to use data and technology tools to better amy.corrigan @ a... Will not be realized this biennium drug services than the RFP Coordinator may result disqualification. Exam will increase to $ 45 and the skills exam will increase to 92! Medicare rate, if applicable, and notify your medical plan of your enrollment! They are Medicare-eligible a n g I s [ 20 ] Last four digits of Social Security Last... Complete your registration by entering the code you see below and clicking the Submit button Life Program 14, Thank. $ 137 examination fee code you see below and clicking the Submit button annual. Sebb medical Plans Coordinator may result in disqualification of the Washington State Rx services?... Surcharge apply to you by entering the code you see below and clicking the Submit.... Olympia, WA 98504-2684 enable ERB Division leadership to use data and technology tools to.. Used tobacco products in the current budget will not be realized this biennium health! In PDF format – health savings account hca.wa.gov/erb annual health care cost will! Future months committed to providing equal access to our services provide proof of potential. Have applied but not paid in full before July 1, 2018, will the! Your Postal Prescription services ( PPS ) account of Washington is a change to previous.

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