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17 Jan 2021

When selecting a PEBB medical plan, your options are limited based on eligibility and where you live. Set up and manage direct deposit of your benefit payments from your online retirement account. Please verify your identity with the following fields so we can find your user registration information. The premiums rates for Medicare Care Retirees are the total paid out of pocket by retirees after the state pays its share in the form of the PEBB Medicare Benefit. We are a leader in the retiree health care field with 40+ Copyright 2021 Washington State Department of Retirement Systems | 800.547.6657. This document includes behavioral health benefits for SEBB medical plans. It powers everything we do as we work to remove the barriers to oral health care. A monthly $50 surcharge will apply if you enroll your spouse or state-registered domestic partner in PEBB Program medical and your spouse or state-registered domestic partner has chosen not to enroll in other employer-based group medical insurance that is comparable to Uniform Medical Plan (UMP) Classic. PEBB Facebook Live 2020 We’re live now with Employees and Retirees Benefits Director, Dave Iseminger, to answer your questions about Public Employees Benefits Board (PEBB) program open enrollment! You must consider which plans are available in your county. Learn more about your customer service options. PO Box 42684 City. This funding provides additional support for the administration of the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs. It allows members to use their 2019 funds for certain 2020 claims. Go to one of these instead: 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, Information about novel corona virus (COVID-19), Learn more about your customer service options, Website feedback: Tell us how we’re doing. This will reduce the time that agencies and school districts wait for technical assistance. In 2019, the PEBB Medicare Benefit was $168 per month. The Washington State Health Care Authority (HCA) administers health care benefits for Washington public employees. That new information will soon appear in your online retirement account. Washington State Health Care Authority PEBB Enrollment Report for January 2014 Coverage Report 3: Actives 2.41 2.14 2.04 2.14 2,089 5,030 106,821 229,119 12,041 24,523 120,951 258,672 Group Health CDHP Group Health Classic Group Health Medicare Group Health Value Kaiser Permanente CDHP Kaiser Permanente Classic No Plan Selected Skip Mega Menu My Accounts My Group Benefits. Health Care Authority Expands Telehealth Options for Medicaid, PEBB and SEBB Enrollees March 25, 2020 During the COVID-19 pandemic, the Health Care Authority (HCA) has taken several steps to expand the use of telehealth, including: ... Washington State Hospital Association 999 Third Avenue Suite 1400 Seattle, WA 98104. Regence BlueShield Group ID# 10003948 Address. Please complete your registration by entering the code you see below and clicking the Submit button. Washington State Health Care Authority PEBB Enrollment Report for February 2014 Coverage Report 3: Actives 2.42 2.14 2.04 2.14 2,091 5,050 107,234 229,757 12,066 24,607 121,391 259,414 Group Health CDHP Group Health Classic Group Health Medicare Group Health Value Kaiser Permanente CDHP Kaiser Permanente Classic No Plan Selected To learn more about working with My Account, visit our Help with My Account webpage. Just select “Address” from the welcome screen. Washington Zip. Washington State Health Care Authority PEBB Enrollment Report for March 2014 Coverage Report 3: Actives 2.40 2.14 2.04 2.14 2,125 5,100 107,397 230,132 12,111 24,696 121,633 259,928 Group Health CDHP Group Health Classic Group Health Medicare Group Health Value Kaiser Permanente CDHP Kaiser Permanente Classic No Plan Selected To accomplish this, we must continuously be looking forward and planning for what's to come. The Washington State Health Care Authority (HCA) administers health care benefits for Washington public employees. The Washington State Health Care Authority purchases health care for more than 2 million Washingtonians through two programs — Washington Apple Health (Medicaid) and the Public Employees Benefits Board (PEBB) Program. 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 Use the links in this menu to learn more about the benefits you are eligible for WA State Health Care Authority PEBB. Due to COVID-19, HCA’s lobby is closed. 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. Select “My Account” in the navigation menu and then “View/Edit” beside “Beneficiary.”, Law Enforcement Officers’ and Fire Fighters’ (LEOFF), Fundamentals Map/Breakthrough Initiatives, Links to Other Agencies and Government Resources. DRS closed to in-person visits. Map / Directions. Help with register ), Members, you can update your beneficiary information from your online retirement account. 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. If you need to update your name, fill out and send in a printed form as well as a copy of documentation showing the change. Drop-in centers are staffed 24/7 with a multidisciplinary team intended to divert individuals from inpatient commitments and reduce emergency department use. Learn more about UnitedHealthcare PEBB Balance and PEBB Complete in this 24 minute presentation. For more information visit: hca.wa.gov or call 1-800-562-3022 for questions about Washington Apple Health. 98504 Phone. We are all experiencing some disruption in our daily lives right now. The HCA purchases coverage through competitive bids from private insurance companies, and is able to negotiate Just follow the “Direct Deposit” directions under “My Account” in the navigation menu. Subscriber verification - Step 1 of 3 We need to verify you first to ensure we have your PEBB … If your PEBB retiree health plan coverage is terminated, coverage for your dependents is also terminated. We recommend using your personal email address to access your account. Washington State Health Care Authority PEBB Enrollment Report for January 2015 Coverage Report 1: Total Member Summary 6,022 228,935 25,097 47,093 43,041 2,418 863 136 353,605 Washington State Health Care Authority PEBB Enrollment Report for December 2014 Coverage Report 3: Actives 2.37 2.12 2.04 2.12 2,275 5,391 108,176 229,716 12,271 25,041 122,722 260,148 Group Health CDHP Group Health Classic Group Health Medicare Group Health Value Kaiser Permanente CDHP Kaiser Permanente Classic No Plan Selected The PEBB Program, under the Washington State Health Care Authority (HCA), administers benefits and eligibility for more than 370,000 public employees, retirees, COBRA and continuation coverage members, and their dependents. Questions about PEBB or SEBB retiree benefits? 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. If you wanted to learn more about SmartHealth for yourself as an employee, do not start here. We work with partners to help ensure Washingtonians have access to better health and better care at a lower cost. The 2019 plan year’s grace period was from January 1, through March 15, 2020. Accessibility. Due to the efforts of RPEC members, the PEBB … Washington: Oregon: Idaho: Other State: Connect with us Contact HCA. PEBB Health Care and Dependent Care FSAs offer a grace period. We are offered two medical plans: Charges above are per month, taken out of payroll pre-tax. You cannot enroll again unless you regain eligibility, for example, by returning to employment in a PEBB or School Employees Benefits Board (SEBB) benefits-eligible position. See more COVID-19 impacts. Please provide the following information so we can first verify that we have you in our PEBB Subscriber records. (St Health Care Authority Admin Acct - State, School Employees' Insur Admin Acct - State) The PEBB Program may continue to send some communications to you by mail, including those required by rules or laws. PEBB Continuation Coverage (COBRA Medicare) PEBB Continuation Coverage (COBRA non-Medicare) PEBB Continuation Coverage (Unpaid Leave) What state do you live in? The SmartHealth Worksite Wellness Roadmap helps our member organizations build and grow their wellness programs. A monthly $25 per account premium surcharge will apply if the subscriber or dependent (age13 and older) use tobacco products. All medical plans cover the same basic health care services, but vary in other ways such as provider networks, premiums, your out-of-pocket costs, and prescription drug coverage. Olympia State. Retirees, inactive members, beneficiaries and legal-order payees: You can update your address from your online retirement account. The Washington State Health Care Authority is a government agency that oversees the state’s two top health care purchasers: Washington Apple Health (Medicaid) and the Public Employees Benefits Board (PEBB) Program, as well as other programs. Pursuant to Chapter 324, Laws of 2019, the Health Care Authority must stand up a pilot program to provide mental health drop-in center services. Health Care Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684. Washington State Health Care Authority Class 1 Retiree Term Life Plan: Employees enrolled in Basic Life Insurance who meet qualifications for enrollment in PEBB retiree insurance coverage on or after January 1, 2017, who reside in Washington; and Retirees who elected to move from the (If you prefer to fill out and mail in a printed form, select this link. Active members: Update your name and/or address through your employer. ... Delta Dental of Washington … Medical Plans. Help with My Account Otherwise, you can change your password here. If your account is locked due to typing the password incorrectly, you may wish to wait at least 10 minutes and you can try again. Here at North Central ESD, we have benefits through the State Health Care Authority, Public Employee’s Benefit Board. We will reduce your medical premium to the lower Medicare rate, if applicable, and notify your medical plan of … Washington State Health Care Authority PEBB Enrollment Report for September 2014 Coverage Report 3: Actives 2.39 2.13 2.05 2.12 2,111 5,049 107,534 228,887 12,180 24,913 121,825 258,849 Group Health CDHP Group Health Classic Group Health Medicare Group Health Value Kaiser Permanente CDHP Kaiser Permanente Classic No Plan Selected Washington State Health Care Authority / PEBB SEBB Third Party Administrator name. Washington State Health Care Authority PEBB Enrollment Report for April 2014 Coverage Report 3: Actives 2.40 2.14 2.04 2.14 2,134 5,123 107,552 230,234 12,128 24,716 121,814 260,073 Group Health CDHP Group Health Classic Group Health Medicare Group Health Value Kaiser Permanente CDHP Kaiser Permanente Classic No Plan Selected Notice of privacy practices. HCA is the state’s top health care purchaser, covering more than 2 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB), School Employee Benefits Board (SEBB), and the COFA Islander Health Care programs. About UnitedHealthcare UnitedHealthcare Retiree Solutions combines two of our greatest strengths: helping seniors live healthier lives and helping the health care system work better for employers and group plan sponsors. Non-discrimination. For many it is causing stress. Welcome Public Employees Benefits Board (PEBB) Members . 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