Does the tobacco use premium surcharge apply to you? 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 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. %���� Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. P.O. Rulemaking. HCA’s website at 3 0 obj School Employees Benefits Board rulemaking. Apple Health (Medicaid) rulemaking. 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. Public Employees Benefits Board rulemaking. Behavioral health and recovery rulemaking. In Washington State: Washington Health Benefit Exchange or 1-855-923-4633 (TTY 1-855-627-9604) Outside Washington State: Health Insurance Marketplace 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. Visit us in person at the Health Care Authority, 626 8th Avenue SE, Olympia, WA 98501 Note: The PEBB Program does not take appointments. FSA – Flexible Spending Arrangement . Medicare and PEBB Program benefits - Finding preferred providers and how much you’ll pay, including deductibles, coinsurance, and copays. Visitors are seen on a first-come, first-served basis. 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. Rulemaking. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. pebb washington state employees retired › Verified 2 days ago If you need an accommodation or Use this form to certify your dependent's disability and enroll them on your PEBB coverage. FMLA – Family Medical Leave Act . 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. . Employee: Retiree (Medicare) Retiree (non-Medicare) PEBB Continuation Coverage (COBRA Medicare) PEBB Continuation Coverage (COBRA non-Medicare) PEBB Continuation Coverage (Unpaid Leave) If this is a change to a previous Forms & Documents The following forms and documents are available for you to download in PDF format. Communication directed to parties other than the RFP Coordinator may result in disqualification of the potential Bidder. endobj 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. Good to know! Washington State Public Employees and Retirees. Preauthorization requirements for Davis Vision plan. Use this Quick start guide for an overview of the enrollment process. 2 0 obj Rules. Behavioral health and recovery 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. Applications received, or postmarked if mailed, on or after July 1, will pay the increased examination fee. or email to For questions, call the ERB Division’s Outreach and Training Unit at 1-800-700-1555. After turning 26, your dependent may be eligible for enrollment under your PEBB coverage. First-time test takers will pay $137. Connect with us. Call: 1-866-784-8454 . Willamette Dental Group of Washington, Inc. 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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. See page . Rules. To proceed, please select an authentication provider from the … The written examination will increase to $45 and the skills exam will increase to $92. Washington State All Payer Claims Database (WA-APCD) Announcements. After turning 26, your dependent may be eligible for enrollment under your SEBB coverage. <>/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>> ERB – Employee and Retiree Benefits . Behavioral health and recovery rulemaking. Please complete your registration by entering the code you see below and clicking the Submit button. General Health Care Authority rulemaking. Quick start guide. Applicants who have applied but not paid in full before July 1, 2018, will pay the full $137 examination fee. (August 15, 2017). HRA – Health reimbursement arrangement – Health savings account 1 0 obj See “Surcharges” on HCA’s website at to learn about these situations. HCA is committed to providing equal access to our services. You must also provide proof of the Rules. 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. Apple Health (Medicaid) rulemaking. 22) When does my coverage start? 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. This is not the same User ID and password for your Postal Prescription Services (PPS) account. 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] … 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. Look for the . a new system will enable ERB Division leadership to use data and technology tools to better . ��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�. Savings assumed in the current budget will not be realized this biennium. D e e t r au t a n g i S [20] Last four digits of Social Security number Last name. Find out more about eligibility and when you can change your coverage, visit Watch for references to page numbers where you’ll find more information. Connect with us. Apple Health (Medicaid) rulemaking. 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). PEBB Premium Surcharge Attestation Change Form. 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. FDA – Food and Drug Administration . To change your previous attestation, use the . Preauthorization requirements are only valid for the month published. 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. Visit: Tobacco cessation services . Help with register 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. 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 5 WA State Health Care Authority. Register. 61: American Cancer Society’s Quit for Life program . General Health Care Authority rulemaking. Delta Dental of Washington is a part of Delta Dental Plans Association. YES, I am subject to the $25 premium surcharge. <> Box 42713 • Olympia, Washington 98504-2713 • • 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 6 My spouse or partner has used tobacco products in the past two months. Public Employees Benefits Board rulemaking. Kaiser Permanente WA offers coverage for both Medicare-eligible retirees as well as those retiring before they are Medicare-eligible. Olympia, Washington 98504-2720 • • 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 (n.d.). 6 Hanscome, R., et al. All other communication will be considered unofficial and non-binding on HCA. School Employees Benefits Board rulemaking. 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. 2020 UMP Plus–UW Medicine ACN (SEBB) Certificate of Coverage 3 Directory: Prescription drug services . endobj Don't have a Washington State Rx Services account? Prometric is raising its examination fees effective July 1, 2018. 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. Please check with your plan to ensure coverage. • Washington’s annual health care cost growth will be below the national health expenditure trend. x���]O#7�����H����� This document includes behavioral health benefits for SEBB medical plans. RFP Coordinator . Visit: Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Public Employees Benefits Board rulemaking. <>>> stream Director EMS3 70005184 Scott Palafox Deputy CFO - Operations EMS3 71066440 Kristin Collins Assist Dir ETS EMS4 71028580 Jerry Britcher Assist Dir ERD EMS3 General Health Care Authority rulemaking. <> Connect with us. 24 hours, seven days a week . Health Details: Health Care Authority PEBB Program PO Box 42684 Olympia, WA 98504-2684. Please provide the following information so we can first verify that we have you in our PEBB Subscriber records. PL -DA Pay1 System Replacement, Decision Package, 2018 Supplemental Budget Request, p. 2. boxes HCA – Health Care Authority . endobj 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. 5. . HDHP – High-deductible health plan . Proposals are now . School Employees Benefits Board rulemaking. 2021 DCAP Enrollment Guide Read this […] 4 0 obj Rulemaking. HIPAA – Health Insurance Portability and Accountability Act . Use this form to certify your dependent's disability and enroll them on your SEBB coverage. These criteria do not imply or guarantee approval. We will reduce your medical premium to the lower Medicare rate, if applicable, and notify your medical plan of your Medicare enrollment. %PDF-1.5 They may have changed from previous months and may change in future months. Visitors are seen on a first-come, first-served basis. Washington State All Payer Claims Database (WA-APCD) Announcements.