Details: Uniform Medical Plan (UMP) Consumer-Directed Health Plan (CDHP) (PEBB) Coverage for: Individual/Family | Plan Type: PPO 1 of 7 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Enter the amount of your medical expenses or choose from the estimates below. Find a Provider For Classic, CDHP, Original Medicare, and Value Subscribers Uniform Medical Plan Plus (PPO) Uniform CDHP (PPO) Kaiser WA Value Kaiser WA SoundChoice (HMO) Kaiser WA CDHP (PPO) Kaiser NW Classic Kaiser NW CDHP (HMO) Multiple Plan Options • Managed Care plans • Preferred Provider plans • Varying levels of deductibles • Varying networks 2017 Monthly Medical Premiums (pg. (continued) Why is the Uniform Medical . Three plan design options available which look similar to those available for employees. The family member you remove is . The family member you remove would not be eligible for COBRA. The UW Medicine Accountable Care Network (ACN) brings together leading healthcare providers in the Puget Sound region to offer an innovative coverage option to PEBB-eligible employees in King, Kitsap, Pierce, Skagit, Snohomish and Thurston counties. Uniform Medical Plan offers four plans to UW employees: Classic, CDHP, and two Plus plans. Kaiser WA offers four plans to UW employees: Classic, Value, SoundChoice, and a CDHP. If you or a covered family member will become Medicare-eligible in 2018, you may consider changing CDHP – Consumer-directed health plan . If more than one plan meets the criteria, submit one copy of this form for each medical plan. PEBB non-Medicare retirees Kaiser Foundation Health Plan of Washington Classic. Add your annual PPO Medical Plan paycheck premium. Health Plan (CDHP) 2019 Quick Start Guide Health insurance can seem complicated, especially if you’re new to the plan. $30 copay specialist. Uniform Medical Plan CDHP 553.72 1,049.10 939.84 1,376.89 Effective 7/1/2014: The following surcharges will be applied to some employees Tobacco use surcharge 25.00 25.00 25.00 25.00 Spouse surcharge 50.00 50.00. The SBC shows you how you and the plan would share the cost for covered health care services. If you are eligible for the employer contribution toward PEBB benefits but do not waive or enroll in PEBB Program medical coverage, you will be enrolled by default as a single subscriber in Uniform Medical Plan (UMP) Classic. are a Delta Dental PPO plan member. Plan (UMP) Classic premium for Medicare increasing so much for 2018? 2020 Kaiser CDHP & 2021 Premera HDHP.....4 2020 Kaiser Classic Plan & 2021 Premera Classic Plan .....5 2020 Kaiser Sound Choice Plan & 2021 Premera Classic Plan.....6 2020 Kaiser Value Plan & 2021 Premera Value Plan .....7 2020 UMP CDHP & 2021 Premera … Uniform Medical Plan. Use the key below to see how PEBB plans with coverage and provider networks comparable to current County plans are identified. You may enroll yourself, your spouse/domestic partner, and your dependents individually or in any combination. 10003948 RX BIN:003585 RX PCN:38600 UDW W123456789 RX Group:10008217 M D RX V 00 SUBSCRIBER SAMPLE Y N Y MedImpact* Y SUBSCRIBER SAMPLE 1259-RE 229F IC(WA05) WA05 … PEBB-CHANGING PLANS. COBRA – Consolidated Omnibus Budget Reconciliation Act . Below are some tips to help you get the most out of your benefits and save money. Your dependents will . Medical Plan Comparisons PEBB 2020 & Premera 2021 . Section 3 Medical plan selection . Plans (PPO) Feature Uniform Medical Plan Classic – In-Network Summary Deductible Medical: $250/Person $750/Family Rx: $100/Person $300/Family Tier 2 & 3 only Out of Pocket Maximum Medical: $2,000/Person $4,000/Family Rx: $2,000/Person Office Visits 15% Inpatient Hospital $200/day - $600 maximum/year/person + 15% professional fees Lab/X-ray 15% You cannot be enrolled in Medicare either if you have a CDHP. each medical plan option. All pooled @ 2021 rate of $1,362 2 TABLE OF CONTENTS Medical Insurance Terminology ..... Error! Health) and Uniform Medical Plan. Find out here. Medical plan benefits, coverage areas, and premium rates are found in the PEBB Retiree Enrollment Guide for Non-Medicare Medical plans. PEBB Plans. You have chosen the Uniform Dental Plan (UDP) GROUP #03000. CMS – Centers for Medicare and Medicaid Services . Under state law, the Uniform Medical Plans (UMP Achieve 1, UMP Achieve 2, UMP Classic, UMP CDHP, UMP High Deductible, UMP Plus – Puget Sound High Value Network, and UMP Plus – UW Medicine ACN) must comply with decisions made by the Health Technology Clinical Committee (HTCC). Kaiser NW CDHP 590.87 1170.25 1039.99 1561.04 Uniform Classic 657.86 1310.70 1147.49 1800.33 UMP CDHP 588.91 1166.83 1036.93 1556.52 UMP Plus‐PSHVN 600.56 1196.10 1047.22 1642.76 UMP Plus‐UW Med ACN 600.56 1196.10 1047.22 1642.76 * Or qualified/state‐registered domestic partner >PEBB plans offer secondary coverage to Medicare Parts A & B and provide coverage for important … COC – Certificate of coverage . COB – Coordination of benefits . Complete a 2021 PEBB Spousal Plan Calculator for each medical plan that meets the criteria above. Provider Directories. The SBC shows you how you and the plan would share the cost for covered health care services. not. Medical plan premiums are partly . Medical Plan Comparison PEBB and Current Pierce County Plans The chart below briefly compares the per-visit costs of some in-network benefits for current Pierce County and PEBB medical plans. not be enrolled. DME – Durable medical equipment . This decision is important since the designated personal physician provides or arranges for most of the Enrollee’s health care. Review the full benefits and exclusions of each plan. Non-Medicare Retiree plans. If at least one plan results in “You will have to pay the surcharge,” then you will be charged the premium surcharge in addition to your monthly medical premium. Add your annual CDHP Medical Uniform Medical Plan (UMP) Consumer-Directed Health Plan (CDHP) (PEBB) Coverage for: Individual/Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. DPP – Diabetes Prevention Program . What are the differences between your two medical plan options? Kaiser Permanente NW plans. Uniform Medical Plan Plus (PPO) Uniform CDHP (PPO) Group Health Value Group Health SoundChoice (HMO) Kaiser CDHP (HMO) Kaiser Classic Group Health CDHP (PPO) Multiple Plan Options • Managed Care plans • Preferred Provider plans • Varying levels of deductibles • Varying networks 2017 Monthly Medical Premiums (pg. PEBB HSARPPO 2017 2 Important Notice Under Federal Health Care Reform Group Health recommends each Enrollee choose a personal physician. For Medicare Questions. Kaiser WA (formerly Group Health) plans. Bookmark not defined. If you are interested in a Medicare Advantage health plan and want to speak with a Kaiser Permanente Medicare specialist: 1-800-581-8252 (TTY 711) For eligibility and enrollment questions: Visit the PEBB website. Participating PPO network dentists can also save you time and money. Check only one. health plan (CDHP) with a health savings account (HSA) in 2018, you must change to a non-CDHP PEBB medical plan or remove the Medicare-eligible family member from your coverage. > Preferred Provider Organization Plans > Managed Care Plans > Consumer Directed Health Plans (CDHP) You … Enter the amount of your medical expenses or choose from the estimates below. Now that you can see the math, it is up to you to decide which plan is better for you! Provider Directories. 2020 PEBB Medical Benefits Cost Comparison The chart below briefly compares the per-visit costs of some in-network benefits for PEBB medical plans. • Switch the CDHP network from Access PPO to Core HMO, adding: ... a non-CDHP PEBB medical plan or remove the Medicare-eligible family member from your coverage. WTWT offers a choice of the WTWT Plan A PPO plan or the WTWT Kaiser HMO plan. Welcome Public Employees Benefits Board (PEBB) Members . COE – Centers of Excellence Program . Details about these plans are provided below. On-Demand Virtual Care. Uniform Medical Plans (Regence) 24 Hour Health Line: (800) 267-6729097 Customer Service: UMP Classic & UMP CDHP: (888) 849-3681 UMP Plus Puget Sound: … Plans (PPO) Feature Uniform Medical Plan Classic – In-Network Summary Deductible Medical: $250/Person $750/Family Rx: $100/Person $300/Family Tier 2 only Out of Pocket Maximum Medical: $2,000/Person $4,000/Family Rx: $4,000/family Office Visits 15% Inpatient Hospital $200/day - $600 maximum/year/person + 15% professional fees Lab/X-ray 15% Subscriber becomes eligible for Medicare. For Medicare Questions. UnitedHealthcare PEBB Balance (PPO) UnitedHealthcare PEBB Complete (PPO) Annual medical deductible: $0: $0: Annual out-of-pocket maximum: $2,000: $500: Office and clinic visits: $15 copay primary care. Quick Links: Why Choose Us. Meet Our Members. CHIP – Children’s Health Insurance Program . Find Your Doctor. ID NO Group No. Uniform Medical Plan Plus (PPO) Uniform CDHP (PPO) Kaiser WA Value Kaiser WA SoundChoice (HMO) Kaiser WA CDHP (PPO) Kaiser NW Classic Kaiser NW CDHP (HMO) Multiple Plan Options • Managed Care plans • Preferred Provider plans • Varying levels of deductibles • Varying networks 20 2018 Monthly Medical Premiums (pg. Not every medical provider may be willing to offer a payment plan, which means your network is effectively limited because of how you choose to pay. Preferred Provider (PPO) Medical Plans: Managed Care Medical Plans: Uniform Medical Plan (UMP) plans (administered by Regence) Kaiser Permanente WA plans: Select a plan category above to: Find providers. Dental plans You are not required to enroll in a dental plan, but to enroll in a dental plan you must be enrolled in a medical plan choice (Opt Out is a medical plan choice). Uniform Medical Plan coverage limits Updates effective 12/1/2019 The benefit coverage limits listed below apply to these UMP plans: Uniform Medical Plan (UMP) Classic (PEBB) UMP Consumer-Directed Health Plan (UMP CDHP) (PEBB) UMP Plus–Puget Sound High Value Network (UMP Plus–PSHVN) (PEBB) UMP Plus–UW Medicine Accountable Care Network (UMP Plus–UW Medicine ACN) (PEBB) … $0 copay primary care. Find a Provider For Classic, CDHP, Original Medicare, and Value Subscribers Compared to the other PEBB plans, CDHPs cover the same basic health care services and have a similar benefit structure. $0 copay specialist. Find Your Clinic. Call the plans directly for more information on specific benefits, including preauthorization requirements and exclusions. All medical plans include vision and pharmacy coverage through their designated insurance provider. These are the same benefits you have as an employee however the monthly premiums you pay are different. Like other plans, you pay coinsurance for services, your care costs less when using network providers, and you receive coverage for common services like vision and prescriptions. For retirees who are not yet Medicare eligible, you can remain on the Kaiser Permanente WA CDHP, Classic, SoundChoice, or Value plans. Clinic Map. 2017 PPO Benefits Booklet PEBB HSA (CDHP) Plan for Retired Employees . 2014 medical plan benefits cost comparison (continued) The chart below briefly compares the per-visit costs of some in-network benefits for PEBB plans, and extended-network … Because a CDHP is an HSA-eligible plan, you cannot be covered by another non-HSA eligible plan. That’s because they submit claim forms directly to Delta Dental and agree to provide care at discounted fees. Some copays and coinsurance do not apply until after you have paid your annual deductible. 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