pebb uniform medical plan ppo cdhp

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. > Preferred Provider Organization Plans > Managed Care Plans > Consumer Directed Health Plans (CDHP) You … 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 … 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 … Below are some tips to help you get the most out of your benefits and save money. Call the plans directly for more information on specific benefits, including preauthorization requirements and exclusions. not be enrolled. 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 … 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. Medical Plan Comparisons PEBB 2020 & Premera 2021 . Enter the amount of your medical expenses or choose from the estimates below. 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 … Subscriber becomes eligible for Medicare. ID NO Group No. CHIP – Children’s Health Insurance Program . 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) … 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. Provider Directories. If more than one plan meets the criteria, submit one copy of this form for each medical plan. Health Plan (CDHP) 2019 Quick Start Guide Health insurance can seem complicated, especially if you’re new to the plan. Use the key below to see how PEBB plans with coverage and provider networks comparable to current County plans are identified. CDHP – Consumer-directed health plan . Participating PPO network dentists can also save you time and money. You have chosen the Uniform Dental Plan (UDP) GROUP #03000. If you or a covered family member will become Medicare-eligible in 2018, you may consider changing The SBC shows you how you and the plan would share the cost for covered health care services. $0 copay specialist. Find a Provider For Classic, CDHP, Original Medicare, and Value Subscribers Some copays and coinsurance do not apply until after you have paid your annual deductible. COB – Coordination of benefits . Find Your Clinic. Find out here. Kaiser Permanente NW plans. $0 copay primary care. Enter the amount of your medical expenses or choose from the estimates below. PEBB non-Medicare retirees Kaiser Foundation Health Plan of Washington Classic. PEBB - Medical and Dental 2021 The County premium contribution using the pooling method, effective January 1, 2021, by Resolution 2020-84. What are the differences between your two medical plan options? Now that you can see the math, it is up to you to decide which plan is better for you! PEBB Plans. Clinic Map. Your dependents will . All medical plans include vision and pharmacy coverage through their designated insurance provider. 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. The SBC shows you how you and the plan would share the cost for covered health care services. Find a Provider For Classic, CDHP, Original Medicare, and Value Subscribers Three plan design options available which look similar to those available for employees. 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). 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. The family member you remove is . • 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. On-Demand Virtual Care. 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. 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% 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. This decision is important since the designated personal physician provides or arranges for most of the Enrollee’s health care. 2017 PPO Benefits Booklet PEBB HSA (CDHP) Plan for Retired Employees . Kaiser Permanente of Washington (formerly Group Health) will: Introduce a prescription drug deductible and prescription drug out-of-pocket maximum to all of their plans except the consumer-directed health plan (CDHP) with a health savings account (HSA) and Original Medicare. (continued) Why is the Uniform Medical . PEBB-CHANGING PLANS. 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. are a Delta Dental PPO plan member. Welcome Public Employees Benefits Board (PEBB) Members . 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. DME – Durable medical equipment . 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. The family member you remove would not be eligible for COBRA. That’s because they submit claim forms directly to Delta Dental and agree to provide care at discounted fees. With the Uniform Dental Plan (UDP), you get the best coverage and financial protection when you see a dentist who is part of the Delta Dental PPO network. Medical plan benefits, coverage areas, and premium rates are found in the PEBB Retiree Enrollment Guide for Non-Medicare Medical plans. Kaiser WA (formerly Group Health) plans. Add your annual CDHP Medical Provider Directories. COE – Centers of Excellence Program . COBRA – Consolidated Omnibus Budget Reconciliation Act . 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. 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. Because a CDHP is an HSA-eligible plan, you cannot be covered by another non-HSA eligible plan. Complete a 2021 PEBB Spousal Plan Calculator for each medical plan that meets the criteria above. Review the full benefits and exclusions of each plan. Check only one. 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. Add your annual PPO Medical Plan paycheck premium. All pooled @ 2021 rate of $1,362 Uniform Medical Plan. Meet Our Members. These are the same benefits you have as an employee however the monthly premiums you pay are different. For Medicare Questions. You cannot be enrolled in Medicare either if you have a CDHP. each medical plan option. 2 TABLE OF CONTENTS Medical Insurance Terminology ..... Error! 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. 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. 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). Non-Medicare Retiree plans. 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% Quick Links: Why Choose Us. eligible for COBRA. Health) and Uniform Medical Plan. Details about these plans are provided below. WTWT offers a choice of the WTWT Plan A PPO plan or the WTWT Kaiser HMO plan. DPP – Diabetes Prevention Program . 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. For retirees who are not yet Medicare eligible, you can remain on the Kaiser Permanente WA CDHP, Classic, SoundChoice, or Value plans. Section 3 Medical plan selection . 2020 PEBB Medical Benefits Cost Comparison The chart below briefly compares the per-visit costs of some in-network benefits for PEBB medical plans. Find Your Doctor. Uniform Medical Plan offers four plans to UW employees: Classic, CDHP, and two Plus plans. Plan (UMP) Classic premium for Medicare increasing so much for 2018? For Medicare Questions. PEBB HSARPPO 2017 2 Important Notice Under Federal Health Care Reform Group Health recommends each Enrollee choose a personal physician. COC – Certificate of coverage . CMS – Centers for Medicare and Medicaid Services . Medical plan premiums are partly . $30 copay specialist. Uniform Medical Plans (Regence) 24 Hour Health Line: (800) 267-6729097 Customer Service: UMP Classic & UMP CDHP: (888) 849-3681 UMP Plus Puget Sound: … Compared to the other PEBB plans, CDHPs cover the same basic health care services and have a similar benefit structure. not. 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Benefits Booklet PEBB HSA ( CDHP ) plan for Retired employees exclusions of each plan you have chosen the Dental...

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