PRIME. x��]mo�H�� ��X��E"��l�sgv�r��I.��~�e�֭$z$9^��_Uu��*J"۾�n�M>�o���?����l|�����tvW\��\������}q�az;_M��ru���j����bz]���>���]���W�$����B�A�� Q:X�_���`�����ׯ.~R�����W The School Employees Benefits Board (SEBB) Program was designed with you in mind. lowercase italics = Generic drugs. ... SEBB Long-term Disability Standard Insurance Employer Paid Basic Long Term Disability Standard. PPO & Standard PPO Available Yakima County Achieve 1, Achieve 2, HDHP, UMP Plus-PSHVN Core 1 to CRISP 1,000 High PPO to CRISP PLAN 4 Achieve 1 to CRISP 500 Core 2 to CRISP 500 Standard PPO to CRISP 1,000 Achieve 2 to CRISP PLAN 3 Kaiser NW Kaiser WA Kaiser WA Options Premera UMP %%EOF Search Submit search. Providing you and your eligible dependents with affordable and equitable access to quality health insurance and other benefits is our top priority. UMP Achieve 2. E4- Premera Essentials Formulary Formulary ID 3114 CURRENT AS OF 8/1/2019. ���+e�?,�$�[�ֶ�0�ίpU{��$Cg���ND�u�Fs 4 0 obj Find a Optometrist near you in Anchorage, AK. Premera High PPO. Compare The Plans. SEBB has put together a great newsletter called iNTERCOM. ... Premera - (800) 807-7310. SEBB Information Website. 2 0 obj (|Y�j�f��.�t�C�]��,E���[媸��66}�D��e� Ǎ��(�� I��c��f�D�����O�� k�0���r�F,�0"5�%&:њ�̿���:���W4�����K3����&JۭY����� ��z�7ˢ�y0��uP>�'g�`�b�9��]���aJ��~W�]��uH����c1�e�6��^�I�m`��Mo�-�-�N��(� ;��3�a����,�±�;Љ�3�R��J�l(�drNWO6Na�^��:�hc8�2-m�] Premera is headquartered in Washington state and provides health benefits to 2.2 million people nationwide. We’re thrilled to be providing health plans to many school employees starting January 1, 2020. 3 0 obj What are my plan options? endobj Premera Blue Cross: Standard PPO Coverage for: Individual or Family | Plan Type: PPO 1 of 7 . Premera Blue Cross has been providing health plans to school employees across the state for nearly 60 years. The following PPO plans are available in King County: Kaiser Permanente WA Options Access PPO 1, 2, 3; Premera High PPO ; Premera Standard PPO ��UW�a#� 2�9PE���Ҫ��1�� �� The SBC shows you how you and the plan would share the cost for covered health care services. Uniform Dental Plan. MEDICAL PLANS. How do I qualify? ��fd�p"�.݇ �>�/Itd\��/�UĠX��]�xS�q@�{�O[!D�)�sk�=3���p�"�a�k�9�A��V����fw.��wR���6��3*I�� ڱ\7��^\�41��/gW�?�re�\}�$zU�/. Coinsurance 25%. Sandra M. Mitchell, Ph.D. is a specialist in Neuropsychology who has an office at 3260 Providence Drive, Suite C537, Anchorage, AK 99508 and can be reached at (907) 212-2673. 604 0 obj <>stream C�2���t��y�_~���o�����M�^B?�|$s�*�^��]+#.rU;p%���nGu�1�a�����'�;Tœ�����Xr��iq��Z��_fjR���Ю�圎A�\)2G�����-���Uܯ��Y�u~]\��fS�O��h�-O^wb For High PPO and Standard PPO (Heritage See all Optometrist office locations in Anchorage, doctor ratings and insurance accepted. $1,250 . High PPO and Standard PPO (This will auto select the correct Heritage Prime network) Uniform Medical Plan - (800) 628-3481. Our SEBB health plans are designed with school employees in mind and are backed by best-in-class customer service. 591 0 obj <>/Encrypt 574 0 R/Filter/FlateDecode/ID[<09DD8EAD700E7945BD8B3497D80464CA><45C1FD9A9A151946BE6B59EF7FE1232C>]/Index[573 32]/Info 572 0 R/Length 91/Prev 504930/Root 575 0 R/Size 605/Type/XRef/W[1 2 1]>>stream Learn more about the plans. Premera Uniform Medical Plan (UMP) Previous Name Plan 2 Plan 3 UMP Achieve 1 UMP Achieve 2 UMP High Deductible UMP Plus Annual Costs/Benefits High PPO Peak Care EPO Standard PPO Deductible (single / family) $750 / $1,875 $1,250 / $3,125 $750 / $2,250 $250 / $750 $1,400 / $2,800 (Combined Med/Rx) $125 / $375 CWSEBT - SEBB Program Medical Benefits Comparison Chart Available Yakima County: Core 1, Core 2, Core 3 Available Yakima County High PPO & Standard PPO Available Yakima County Achieve 1, Achieve 2, HDHP, UMP Plus-PSHVN Core 2 to Economy Choice Compare EyeMed. Find a Ophthalmologist who accepts Blue Cross CA California Care Large Group HMO near you in Anchorage, AK. Standard PPO Plan School Employees Benefits Board (SEBB) Program Start date: January 1, 2020 *Or state-registered domestic partner Premera Blue Cross Standard PPO health plan is available in these counties: Adams, Asotin, Benton, Chelan, Challam, Columbia, Cowlitz, Ferry, Franklin, Garfield, �@�����Kh�^3f�����5L$5�gz����z��){6��viぃ˭a���o�1ZOڶ���9Ζ�D���̝��h�" <> 573 0 obj <> endobj 1 0 obj endobj UMP Plus-PSHVN Dental Plans. Premera High PPO Premera Peak Care EPO Premera Standard PPO How do I find a provider? Medical Plans: Kaiser Foundation Health Plan of the Washington Kaiser Permanente NW 1,2,3 MY.KO.ORG/SEBB 1-800-813-2000 Kaiser Foundation Health Plan of Washington ���Fp]��)�d7���Ja4(K���&%%:�Xn�0������QfP��V F�?d��.ˇ��'��Ѱ|h�� endobj The School Employees Benefits Board (SEBB) Program will administer health insurance and other benefits for eligible school employees and their dependents, coverage beginning January 1, 2020. �� <> See all Ophthalmologist office locations in Anchorage that accept Blue Cross CA California Care Large Group HMO and doctor ratings. Premera Blue Cross Premera High PPO $750/person $1,875/family $3,500/person $7,000/family $125/person $312/family 1 Applies to medical out-of-pocket limit Premera Standard PPO $1,250/person $3,125/family $5,000/person $10,000/family $250/person $750/family 1 Applies to medical out-of-pocket limit Uniform Medical Plan Preferred provider organization (PPO) plans allow you to self-refer to any approved provider in most cases but usually provide a higher level of coverage if you visit an in-network provider. 0~� �)\�{��1����w��55�Ōz�g�@�DN�W��f��Œ!toE��L�'9��]�1��(��� ��X�+��b�w�4o(��q����b��Nm��_�\��u��R��x�-�!��ã6�W�w��n��]�N��D���a��l�:㘲Zh�V�H'�� (�ݑ-�wE{X���LB{Xٕ�������J�~��* �AG�A����@*A�����S~�!���@ �:G���Z/JjF����ip��>2��~�B�B�����nK��ͷ��..��jEOtzP���1�F��׋͕W;S�A)� �^U�8�I�>�y��L��OT��ˬ8�Y���$6��t@~��3jbH�`a�Z�R5QR��0N�GzF��Ct¾D�`�(��?��>���K�tθg��Y�Q[�;&�g0�E�xz6�#m�g1�%F�-�h���Q-Mq��7��ۅ_M��+��z�lI�:�r�:)�36�d9�W�л#��sl�g�a�G��Y����̉��3#�J�(�5�;����Xs�G!�05���?`&l8a`�;n���������4�8��H���&@���mFC�x���䅡:���j�ׁ�6�����IDݤB���~��U7�2��X�7���F��� ®J6�'�避@�S������ǁ�� WU���I����G$�Ch����h���WJåp��KZ��V����6�z�p�y��&y'@�J��[��O�J��n�P�τ��o��Mɂiqx��7�(`g��n���cp��q������ ��bݝ��Z�h�1#h�iG�z���%3#�G2��U��V8J��d��q���4;>��=��W��ϓ�-h`���n��D��*��' \D.Ccdf�h�94��!�Д��wH��tl����c���y��^M��kv�����C�z�(�Qj�>�a5�^G�k��kȮzz�����T##6���5@"�m��u����`�EQ&1��}�����z���E�������e��QdD��7��l@�Ղ�P �Ώ �o>�� 6�� ��]�Oȋ����DE�� ��'k���J�'(�Ȱs��Ʃ��-=m&g&�D�1iUl�!��Ƿ�����h{����/|ҤA�� �n�0Q����M�W�j1���}�Qڠu����v��Ȑ�G�Y`�>tc�@�d""z]����G�7�7^A��D���K��y(ت�.>��U�c�F�,X��5.���u�,�����3C�)|V �k��aT,�l\A[OdS �P:dT�D�1� ٚN���Ƕ�� � �{��m���]�\�vj�����1b(�ӛ:1v��!�{p?} Find a Ophthalmologist who accepts BCBS MT Blue Preferred PPO near you in Anchorage, AK. UMP Achieve 1. A health plan's network is the set of healthcare providers — e.g., hospitals, doctors, and specialists — with whom the insurance company has contractual agreements in any given plan year. $3,125 . Premera Premera - SEBB Program Medical Benefits Comparison Chart Annua I Costs/ Benefits (in network) KPNW 1 KPNW 2 KPNW 3 KPWA Core l KPWA Core2 KPWA Core 3 KPWA Sound Choice Access PP01 Access PP02 Access PP03 Standard PPO UMP Achieve 1 (82% AV) UMP Achieve 2 (88% AV) UMP High Deductible UMP Plus RX deductible The benefits, limitations, exclusions and other coverage provisions in this booklet are subject to the terms of our contract with the Group. Standard PPO Plan School Employees Benefits Board (SEBB) Program Start date: January 1, 2020 *Or state-registered domestic partner Premera Blue Cross Standard PPO health plan is available in these counties: Adams, Asotin, Benton, Chelan, Clallam, Columbia, Cowlitz, Ferry, Franklin, Garfield, PREMERA ESSENTIALS FORMULARY E4 (PRESCRIPTIONS) UMP administered by Regence Blueshield. Comparison of Medical Plans. ���le���7m.h�.�3��єQ�`7x�ֿ.�I�@� D�nM� G�F���Nu�4jJ,iikK^�S�0�1���v This booklet is a part of that contract, which is on file in the Group's office and at Premera Blue Cross. SEBB My Account – Changing Coverage ... Premera Standard PPO UMP Achieve 1 UMP Achieve 2 UMP High Deductible UMP Plus—Puget Sound High Value Network UMP Plus-UW Medicine Accountable Care Network Premium $37 $116 $170 $256 $133 $49 In general, you may choose from the plans listed below. gP��&>g" PREMERA STANDARD PPO CERTIFICATE OF COVERAGE BOOKLET. endstream endobj startxref Sound Family Medicine is in the network of the following plans: ... Premera Standard PPO; Payment Services . UMP High Deductible. �)F3V��KG��7�r�H��)E��L�^(cD� %PDF-1.7 Visit one of Premera's online provider directories. /a��귃i�����y������Z.F�e�e#�ag%"��NŽ����]�º�*nJ��)0e�)�G�Ջ1�g�5�7E�z\m����&~�. %���� DeltaCare (managed-care plan) Willamette Dental Group (managed-care plan) Vision Plans. Carrier Kaiser Permanente Kaiser Permanente Kaiser Permanente Premera UMP Plan Sound Choice Access PPO 3 Access PPO 2 Standard PPO High Deductible Deductible Individual: $125 Family: $375 Individual: $250 Family: $750 Individual: 750 Family: $2,250 Individual: $1,250 Family: $3,125 Individual: $1,400 Family: $2,800 ;N�ב���L�P5mP�|�Ñ4f����-�m�zw�I��[۩P�q�_q�b�wi�M� l:���d���j�� ^�(����(x���qN�N��H�'81�F�h�s��ׯ>u:v ?�7��8E�+.��I���Qj��$�5���q���Wp������n`�π2��� 'Y4�`�G�4n"쿪vcz�t Y`xG%���]|1jg�@��X�lwCJ�v��m �|(�����O����sҫ�����,V�f�8��. UMP ACHIEVE 1 CERTIFICATE OF COVERAGE BOOKLET ��� �+��N�Ѫ��t�a����!��Rg�R5��7pO3f�f. �$0Y2������) n7���~��O?�~���O��t��7��y|V�������>���u����]Oo�����������x��/ �����I�mu�M��'��sD�v7�H��n��i�$1?,��ӕ7�TM�X�ק4��(0ytj C�6:�������!�0} Davis Vision. PPO, or Preferred Provider Organization, health plans are generally more flexible than EPO (Exclusive Provider Organization) plans and have higher premiums.This comparison explains how. See all Ophthalmologist office locations in Anchorage that accept BCBS MT Blue Preferred PPO … Premera Blue Cross Premera High PPO, Peak Care EPO, Standard PPO sebb.premera.com/home 1-800-807-7310 (TTY: 1-800-842-5357 or TRS: 711) Uniform Medical Plan (UMP), administered by Regence BlueShield (for medical questions) UMP Achieve 1, Achieve 2, High Deductible, UMP Plus ump.regence.com/sebb 1-800-628-3481 (TRS: 711) Premera. SEBB Health Care Transition Contact Information and Resources to answer your questions Sept. 5, 2019 ... Premera High PPO, Peak Care EPO, Standard PPO premera.com 1-800-807-3731 TRS: 1-800-842-5357 or 711 Uniform Medical Plan (administered by Regence BlueShield) Achieve 1, Achieve 2, Visit SmartHealth's website, complete a well-being assessment, join and track activities to earn points (at least 2,000) to qualify. Medical Provider Websites. <>/Metadata 1381 0 R/ViewerPreferences 1382 0 R>> h�bbd``b`z$߁�M �t �Hp� l@���� �"@� �`)���Ӏ����;����t�b``$���p�+@� SF The SBC shows you how you and the plan would share the cost for covered health care services. Family $1,875 . Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. ... Premera Blue Cross Medical Plans (Kadlec Hospital is out of network) Dental Plans. Standard PPO. %PDF-1.7 %���� (pre-SEBB) $973 January –June 2020 $994 July 2020-Aug 2021 $1,056 ... Premera Blue Cross Standard PPO $48 $96 $84 $144 Salary Schedules: For Classified Salary Schedules; For Certificated Salary Schedules; For Substitute Salary Schedules Link for Retirement Information at DRS Welcome to the health plan that has been supporting school employees for nearly 60 years. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. ����/��6�jVW���H�խ��B�^��hێ�~�J ~*�8����'�������$���4������OMNb�ß ���e�_�ƨC��᤹%N%����o�'��Wiy=xct�M�x��"���b��h]��*�����~��@[+T�?jh��>5�$E}k i9�7F���IDMr"���G�{b��k��$���:�a],a�0����"x�.���f�Y7UM��:?m������:���W���DM��1䯖�r���@��w0�,��I���z�u��S ^��>k΂������z�I�uѽu/I�I�����zc�YHLe0%�X~�')3��ő.c��a���N�!�|�@QV�� �Ff�q��8M���`���r�فQ�'P#� i~8�| UPPERCASE BOLD = Brand name drugs D���W��mi�#��r��G;N��ޛ���/�������`tVn���?��<=����8��n <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 15 0 R 23 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Premera Blue Cross has been providing health plans to school employees across the state for nearly 60 years. Achieve 1, Achieve 2, or High Deductible. (pre-SEBB) $973 January –June 2020 $994 July 2020-Aug 2021 $1,056 ... Premera Blue Cross Standard PPO $22 $44 $39 $66 Premera Blue Cross : Standard PPO Coverage for: Individual or Family | Plan Type: PPO 1 of 6 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. PREMERA HIGH PPO CERTIFICATE OF COVERAGE BOOKLET. ��0��~���#����z��y�&�c���L� L]�['� �WH�s�$��W�E��pA/֌�5�s�c*W�� YG����d̢�(�����di9ý���Y/�b��J�b ��i}����7�;�ep[XNG�Yy�$Jd}��p[�/�- ���T{�˴����"���P��)�f)IX*�z���/���qPd�rJ}v�4#`A%E��:�(qβwI�-�da~��E��C3�F������E��\|���j&_��tu�ͷo�>��4%�Z�/g^��D}����y��D�UZ������-����z�,��vR�I�)�B���.��+>��n����qro��+�,/68P�Օ_A*�Ya v��I�W|KR�� ����� Learn More About SEBB MetLife Find A Provider. 20%. Provider Network PRIME. 0 Designed with K-12 employees in mind, our School Employees Benefits Board (SEBB) health plans offer robust benefits and include the same great service you have come to expect from Premera. Deductible Individual $750 . stream ���w���6\��m��5���r�AsHr�����J�S!���1�).�=����IL! All other plans: A $125 reduction to your 2021 SEBB medical plan deductible in January. Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association. (����� 4��]Yn�`���W�[tDo�D"u���$F�8�Cqp'4,��P���q�#��������c�-���$3Ye���4�I��Ѽv,U��c�%����+bR͑}�GՂ� Premera Standard PPO. Our SEBB health plans are designed with school employees in mind and are backed by our best-in-class customer service. This guide provides SEBB Program eligibility, enrollment, and benefit information for school

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