This booklet is a part of that contract, which is on file in the Group's office and at Premera Blue Cross. �� 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, Premera Standard PPO. UMP Plus-PSHVN Dental Plans. �@�����Kh�^3f�����5L$5�gz����z��){6��viぃ˭a���o�1ZOڶ���9Ζ�D���̝��h�" Premera. For High PPO and Standard PPO (Heritage Our SEBB health plans are designed with school employees in mind and are backed by best-in-class customer service. %���� ... Premera Blue Cross Medical Plans (Kadlec Hospital is out of network) Dental Plans. stream ... SEBB Long-term Disability Standard Insurance Employer Paid Basic Long Term Disability Standard. Premera Blue Cross Premera High PPO, Peak Care EPO, Standard PPO sebb.premera.com/home 1-800-807-7310 (TTY: 1-800-842-5357 or TRS: 711) Uniform Medical Plan (UMP), administered by Regence BlueShield (for medical questions) UMP Achieve 1, Achieve 2, High Deductible, UMP Plus ump.regence.com/sebb 1-800-628-3481 (TRS: 711) D���W��mi�#��r��G;N��ޛ���/�������`tVn���?��<=����8��n E4- Premera Essentials Formulary Formulary ID 3114 CURRENT AS OF 8/1/2019. Find a Optometrist near you in Anchorage, AK. DeltaCare (managed-care plan) Willamette Dental Group (managed-care plan) Vision Plans. PREMERA HIGH PPO CERTIFICATE OF COVERAGE BOOKLET. See all Optometrist office locations in Anchorage, doctor ratings and insurance accepted. Premera Blue Cross has been providing health plans to school employees across the state for nearly 60 years. Find a Ophthalmologist who accepts Blue Cross CA California Care Large Group HMO near you in Anchorage, AK. /a��귃i�����y������Z.F�e�e#�ag%"��NŽ����]�º�*nJ��)0e�)�G�Ջ1�g�5�7E�z\m����&~�. Standard PPO. ���Fp]��)�d7���Ja4(K���&%%:�Xn�0������QfP��V F�?d��.ˇ��'��Ѱ|h�� ~*�8����'�������$���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�| The School Employees Benefits Board (SEBB) Program was designed with you in mind. lowercase italics = Generic drugs. �)F3V��KG��7�r�H��)E��L�^(cD� UMP Achieve 1. MEDICAL PLANS. 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 Welcome to the health plan that has been supporting school employees for nearly 60 years. h�bbd``b`z$߁�M �t �Hp� l@���� �"@� �`)���Ӏ����;����t�b``$���p�+@� SF 604 0 obj <>stream Visit SmartHealth's website, complete a well-being assessment, join and track activities to earn points (at least 2,000) to qualify. High PPO and Standard PPO (This will auto select the correct Heritage Prime network) Uniform Medical Plan - (800) 628-3481. $1,250 . 20%. 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. 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. Premera Blue Cross: Standard PPO Coverage for: Individual or Family | Plan Type: PPO 1 of 7 . UMP High Deductible. 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 Provider Network PRIME. Visit one of Premera's online provider directories. ����/��6�jVW���H�խ��B�^��hێ�~�J ���le���7m.h�.�3��єQ�`7x�ֿ.�I�@� D�nM� G�F���Nu�4jJ,iikK^�S�0�1���v What are my plan options? ... Premera - (800) 807-7310. Davis Vision. 3 0 obj All other plans: A $125 reduction to your 2021 SEBB medical plan deductible in January. 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'�� Deductible Individual $750 . endstream endobj startxref Premera High PPO Premera Peak Care EPO Premera Standard PPO How do I find a provider? The benefits, limitations, exclusions and other coverage provisions in this booklet are subject to the terms of our contract with the Group. ��fd�p"�.݇ �>�/Itd\��/�UĠX��]�xS�q@�{�O[!D�)�sk�=3���p�"�a�k�9�A��V����fw.��wR���6��3*I�� ڱ\7��^\�41��/gW�?�re�\}�$zU�/. SEBB has put together a great newsletter called iNTERCOM. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. Achieve 1, Achieve 2, or High Deductible. ��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�� ����� endobj UMP Achieve 2. (����� 4��]Yn�`���W�[tDo�D"u���$F�8�Cqp'4,��P���q�#��������c�-���$3Ye���4�I��Ѽv,U��c�%����+bR͑}�GՂ� PREMERA STANDARD PPO CERTIFICATE OF COVERAGE BOOKLET. Medical Provider Websites. 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, UMP ACHIEVE 1 CERTIFICATE OF COVERAGE BOOKLET 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 Premera High PPO. 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. (pre-SEBB) $973 January –June 2020 $994 July 2020-Aug 2021 $1,056 ... Premera Blue Cross Standard PPO $48 $96 $84 $144 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 Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association. Coinsurance 25%. ��� �+��N�Ѫ��t�a����!��Rg�R5��7pO3f�f. Learn More About SEBB PRIME. �$0Y2������) n7���~��O?�~���O��t��7��y|V�������>���u����]Oo�����������x��/ �����I�mu�M��'��sD�v7�H��n��i�$1?,��ӕ7�TM�X�ק4��(0ytj C�6:�������!�0} MetLife Find A Provider. Comparison of Medical Plans. ���w���6\��m��5���r�AsHr�����J�S!���1�).�=����IL! 573 0 obj <> endobj See all Ophthalmologist office locations in Anchorage that accept BCBS MT Blue Preferred PPO … %PDF-1.7 %���� ��UW�a#� 2�9PE���Ҫ��1�� �� <> In general, you may choose from the plans listed below. endobj x��]mo�H�� ��X��E"��l�sgv�r��I.��~�e�֭$z$9^��_Uu��*J"۾�n�M>�o���?����l|�����tvW\��\������}q�az;_M��ru���j����bz]���>���]���W�$����B�A�� Q:X�_���`�����ׯ.~R�����W (pre-SEBB) $973 January –June 2020 $994 July 2020-Aug 2021 $1,056 ... Premera Blue Cross Standard PPO $22 $44 $39 $66 Sound Family Medicine is in the network of the following plans: ... Premera Standard PPO; Payment Services . 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