2021 Open Enrollment. Box 42713 Email: customerservice@naviabenefits.com. Phone Number – Daytime Phone Number – Evening SECTION 2: BASIC LTD COVERAGE ONLY Employee completes this section. Phone Number Male Female Job Title/Occupation ; Hours Worked Per Week Earnings $_____Per: Hour Week Month Year ; Long Term Disability (LTD) Insurance Coverage ; I wish to: Enroll in basic LTD (Employer Paid) Enroll in supplemental LTD (Employee Paid); choose a waiting period. Phone Number: (425) 452-3500 Toll-Free Phone Number: (800) 669-3539 Claims Fax Number: (425) 451-7002 Toll-Free Claims Fax Number: (866) 535-9227 Email: customerservice@naviabenefits.com Mailing Address: Navia Benefit Solutions PO Box 53250 Bellevue, WA … Phone: (360) 725-9817 . Board (PEBB) enrollees. Toll-Free Claims Fax Number: (866) 535-9227. The UMP Plus – UW Medicine ACN includes many of the finest healthcare organizations in the region, and provides high-quality, excellent service and affordable healthcare. 1. For questions about prescription drug coverage, contact Washington State Rx Services at 1-888-361-1611 … wish to cover or remove from coverage. q9��A��x��� UuzZ� ��!d����!���aJ�K PEBB Statewide Plan members. Non-Medicare Retirees will see increases of $5-27 per month depending on their plan. PEBB provides you with the opportunity to purchase Short Term Disability (STD) insurance, which is designed to pay a benefit to you in the event you cannot work because of a covered illness, injury or pregnancy. Welcome Public Employees Benefits Board (PEBB) Members . Navia Benefit Solutions pebb.naviabenefits.com 1-800-669-3539 SmartHealth Limeade smarthealth.hca.wa.gov 1-855-750-8866 The PEBB Program is saving the green Help reduce our reliance on paper mailings — and their toll on the environment — by signing up to receive PEBB mailings by email. Submit. 2 Blue ink indicates information only for subscribers who have PEBB dental, life, and long-term disability coverage. Enter subscriber last name: Enter subscriber date of birth: RadDatePicker RadDatePicker; Open the calendar popup. Alternate phone number (including area code) ( ) Section 1: Enrollment Election/Change Check the boxes that apply to you. Verify construction licenses, bond information, and worker’s compensation information. ... Delta Dental of Washington is a part of Delta Dental Plans Association. We recommend using your personal email address to access your account. 229 0 obj <>/Filter/FlateDecode/ID[<96821AE7FC73C48FBE85A56D554545FE>]/Index[215 25]/Info 214 0 R/Length 79/Prev 954764/Root 216 0 R/Size 240/Type/XRef/W[1 2 1]>>stream Find office address, phone number, and email for each office. 215 0 obj <> endobj Locations. Please call UMP Customer Service (Regence) at 1-800-628-3481 (TRS: 711) for all questions about medical benefits (what is covered by the plans), medical claims, and medical services requiring preauthorization.Only Regence can provide accurate medical benefit information to UMP members. List an eligible spouse or state-registered domestic partner, as defined by Washington Administrative Code 182-12-109, you wish to cover or remove from coverage. You have chosen the Uniform Dental Plan (UDP) GROUP #03000. Provider Contacts - One-page reference sheet of Premera addresses and phone/fax numbers. q Enroll: q Medical only q Medical and dental q Retiree term life insurance (also complete Sections 7, 8 and 9) q Defer my coverage. PEBB Annual Report of Customer Service Complaints and Appeals September, 2016 2 Executive Summary The Washington Legislature passed Substitute Senate Bill (SSB) 6584 in 2010 and it was codified as RCW 41.05.630. Pebb Enterprises Accounts Payable, Contact Information, and Licenses On this page you can find Pebb Enterprises Accounts Payable information to get paid and other important information. With either Providence plan, you’ll have convenient access to care and personal support for any health need. If you have questions about the Public Employees Benefits Board meeting schedule, agenda, or minutes, we want to hear from you. Enjoy more than just great coverage New for 2021. PEBB Benefits Services. We need to verify you first to ensure we have your PEBB member data. About The Washington State Government Channel. Identify below your medical coverage that allows you to defer PEBB retiree coverage. From online chats with clinicians to urgent or emergency care when traveling – in person, online, or on the phone – you have access to care when you need it. �@I�Z���n*Y~��Kff��T TTY users may call through the Washington Relay service by dialing 711. Customer Contact Use your online account For fast, secure service, log into your DRS online account and use the personalized Contact Us tool. Your personnel, payroll, or benefits office will enroll you in this coverage at no cost to you. The Fraud Hotline of the HHS Office of Inspector General, toll-free at 1-800-HHS-TIPS (1-800-447-8477). Subscriber verification - Step 1 of 3 We need to verify you first to ensure we have your PEBB … 239 0 obj <>stream If you are an employee, you MUST contact your personnel, payroll, or benefits office. Forms. Fax: (360) 753-9152 . • Make a change to a name, phone number, etc. New York 346 Park Avenue South 3rd Floor New York, NY 10010 (646) 690-2981. PEBB offices are closed to the public. 1. After clients enroll in a PEBB medical coverage plan, they should contact their plan The Washington State Health Care Authority (HCA) administers health care benefits for Washington public employees. %%EOF UMP Plus-UW Medicine Accountable Care Network is a cost-effective option for Public Employees Benefits Board (PEBB) eligible employees living in King, Snohomish, Kitsap, Pierce, Skagit, Thurston and Spokane counties. Welcome Public Employees Benefits Board (PEBB) Members . Kaiser Permanente Washington offers many ways to get care quickly. 2 Blue ink indicates information only for subscribers who have PEBB dental, life, and long-term disability coverage. Please provide the following information so we can first verify that we have you in our PEBB Subscriber records. This benefit replaces a portion of your income, thus helping you meet your financial commitments in time of need. With a Kaiser Permanente WA health plan, you get access to high-quality health care, when you want it.Whether you choose to come in to a medical center, engage with your care team through email, talk to a clinician with an online chat, or call our 24/7 Consulting Nurse Service, you can access care on your own time. Getting care with Kaiser Permanente WA. The Medical FSA is available to PEBB benefits-eligible employees who work at state agencies, higher-education institutions, and community and technical colleges as described in Washington Administrative Code (WAC) 182-12-114. https://hca.wa.gov/ PEBB Health Benefit Plan –Cost and Utilization Trends November 30, 2018 1 Executive Summary The Health Care Authority (HCA) is required to submit a report to relevant legislative policy and fiscal committees by November 30, 2015, and each year thereafter as directed by RCW 41.05.065(6)(b). PEBB Annual Report: Customer Service Complaints and Appeals September 30, 2019 3 Background The Washington State Health Care Authority (HCA) administers the Public Employees Benefits Board (PEBB) Program, which aims to provide Washington public employees and retirees with high-quality, low-cost health care coverage. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. h޴U[o9�+~LT��ߤ Washington State Health Care Authority You have 2 dental coverage options from Delta Dental of Washington. CnxZ��9�ū��_ ��� �Z\�YB�#Ny�#@j��>O�_O]����'$���h�֊_���7i�2? Subscriber verification - Step 1 of 3. ]���7"� Z -9��"%/�5�o����Wh��F^�2)Őfp Kaiser Permanente Washington offers many ways to get care quickly. To learn more about working with My Account, visit our Help with My Account webpage. Dental PlansWebsite addresses Customer service phone numbers DeltaCare, administered by Delta Dental of Washington deltadentalwa.com/pebb 1-800-650-1583 TTY: 1-800-833-6384 Willamette Dental of Washington, Inc. wapebb.willamettedental.com 1-855-4DENTAL (433-6825) TTY: 711 Uniform Dental Plan, administered by Delta Dental of Washington deltadentalwa.com/pebb 1-800-537-3406 TTY: 1 … Message. Phone: 1-800-200-1004 (toll-free) Monday through Friday, 8 a.m. to 4:30 p.m. TRS: 711 through Washington Relay. Delta Dental of Washington is a part of Delta Dental Plans Association. Behavioral health concierge is available for same day or next day access to counseling … You can make appointments, find out if a provider is in the network, find clinic locations, get answers to billing questions and access other healthcare resources through a dedicated phone number and a single, centralized UW Medicine ACN Contact Center at +1.855.520.9500 (TRS: 711). Contact the Plans Medical Plans Website addresses Customer service phone numbers TTY customer service phone numbers (deaf, hard of hearing, or speech impaired) From online chats with clinicians to urgent or emergency care when traveling – in person, online, or on the phone – you have access to care when you need it. This statute requires the Health … Phone: 206‐543‐4444 Address: UW Tower, Box 359556, Seattle, WA 98195 4333 Brooklyn Ave NE, UW Tower, O Building, 1st floor Are you a Robot? endstream endobj 216 0 obj <> endobj 217 0 obj <> endobj 218 0 obj <>stream Public Employees (PEBB) School Employees (SEBB) Phone: 360.725.0440 or … 2 Blue ink indicates information only for subscribers who have PEBB dental, life, and long-term disability coverage. Welcome Public Employees Benefits Board (PEBB) Program Members. Phone Number: (425) 452-3500. Box 42713 Olympia, WA 98504-2713 Note: All meetings sponsored by the Health Care Authority meet Americans with Disabilities Act (ADA) Learn more about your customer service options. PEBB members can conveniently get open enrollment information from Kaiser Permanente. ... Easy, secure access to all your custom dental benefit information on your phone or desktop! Phone. ���6��ۧ���? If you have questions about the Public Employees Benefits Board meeting schedule, agenda, or minutes, we want to hear from you. The changes from 2019 vary by plan. Send your new credentialing application to Premera by mail, fax, email or through ProviderSource. Retiree, COBRA, Self-Pay. %PDF-1.5 %���� 0 List an eligible spouse or state-registered domestic partner, as defined by Washington Administrative Code 182-12-109, you . Call the PEBB Program Toll-free at 1-800-200-1004 Monday through Friday, 8 a.m. to 4:30 p.m. Website www.willamettedental.com/pebb Customer service toll free 1-855-4DENTAL (433-6825) Hearing impaired toll free 1-800-735-2900 Email pebb@willamettedental.com The Standard (life, AD&D and disability insurance plans) Website https://www.standard.com Customer service toll free 1-800-242-1888; disability claims toll free 1-800-842-1707 h�b```f``�e`2JD@(������� `f(n``�/P`�f-�df�w`���7�a���:��P�Z����W.��ɠ�����́�#��6��E׶��]��u̎gw�#����A2��DZ@"�(��� �Lz!R�.�L�9\�'|�E���|M Medicare Retirees will see increase that range from $0.68 per month for Premera Medicare Plan F to a $7.45 increase for … P.O. 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. Contact the Plans Medical Plans Website addresses Customer service phone numbers TRS customer service phone numbers for deaf, hard of hearing, or speech impaired Contact the Plans Medical Plans Website addresses Customer service phone numbers TTY customer service phone numbers (deaf, hard of hearing, or speech impaired) Credentialing application - new providers. If you are currently a Washington State PEBB employee and turning 65, contact HCA by calling their by toll-free telephone number, 800-200-1004, or by visiting their website: pebb.hca.wa.gov/ If you have claims, payments or question related to your current Medicare Supplement policy, please call customer service at 888-208-6264 . Due to COVID-19, HCA’s lobby is closed. PEBB Statewide is a PPO plan. 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For special accommodationsPhone: 360-725-0856TRS: 711, 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. Notice: This phone line is for PEBB retirees, PEBB employees about to retire, and PEBB Continuation Coverage subscribers ONLY. h�bbd``b`~$C�C;�`�q &I ��$t?��A@��HH���L� 63012��``$����� � �b The Board. Public Employees Benefits Board (PEBB) Program PO Box 42684 Olympia, WA 98504-2684 Phone: (360) 725-0440 Fax: (360) 725-0771 www.hca.wa.gov Public Employees Benefits Board Annual Report Customer service complaints and appeals Claims Fax Number: (425) 451-7002. Contact the dental office to confirm they're accepting new patients: If you want to change your PCD, you can do so at any time. 2021 Open Enrollment. The UMP Plus – UW Medicine Accountable Care Network is an innovative healthcare option available to PEBB-eligible employees. You pay less for in-network services, more for out-of-network services. TTY, call toll-free 1-877-486-2048, 24 hours a day, 7 days a week. • Find A Dentist from the DeltaCare® network • Call us at (800) 650-1583 and we'll make the change • Make your request by the 20th of the month to start seeing your new PCD on the 1st of the following month About Us. Call us: 800.547.6657 Local: 360.664.7000 TTY: 711 How to reduce your call wait time Other Contacts Additional DRS contacts If you are a customer contacting DRS, you’ll receive the fastest service […] Email: board@hca.wa.gov Mailing address: Washington State Health Care Authority Public Employees Benefits Board P.O. If you think you've been a victim of identity theft or fraud, call any of these numbers: Call toll-free 1-800-MEDICARE (1-800-633-4227). ���� geqj���U�,5As�����W4yE�� �T��b�1���b`&�v2��T��Wtt0����� ��f1��"��p!V�� ,���die�h4�*/�:��!� ��(VHfT%+x� i V�T?C� ����RoU�*.u�s�������1�Vét�d�F�v�{��=DK�t7278=>��ːLOw`Q?����#�f�n ������gT0 �Z� Note: All meetings sponsored by the Health Care Authority meet Americans with Disabilities Act (ADA) requirements. This booklet contains information you need about benefits, monthly premiums, and the plans available to you. To sign up, go to PEBB My Account at hca.wa.gov/my-account. Dependents cannot be enrolled in two PEBB medical or dental accounts at the same time. endstream endobj startxref Boca Raton 7900 Glades Road Suite 540 Boca Raton, FL 33434 (561) 594-0525. Report fraud and abuse. Help with register. 'x����y ɽ��(I`���;��0r3�ș�-`Ŝ-��X�-�,I���$���i��$�)�+`2ha���d�q��}. Staff are available by email or by calling 503-373-1102. Mailing Address: Navia Benefit Solutions PO Box 53250 Bellevue, WA 98015-3250. Email: board@hca.wa.govMailing address: Toll-Free Phone Number: (800) 669-3539. LEARN MORE . Mail: PO Box 327 - MS 263 Seattle, WA 98111-0327. • Help with eligibility or eligibility changes (like divorce, or becoming eligible for Medicare) • Eligibility complaints or appeals • Forms • Payroll deductions or premium payments . Dependents cannot be enrolled in two PEBB medical accounts at the same time. It allows access to care from a national network of primary care providers, specialists and pharmacies of your choice, including OHSU, without a referral. A link to the WAC is available at hca.wa.gov/pebb … The Public Employees Benefits Board (PEBB) met on July 10 and approved the rates for both Non-Medicare and Medicare Eligible retirees for 2020. Your employer pays for Plan A (Basic) LTD coverage. The YouTube channel of the Washington State Government, linking you to videos from state agencies, departments, and … Public Employees Benefits Board Please provide the following information so we can first verify that we have you in our PEBB Subscriber records. Open Enrollment Webinar. If you want additional information about Public Employees Benefits Board (PEBB) Program coverage Call the PEBB Program 360-725-0440 or toll-free at 1-800-200-1004 Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Learn more about your customer service options, Website feedback: Tell us how we’re doing. Wellness Central. As a PEBB Statewide or PEBB Providence Choice plan member, count on quality, choice and compassionate care from providers you know and trust. A single phone number for all appointments and information. Contact Us The Navia customer service center is open from 5:00am to 5:00pm PST, Monday through Friday. !�9hl��������ЭC,�*�P|=��簩��;\M��S�:��۰��!0� a���E��''� v�j�]�����I!���3���'��N�{���+�$#^g`�(����� �S�-��V8!��а�`�R�d$�%�I���LS��H@fX�ê���3�'�sgM=*鹰���\�8pV:�5w�w�����s˳��)�z�d�-���ʥ\'! Ump Plus – UW Medicine Accountable Care network is an innovative healthcare option available PEBB-eligible! Out-Of-Network services a part of Delta Dental of Washington ( Basic ) LTD coverage addresses phone/fax... You meet your financial commitments in time of need ) 594-0525 of Inspector General, toll-free 1-800-HHS-TIPS... 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Day, 7 days a week, etc, etc Benefits Board ( )...: Washington State Health Care Authority meet Americans with Disabilities Act ( ADA ) requirements … Board ( PEBB enrollees. 263 Seattle, WA 98111-0327 calling 503-373-1102 is for PEBB retirees, PEBB Employees about to retire, PEBB.