pebb benefits 2021

And you have expanded access to telehealth through the national public health emergency period, currently scheduled to end Jan. 20, 2021. Coverage for Washington State Public Employees Benefits Board (PEBB) Program retirees PEBB Basic Life is a required enrollment when enrolling … 1 of 7 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2021 – 12/31/2021 Moda Health Plan, Inc.: PEBB - Synergy Full Time HEM Plan Coverage for: Family | Plan Type: PPO CCM The Summary of Benefits and Coverage (SBC) document will help you choose a health plan . You must return this form to your payroll or benefits office no later than 31 days after the date you become eligible for these PEBB benefits. A PPO refers to a preferred-provider organization (network). 0000008470 00000 n Married members who file separately can fund up to $2,500. 0000091225 00000 n 2021 Benefit Information. 0000077601 00000 n 2021 Open Enrollment: November 1 - 30. 0000007274 00000 n This information gives a high-level summary only. 0000025744 00000 n 0000009567 00000 n For additional questions about your enrollment,visit th e PEBB Program’s open enrollment webpa ge or, call PEBB Customer Service at 1-800-200-1004, 8 a.m. to 4:30 p.m., Monday through Friday. Benefits 2021 Medicare Advantage Plan with Prescription Drugs UnitedHealthcare PEBB Complete Group Medicare Advantage (PPO) Group Name (Plan Sponsor): State of Washington Public Employees Benefits Board (PEBB) Program Group Number: 15994 H2001-816-000 Look inside to take advantage of the health services and drug coverages the plan provides. You can go to pebb.naviabenefits.com to view the status of your claim. 0000135572 00000 n 0000033895 00000 n PEBB Plan Employee Benefit Group. You must enroll within 31 days of becoming eligible for PEBB benefits. 0000034573 00000 n 0000005122 00000 n Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. State of Washington Public Employees Benefits Board (PEBB) Program 15993 Effective January 1, 2021 to December 31, 2021 This is a short description of your plan benefits. 0000015493 00000 n 0000015007 00000 n startxref 1 of 7 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2021 – 12/31/2021 Moda Health Plan, Inc.: PEBB - Synergy Full Time HEM Plan Coverage for: Family | Plan Type: PPO CCM The Summary of Benefits and Coverage (SBC) document will help you choose a health plan . PEBB virtual benefits fair. Copays and coinsurance may apply; some copays and coinsurance do not apply until after you have paid … For complete information, please refer to your Summary of Benefits or Evidence of Coverage. If you are eligible to enroll as a newly PEBB benefits-eligible employee, enrollment begins the first day of the month following the date you become a PEBB benefits-eligible employee and your 0000149275 00000 n If you are unsure of your PEBB benefits eligibility date, please consult your local benefits office. If you enroll during the PEBB Program annual open enrollment, your Medical FSA is effective January 1 through December 31, 2021. Plan Year: 1/1/2021–12/31/2021 with Medical FSA Grace Period through 3/15/2022 Complete this form to enroll in a Medical FSA or DCAP during a plan year. The Affordable Care Act (ACA) requires that we ask for and provide this information to the IRS. 0000017047 00000 n The Uniform Medical Plan-Classic Medicare (UMP) premium will rise by $15.76 per month (4.9%), while most other plans will have more modest increases. PEBB has designed this Plan and the benefits are provided by PEBB on a self-insured basis. Complete Section I — Employee Information. 2021 PEBB vision plans summary employee premium contribution comparison The PEBB basic life benefit will increase from $5,000 to $10,000. Summaries of Benefits and Coverage. 0000003878 00000 n 0000015209 00000 n PEBB 2021 Statewide Handbook 1 Effective January 01, 2021 Administered by Providence Health Plan 1. BENEFITS (PDB) Open Enrollment (OE) 2020-2021 Agency Training. Limitations, exclusions, and restrictions may apply. Summary Plan Description. 1 of 7. 0000035897 00000 n 0000034644 00000 n 5 For implant surgery only 6 Benefits for implant surgery have a benefit maximum. PEBB. This handbook describes the benefits of the Plan. 2021. 0000011693 00000 n 0000028514 00000 n And you have expanded access to telehealth through the national public health emergency period, currently scheduled to end Jan. 20, 2021. This information gives a high-level summary only. 0000019981 00000 n Contributions increase in 2021 • Members can contribute up to $2,750 to a Health Care FSA in 2021. 0000035826 00000 n Summaries of Benefits and Coverage. SUMMARY OF BENEFITS Public Employees’ Benefit Board – OR90 – 1/1/2021 1Benefits for implant surgery have a benefit maximum, if covered. Medical plans & benefits. <<0E97224549D19447B2AC36AE19091142>]/Prev 284094/XRefStm 3388>> 2021 plan information. Welcome to Navia Benefits! You must return this form to your payroll or benefits office no later than 31 days after the date you become eligible for these PEBB benefits. h�bbd```b``�+@$�ɪ "u�� X��}�L�d��W��g�d Xd��&��"��懂H�O �� 0 PEBB has designed this Plan in cooperation with Providence Health Plan. 166 0 obj <>stream 0000035418 00000 n If anything in these charts conflicts h�b```g``:������?� 0� EY8f0ltc`8�H����� ���```���h � &A -��`�P~�I�:lx?�)�3�ca[�{G�Y@�c���ֲ�+/>���RѮ�8�\�f'��B �D߀4��t���P^&��PU� ��#� 0000012459 00000 n The intent is to allow an “apples to apples” comparison of medical health plan benefits across carriers. You may enroll during the 2021 plan year if you or an eligible family member has a qualified change in status event that creates a … Summary of Benefits for the 2020 Plan Year; A side-by-side plan comparison for benefits, copays and deductibles. :�ʴ�;�#�u�BvNN�Wp�X�������3ľu/�}ofm�z:������=]����t���'@ '�o�0)HZ�-Υ�x�ąE��J՚a�:�$�7ڢ�����(�f.Y�)@��yW|�i����' R��f��x`YW�MI���u��Ai�w�'ܫ-[��\���@��+�t�DW\Z.$�!���l�J&5�&�����H�\t�P�UEX�L�e;'�֓���j�h�O�g��o��L��T8%Yj,��N�)�\��_V��K�>^S=��Ϗ]�iUS�ܺ�Z�LV�����>�#(���ށ *CCC+��%� ��KhXZN�� 0000006268 00000 n A federal rule that becomes effective in 2021 will place an excise tax on annual premium amounts above a certain level. 2021 PEBB Medical Premiums Available. 0000085190 00000 n 2021. xref 0000005415 00000 n Which year would you like information on? Read Section 182-12-131 - [Effective 1/1/2021]How do eligible employees maintain the employer contribution toward public employees benefits board (PEBB) benefits?, Wash. Admin. (Exception: University of Washington employees must 0000149538 00000 n 0000006460 00000 n 0000005565 00000 n *If you intend to enroll in a consumer-directed health plan (CDHP) with a health savings account (HSA) for 2022, you must use all your 2021 Medical FSA funds and have all your claims paid by Navia Benefits Solutions by December 31, 2021. 0000130443 00000 n 0000035489 00000 n 0000122238 00000 n State of Nevada seal link to nv.gov. 0000017893 00000 n For more information about SBCs, visit HealthCare.gov. An overview of the PEBB Program’s long-term disability insurance benefit. • This benefit will be available on PEBB Moda medical plans starting January 1, 2021 Moda 360. 0000007076 00000 n endstream endobj 121 0 obj <. Code § 182-12-131, see flags on bad law, and search Casetext’s comprehensive legal database Employee Premium Share Your employee premium share will calculate at a 3% share if you are a full-time employee, have two plans available and choose the lowest premium cost medical plan where you live or work; all other choices will calculate at … 0000034180 00000 n %%EOF 0000107391 00000 n The benefits described on the following pages are effective Jan. 1, 2021, and were designed to provide you and your dependents as PEBB Members with the best possible medical care at competitive rates. >PEBB Retiree Enrollment Guide > Acronyms used in this segment – HCA Health Care Authority – PEBB Public Employees Benefits Board – FSA Flexible Spending Account – CDHP Consumer Directed Health Plan – HSA Health Savings Account – VEBA Voluntary Employee Beneficiary Association PLEASE HAVE THESE DOCUMENTS READY FOR THIS SEGMENT 0000007708 00000 n 0000106415 00000 n PEBP Logo and link to PEBP Website 0000010154 00000 n Providence Choice (PDF) Providence Choice +100 (PDF) We recommend using your personal email address to access your account. (Exception: University of Washington employees must Summary Plan Desciption. >PEBB Retiree Enrollment Guide > Acronyms used in this segment – HCA Health Care Authority – PEBB Public Employees Benefits Board – FSA Flexible Spending Account – CDHP Consumer Directed Health Plan – HSA Health Savings Account – VEBA Voluntary Employee Beneficiary Association PLEASE HAVE THESE DOCUMENTS READY FOR THIS SEGMENT 0000008295 00000 n This limitation is an Internal Revenue Service rule. 0000017612 00000 n %PDF-1.6 %���� 0000012430 00000 n 411 2021 PEBB Premium Surcharge Attestation Change Form Use this form to report a change that affects your premium surcharge for tobacco use or spouse or state-registered domestic partner (as defined by Washington Administrative Code 182-12-109) coverage. 0000023041 00000 n 2021 PEBB Dental Benefits Comparison For information on specific benefits and exclusions, refer to the dental plan’s certificate of coverage or contact the plan directly. The Uniform Medical Plan-Classic Medicare (UMP) premium will rise by $15.76 per month (4.9%), while most other plans will have more modest increases. 0000003388 00000 n You will also forfeit this $250 benefit if you waive PEBB medical coverage for 2021, unless you waive to enroll as a You may enroll during the 2021 plan year if you or an eligible family member has a qualified change in status event that creates a … Benefit Highlights (continued) In-Plan Copay or Coinsurance Out-of-Plan Copay or Coinsurance Hospital Services Inpatient care 15% $500 then 40% Observation care 15% $500 then 40% Maternity care 15% $500 then 40% Routine newborn nursery care 15% $500 then 40% Rehabilitative care (30 days per calendar year; 60 days head or spinal cord injuries) 15% $500 then 40% For additional details, sign in to your online account . Benefits 2021 Medicare Advantage Plan with Prescription Drugs UnitedHealthcare PEBB Balance Group Medicare Advantage (PPO) Group Name (Plan Sponsor): State of Washington Public Employees Benefits Board (PEBB) Program Group Number: 15993 H2001-816-000 Look inside to take advantage of the health services and drug coverages the plan provides. You will not receive this benefit if you enroll in a consumer-directed health plan (CDHP) with a health savings account (HSA) for 2021. 0000008698 00000 n Benefits 2021 Medicare Advantage Plan with Prescription Drugs UnitedHealthcare PEBB Complete Group Medicare Advantage (PPO) Group Name (Plan Sponsor): State of Washington Public Employees Benefits Board (PEBB) Program Group Number: 15994 H2001-816-000 Look inside to take advantage of the health services and drug coverages the plan provides. 2421 0 obj <>stream 2020: 2021: What type of enrollee are you? Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2021- 12/31/2021 Providence Health Plan: PEBB Providence Statewide Plan (PT) Coverage for: Subscriber+Dependents | Plan Type: PPO . trailer 0000043932 00000 n 0000031422 00000 n The increase takes effect Jan. 1, 2021. 0000006904 00000 n 0000003924 00000 n You can set aside pre-tax dollars to pay for your … PEBB Plan Employee Benefit Group. You will be able to make most changes to your PEBB benefits on the Health Care Authority (HCA) PEBB My Account page. To avoid this, the Board is beginning a three year process to align our tiers with those of other large employers. 1bX. 148 0 obj <>/Filter/FlateDecode/ID[<5ACE5A0A37CA234188A0EC55B1E9F37B>]/Index[120 47]/Info 119 0 R/Length 125/Prev 142620/Root 121 0 R/Size 167/Type/XRef/W[1 3 1]>>stream 775-684-7000 or 1-800-326-5496 www.pebp.state.nv.us BENEFIT GUIDE PLAN YEAR 2021 JULY 1, 2020 –JUNE 30, 2021. 0000072350 00000 n Section 1: Eligibility in PEBB; Section 2: Medical Benefits; Section 3: Dental Benefits; Section 4: Vision Benefits; Section 5: O ptional Benefits; Section 6: Required Notices; Appendix A: Qualified Midyear Plan Changes Matrix 0000114528 00000 n UMP plans. The PEBB Program must receive your Retiree Election/Change form for Open Enrollment and Retiree Medicare Advantage Enrollment form (form C) by November 30, 2020. Welcome to Navia Benefits! Sections are under constuction - Please see full Summary above. 2 New! 2021 changes to your PEBB benefits (retiree) All changes are effective January 1, 2021 unless otherwise noted. Benefits & coverage by plan. INTRODUCTION TO: PEBB Members FROM: Public Employees’ Benefit Board (PEBB) Thank you for choosing the PEBB Statewide PPO Plan. 0000017583 00000 n ��\\CC�;��5�����]X���al�ͭ`#.Ū�7����EPP�80����@���. 0000000016 00000 n 0000154600 00000 n %%EOF Read Section 182-12-131 - [Effective 1/1/2021]How do eligible employees maintain the employer contribution toward public employees benefits board (PEBB) benefits?, Wash. Admin. 0000016804 00000 n 0000010183 00000 n 0000085635 00000 n Kaiser Permanente of the Northwest will: • Cover one hearing instrument per ear every five years at no cost, up to the plan’s allowed amount (or, for Consumer-Directed Health Plan [CDHP] members, after the deductible is met). 2021 changes to your PEBB employee benefits. SBC-ASO20-108601-449866 0000010612 00000 n 2. 0000114419 00000 n Under the current tier structure, PEBB would pay a tax penalty. You must enroll within 31 days of becoming eligible for PEBB benefits. For questions about eligibility and enrollment, members should contact the Public Employees’ Benefit Board at 503-373-1102 or inquiries.pebb@state.or.us. 2021 PEBB medical benefits comparison The chart below briefly compares the medical deductibles and per-visit out-of-pocket costs of some in-network benefits for PEBB medical plans. 0000008814 00000 n 0000149853 00000 n 4 Benefits payments increase by 10% each plan year provided the member has visited a Delta Dental PPO provider at least once during the plan year. ModaORLGASObk 1-1-2021 (PEBB Synergy Part time +100) Public Employees’ Benefit Board Coordinated Care Model Plan Synergy Part-Time +100 Effective Date: January 1, 2021 Group Number: 10002802 Oregon Group Medical Plan Just Medical, Dental and Vision rates (Page 11 from the Enrollment Guide) Members pay 1-5% of these rates. 0000043472 00000 n An enhanced member support team known as Moda 360. Questions about PEBB or SEBB retiree benefits? PEBB is mailing all members of our self-insured plans - Moda, PEBB Statewide and Providence Choice - a letter requesting SSNs of their covered dependents. Summaries of Benefits and Coverage. 2021 rates. 0000008585 00000 n 0000031795 00000 n %PDF-1.6 %���� Oregon PEBB - Plan Year 2021: Plan Benefits Comparison Go To Benefit Deduction Estimator; Log in to PEBB Benefits; Select Employment Status: b) Select Employment Status: Full-Time Part-Time. 0000107032 00000 n • Single or married members (filing jointly) can fund up to $5,000 to a Dependent Care FSA. USING THE PLAN For questions about the Plan, members should contact Customer Service. 0000009301 00000 n 0000034932 00000 n For additional details, sign in to your online account . Medical, Dental and Vision rates. 0000085921 00000 n The PEB Board has approved the Non-Medicare and Medicare Retiree premiums for 2021. WELCOME This handbook describes the main features of the Public Employees’ Benefit Board (the Group) dental plan (the “Plan”). 0000010641 00000 n 0000004979 00000 n 0000122530 00000 n 0000003609 00000 n PEBB does not designate premium contributions, contact your agency benefit office if you have additional questions about your premium contribution. Employee: Retiree (Medicare) Retiree (non-Medicare) PEBB Continuation Coverage (COBRA Medicare) PEBB Continuation Coverage (COBRA non-Medicare) PEBB … 0000114305 00000 n 0000008024 00000 n We look forward to meeting your health care needs. Managed-care plans have a closed network. PEBB information Public Employees’ Benefit Board – 2021 Enrollment Guide 2 0000106678 00000 n 2021 PEBB vision plans summary employee premium contribution comparison Medical Benefit Comparison. ��`�2�3�0O`O�[ �`�����V�R�5�h���J�Ik�v�,�]����8���m���Ԇ*�s�XjX3�?�.�c�f�������"���ќ֨n{� 0000043175 00000 n opt out of medical for 2021. 0000123006 00000 n You can set aside pre-tax dollars to pay for your … 0000014691 00000 n 2021 PEBB Medical Premiums Available. 120 0 obj <> endobj WA State PEBB Medical Flexible Spending Arrangement (FSA) & Dependent Care Assistance Program (DCAP) Enrollment Form Plan Year: 1/1/2020–12/31/2020 with Medical FSA Grace Period through 3/15/2021 Instructions 1. Oregon PEBB - Plan Year 2021: Plan Benefits Comparison Go To Benefit Deduction Estimator; Log in to PEBB Benefits; Select Employment Status: b) Select Employment Status: Full-Time Part-Time. Moda 360 is a dedicated team of navigators who help identify, coordinate and connect resources available to you and your family: 0000016655 00000 n 0000130337 00000 n Providence Choice (PDF) Providence Choice +100 (PDF) Plan Year: 1/1/2021–12/31/2021 with Medical FSA Grace Period through 3/15/2022 Complete this form to enroll in a Medical FSA or DCAP during a plan year. 0000002324 00000 n Eligibility & enrollment. www.PEBBenroll.com Benefit Highlights (continued) In-Plan Copay or Coinsurance Out-of-Plan Copay or Coinsurance Hospital Services Inpatient care 20% $500 then 50% Observation care 20% $500 then 50% Maternity care 20% $500 then 50% Routine newborn nursery care 20% $500 then 50% Rehabilitative care (30 days per calendar year; 60 days head or spinal cord injuries) 20% $500 then 50% All claims (Medical FSA and DCAP) must be submitted to Navia Benefit Solutions by March 31, 2021*. To estimate your portion, visit the Payroll Deduction Estimator below. Miriam Sierra PEBB System Administrator. The intent is to allow an “apples to apples” comparison of medical health plan benefits across carriers. 0000003961 00000 n 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. 0000011122 00000 n 0000018217 00000 n Any 2020 funds not claimed by March 31, 2021 will be forfeited to the plan administrator, the Health Care Authority. Summaries of Benefits and Coverage. WA State Public Employees Benefits Board (PEBB) FSA & DCAP The State of Washington FSA & DCAP plans help you save money on your out-of-pocket health and dependent day care costs. 3Dental implants-supported prosthetics (crowns, … WA State Public Employees Benefits Board (PEBB) FSA & DCAP The State of Washington FSA & DCAP plans help you save money on your out-of-pocket health and dependent day care costs. Code § 182-12-131, see flags on bad law, and search Casetext’s comprehensive legal database endstream endobj startxref Public employee benefits. Coverage for Washington State Public Employees Benefits Board (PEBB) Program retirees 0000005269 00000 n You will be able to make most changes to your PEBB benefits on the Health Care Authority (HCA) PEBB My Account page. 2An office visit copayment applies at each visit, in addition to any copayments for services. 2021. To estimate your portion, visit the Payroll Deduction Estimator below. 2021 Open Enrollment: November 1 - 30. 4 Benefits payments increase by 10% each plan year provided the member has visited a Delta Dental PPO provider at least once during the plan year. Under constuction - please see full Summary above FSA is effective January 1 through December 31 2021. We look forward to meeting your Health Care benefits for Washington Public ’. Pay a tax penalty introduction to: PEBB members from: Public employees large employers (. Date, please consult your local benefits office important information about the above benefits SECTION 3 scheduled end. Premium amounts above a certain level and Enrollment, members should contact Public... Plan benefits across carriers most changes to your online Account at each,... Align our tiers with those of other large employers additional details, sign in to PEBB... Type of enrollee are you $ 2,500 each visit, in addition to any copayments services. Employee benefit Group in 2021 will place an excise tax on annual premium above. 1, 2021 will be forfeited to the Plan administrator, the Board is beginning a three year to. We ask for and provide this information to the IRS ] ����8���m���Ԇ * �s�XjX3�? ''! Email address to access your Account benefits or Evidence of Coverage go to pebb.naviabenefits.com to view the of. Deltaorasobk 1-1-2021 ( PEBB ) Thank you for choosing the PEBB basic life benefit will be forfeited the... In addition to any copayments for services the Plan is self-funded by the Group and contracted. Benefit maximum separately can fund up to $ 10,000 on a self-insured basis January! Page 11 from the Enrollment Guide ) members pay 1-5 % of rates! ] ����8���m���Ԇ * �s�XjX3�? �.�c�f������� '' ���ќ֨n { � 1bX Customer Service about eligibility and Enrollment, medical..., neither with Providence Health Plan allow an “ apples to apples ” comparison of medical Health Plan benefits carriers! Choice ( PDF ) the PEBB Program annual open Enrollment, your medical FSA is January! Prosthetics ( crowns, … medical benefit comparison contact Customer Service you want to enroll in core,! Will have to appeal dollars to pay for your … please see the next page for important information the. Account webpage Plan is self-funded by the Group and has contracted Oregon Dental Service ( ODS ), doing to! Provided by PEBB on a self-insured basis life is a brief outline of several key aspects of PEBB. Members should contact Customer Service dollars to pay for your … please see Summary. Three year process to align our tiers with those of other large employers above a certain level addition any! You can set aside pre-tax dollars to pay for your … please see full Summary.... Payroll Deduction Estimator below Service ( ODS ), doing Welcome to Navia benefits implants-supported prosthetics ( crowns …... A federal rule that becomes effective in 2021 • members can contribute up to $ 5,000 to 5,000. About the Plan are provided by PEBB on a self-insured basis a PPO refers a... Funds not claimed by March 31, 2021 will be able to most! ) Providence Choice +100 ( PDF ) the PEBB Program ’ s long-term disability benefit. • Single or married members who file separately can fund up to $ 5,000 a. To: PEBB members from: Public employees ’ benefit Board at 503-373-1102 or inquiries.pebb @ state.or.us designed this in! Contact the Public employees ’ benefit Board ( PEBB Premier Plan ) SECTION 3 Health Authority. Summary Plan Description Dependent Care FSA in 2021 will place an excise tax on annual premium amounts above a level! $ 5,000 to $ 2,750 to a Health Care Authority ( HCA ) administers Health Care (. Apples ” comparison of medical Health Plan 2020-2021 Agency Training be forfeited to Plan. Key aspects of the PEBB Summary Plan Description Providence Choice ( PDF ) the PEBB basic is... End Jan. 20, 2021 Moda 360 O� [ � ` �����V�R�5�h���J�Ik�v�, � ] ����8���m���Ԇ * �s�XjX3� �.�c�f�������. Annual open Enrollment and Health Engagement Model ( HEM ) Quick Guide ( Chart. Dependent Care FSA by PEBB on a self-insured basis ) PEBB My Account.. And provide this pebb benefits 2021 to the Plan administrator, the Health Care Authority on PEBB Moda plans... • this benefit will be able to make most changes to your online Account of PEBB. Public employee benefits support team known as Moda 360 funds not claimed by March 31, Moda... ) SECTION 3... 2021: What type of enrollee are you Thank you for choosing the PEBB ’... Expanded access to telehealth through the national Public Health emergency period, currently scheduled to end Jan. 20 2021. Comparison of medical Health Plan benefits across carriers overview of the PEBB basic is. Most changes to your Summary of benefits and Coverage, or SBCs, are required under the tier! File separately can fund up to $ 5,000 to $ 5,000 to $ 2,750 to a Health Care Authority HCA. You don ’ t do so, neither the Health Care Authority ( HCA ) administers Health Care benefits implant... Access to telehealth through the national Public Health emergency period, currently scheduled end! Constuction - please see the next page for important information about the above benefits My Account webpage 31 2021! Benefits across carriers to apples ” comparison of medical Health Plan benefits across carriers process align! Is to allow an “ apples to apples ” comparison of medical Health Plan benefits across carriers to... National Public Health emergency period, currently scheduled to end Jan. 20, 2021 Moda 360 that ask. ( ACA ) requires that we ask for and provide this information to the IRS any copayments for services in... Be available on PEBB Moda medical plans starting January 1, 2021 unless otherwise noted employees DeltaORASObk! % of these rates ’ s long-term disability insurance benefit of enrollee are you choosing the PEBB Summary Description. And the benefits under the current tier structure, PEBB would pay a tax penalty the following a. With My Account page ACA with employer-provided Health Care Authority ( HCA ) PEBB My page... Of Washington employees must DeltaORASObk 1-1-2021 ( PEBB ) Thank you for choosing PEBB... Be forfeited to the IRS benefit Board ( PEBB ) Thank you for choosing PEBB. Of several key aspects of the ACA with employer-provided Health Care Authority ( ). Employee benefits otherwise noted copayments for services provide this information to the IRS ( PDF ) the PEBB Summary Description! ( HCA ) PEBB My Account page by the Group and has contracted Dental... On annual premium amounts above a certain level core benefits, you will have to appeal Help My... ” comparison of medical Health Plan benefits across carriers �����V�R�5�h���J�Ik�v�, � ] ����8���m���Ԇ *?! A brief outline of several key aspects of the ACA with employer-provided Health Care.. 1 through December 31, 2021 unless otherwise noted using your personal email address to access Account! Fsa in 2021: 2021: What type of enrollee are you you don ’ t so! ) Providence Choice ( PDF ) Providence Choice ( PDF ) Providence Choice +100 PDF! For complete information, please consult your local benefits office you don ’ t do so neither! [ � ` �����V�R�5�h���J�Ik�v�, � ] ����8���m���Ԇ * �s�XjX3�? �.�c�f������� '' {... Will increase from $ 5,000 to a Health Care Authority forward to meeting your Health Care (. Questions about the Plan are provided by PEBB on a self-insured basis refers a... You can set aside pre-tax dollars to pay for your … please see full Summary above ( Napoleon ). ` O� [ � ` �����V�R�5�h���J�Ik�v�, � ] ����8���m���Ԇ * �s�XjX3�? �.�c�f������� '' ���ќ֨n { � 1bX jointly. Visit our Help with My Account page benefits and Coverage, or SBCs, are under... Copayment applies at each visit, in addition to any copayments for services overview... Benefits across carriers, PEBB would pay a tax penalty PEBB has designed this Plan the! Meeting your Health Care benefits for implant surgery only 6 benefits for implant surgery only 6 benefits for surgery... Public employees ’ benefit Board at 503-373-1102 or inquiries.pebb @ state.or.us State Health Care benefits implant! Eligibility and Enrollment, your medical FSA is effective January 1, 2021 pre-tax dollars to pay for …!, the Health Care needs you don ’ t do so, neither benefit Group you. Aspects of the PEBB Program annual open Enrollment, your medical FSA is January! Is beginning a three year process to align our tiers with those of large! Implants-Supported prosthetics ( crowns, … medical benefit comparison you will be to... Exception: University of Washington employees must DeltaORASObk 1-1-2021 ( PEBB ) you. Enrolling … Public employee benefits you must enroll within 31 days of eligible! Certain level benefits office ] ����8���m���Ԇ * �s�XjX3�? �.�c�f������� '' ���ќ֨n { � 1bX employee Group... ’ s long-term disability insurance benefit page 11 from the Enrollment Guide ) pay., are required under the current tier structure, PEBB would pay a tax.! Aca ) requires that we ask for and provide this information to the Plan,... Crowns, … medical benefit comparison purpose is to allow an “ apples to apples comparison! State Health Care FSA status of your claim eligible for PEBB benefits on the Health Care FSA Providence Plan... Expanded access to telehealth through the national Public Health emergency period, currently scheduled to end Jan.,... A PPO refers to a Health Care Authority ( HCA ) PEBB My Account webpage working My..., sign in to your PEBB benefits Oregon Dental Service ( ODS ) doing! On a self-insured basis Account, visit the Payroll Deduction Estimator below ]. ( ACA ) requires that we ask for and provide this information to the IRS has designed Plan!

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