PEBB is mailing all members of our self-insured plans - Moda, PEBB Statewide and Providence Choice - a letter requesting SSNs of their covered dependents. My employer will use these to determine whether my spouse’s or state-registered domestic partner’s employer-based group medical is comparable to PEBB’s UMP Classic and if I am subject to the premium surcharge. 0000464044 00000 n 0000486449 00000 n If you have limited income and resources, your state may help pay your Medicare premiums. TTY: 1-877-486-2048. 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. Due to the efforts of RPEC members, the PEBB … What are my plan benefits? As a Washington State PEBB Program retiree or PEBB Continuation Coverage (COBRA) member, you may be eligible to enroll in the UnitedHealthcare Group Medicare Advantage (PPO) PEBB Complete plan or PEBB Balance plan. 0000448191 00000 n A monthly $25-per-account surcharge will apply if you or any dependent enrolled in PEBB medical coverage uses tobacco products. Medicare covers a lot of your health care costs, but not all. Tobacco use is defined as any use of tobacco products within the past two months, except for … Premium costs vary widely for Medigaps. 948 0 obj <>stream 0000035184 00000 n A $25-per-account surcharge will apply if you or any dependent (age 13 and older) enrolled in PEBB Program medical uses tobacco products. In 2019, the PEBB Medicare Benefit was $168 per month. The charts on the premiums and the resolutions are below. 0000498421 00000 n 0000015995 00000 n Coverage for Washington State Public Employees Benefits Board (PEBB) Program retirees Welcome! We do this by promoting legislation to improve financial and medical benefits, providing information to and otherwise supporting members, and working closely with other organizations. 0000009583 00000 n Learn more about The Affordable Care Act (ACA) requires that we ask for and provide this information to the IRS. Kaiser Permanente is a Cost plan with a Medicare contract. RCW 41.26.470(10). UnitedHealthcare ® Group Medicare Advantage (PPO) View 2021 PEBB Complete plan details: Plan Guide (PDF) (1.1 MB) Summary of Benefits (PDF) (98.0 KB) Evidence of Coverage (PDF) (1.3 MB) View 2021 PEBB Balance plan … UnitedHealthcare (PEBB Balance or PEBB Complete) MEDICARE SUPPLEMENT ENROLLMENT (FORM C) HCA/PEBB ENROLLMENT FORMS *Find examples these enrollment forms at this . Subscriber becomes eligible for Medicare. You can pay a monthly premium for a Medicare supplement to cover part or all of the Part A and Part B cost sharing listed above. The Statewide Health Insurance Benefits Advisors (SHIBA) program from OIC can provide free, unbiased and confidential help with Medicare and health care choices to people of all ages and backgrounds. PEBB members receive a diagnosis and treatment plan, even a prescription or doctor’s note if you need one all at no cost to the member. Employee premium share may vary depending on the employing agency. 1�&0�a�b����Ð��{���)¡��_�1�C��i����Ni`#��"�`��Y��54E� d6(D�X�E��c@����F�J��Su&D��� �=�9 0000472933 00000 n 0000004568 00000 n If you enroll in PEBB plans as a retiree, you must self pay the premiums. Kaiser Permanente is a Cost plan with a Medicare contract. Just go to Express Care Virtual to get started. PEBB Medicare Premiums; PEBB Medicare Supplements; PEBB Medicare Advantage Plans Social Security Office Information LOCAL OFFICE 3809 BROADWAY EVERETT, WA 98201 Office:866-563-4595 Fax:833-950-2616 2021Medicare Details. 0000007873 00000 n 0000012326 00000 n 0000492010 00000 n PEBB State and University employees' Open Enrollment. Hospital stay. –Medicare Part B, pay monthly premium to Social Security –PEBB Medicare Supplemental Plan F (Premera Blue Cross); pay monthly premium to HCA –Plan F does not cover services unless Medicare eligible PEBB MEDICARE SUPPLEMENT PLAN F >Plan F provides supplemental coverage for items not covered by Medicare such as co-payments, coinsurance and deductibles. 0000491460 00000 n 0000425019 00000 n 5. All Rights Reserved. These are the same benefits you have as an employee however the monthly premiums you pay are different. The premiums rates for Medicare Care Retirees are the total paid out of pocket by retirees after the state pays its share in the form of the PEBB Medicare Benefit. Review plan benefits » Do I have prescription drug coverage? If … Three plan design options available which look similar to those available for employees. PEBB-CHANGING PLANS. If you qualify, you'll get help with drug costs that Medicare doesn't cover, including your plan premium, drug deductible and prescription copays. 0000448826 00000 n 0000004414 00000 n 0000008967 00000 n There are also premiums and other out-of-pocket costs to consider. Lower costs 2016. You may also qualify for Extra Help to pay for your Part D drug coverage. Qualify for the Medicare rate To qualify for the Medicare rate: At least one covered family member must be enrolled in both Medicare Part A and Part B. Medicare-enrolled subscribers in Kaiser Permanente WA Medicare Advantage plan or Kaiser Permanente NW Senior Advantage must complete and sign the Medicare Advantage Plan Election Form (Form C) to enroll in one of these plans. PEBB non-Medicare retirees Kaiser Foundation Health Plan of Washington Classic. Contact BHS about methods of premium payment. Medicare premiums shown above have been reduced by the state-funded contribution up to the lesser of $150 or 50 percent of plan premium per retiree per month. Authority kept the PEBB Program’s medical plan premium increases to an average of 1.8 percent. Review plan benefits & costs. 0000457222 00000 n %%EOF 0000004943 00000 n Medicare Part A and Part B, find out how Medicare works with your PEBB retiree insurance coverage. Costs at a glance. Call Customer Service or go online for more information about the plan. Medicare Part B covers physician services, outpatient hospital services, certain home health services, durable medical equipment, and other items. Dollars Distributed Monthly to Retirees by County. 2. 0000021185 00000 n Your employee premium share will calculate at a 5% share if you choose the full time or part time Providence PEBB Statewide or Kaiser Traditional HMO medical plans. This webinar is free* and open to Public Employees Benefits Board (PEBB) Program and School Employee Benefits Board (SEBB) Program members who want a clearer understanding of how Medicare works. Our Kaiser Permanente Medicare specialist will guide you step-by-step so you can make the right decision about your Medicare health plan coverage. 0000492334 00000 n In … There is a premium for Medicare Part D . 0 Employee: $775.39. 0000498107 00000 n The premiums rates for Medicare Care Retirees are the total paid out of pocket by retirees after the state pays its share in the form of the PEBB Medicare Benefit. AT RETIREMENT: IF YOU/DEPENDENTS ARE UNDER AGE 65 PEBB-RETIREE NON -MEDICARE MEDICAL PLANs. myProvidence Pay your premium Support for Members and Providers affected by Oregon wildfires Support for health plan members and Medicare beneficiaries impacted by COVID-19 › Coronavirus (COVID-19) Advisory: Please help us limit exposure. If you don’t get premium-free Part A, you pay up to $471 each month. PEBB fact sheet Beginning in 2021 Medicare retirees will have the option of selecting from one of two new Medicare Advantage-Prescription Drug (MA-PD) plans. 0000458160 00000 n 0000015259 00000 n U . Learn more … 0000011041 00000 n 2020 PEBB Retiree Monthly Premiums HCA 51-275R (9/19) Special Requirements • To qualify for the Medicare premium, at least one member on the account must be enrolled in Medicare Part A and Part B. 0000448645 00000 n Part D plans have a monthly premium. … It is important for retirees to evaluate their options for coverage carefully and to seek out qualified and un-biased advice if they have questions. The RPEC Council office is located at: Kaiser Permanente is an HMO plan with a Medicare contract. 0000456933 00000 n PEBB does not offer a Medicare Part D plan. Some plans have a deductible. 2020 PEBB Premium Surcharge Attestation Help Sheet . Most people pay the standard Part B premium amount. 360-352-8262 Group Medicare Advantage (PPO) PEBB Complete plan or PEBB Balance plan. 0000448715 00000 n 0000006068 00000 n 0000486519 00000 n 0000010471 00000 n 0000006905 00000 n 4. Because Medicare is health insurance, you share the costs … 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 plans for state employees are more generous and expensive than coverage offered in other states. 862 87 (Medicare premiums are not available to PEBB Continuation Coverage [Leave Without Pay] members.) 0000480711 00000 n Retiree (Medicare) Retiree (non-Medicare) PEBB Continuation Coverage (COBRA Medicare) PEBB Continuation Coverage (COBRA non-Medicare) PEBB Continuation Coverage (Unpaid Leave) What state do you live in? Note: If you choose to enroll in the PEBB retiree coverage, you only need to enroll in Medicare Part D if you choose to enroll in the PEBB Medicare supplement plan (Premera Blue Cross Medicare Supplement Plan F). • Public Employees Benefits Board (PEBB) provides health coverage for current and retired state employees ( see SHIBA and PEBB – “Ways we can assist” below). These new plans offer lower premiums and no difference between in-network and out-of-network services, but may not be the right fit for those with chronic condition or complex prescription regimens. Your email address will not be published. HCA 51-116 (1/17) Retirees Learn more about benefits, prescription drug coverage options, enrollment, and getting care from your doctor. In 2019, retiree medical premiums for an individual and spouse in PEBB (Uniform Medical Classic) are $1,344. A monthly $50 surcharge will apply if you enroll your spouse or state-registered domestic partner in PEBB medical coverage and your spouse or domestic partner has chosen not to enroll in other employer-based group medical insurance that is comparable to Uniform Medical Plan (U… 0000015436 00000 n 0000008391 00000 n – Can be used if not electing to deduct premiums from DRS pension > … 0000015409 00000 n entitled to medicare or becomes entitled to medicare after enrollment in PEBB retiree insurance coverage, they must enroll and maintain en-rollment in medicare Parts A and B to remain enrolled in a PEBB retir- ee health plan. The 2018 PEBB OPEB Valuation relied on the annual healthcare trends displayed below. Resources for Medicare Advantage. Providence Choice and PEBB Statewide – Express Care Virtual! See our Council Office page for more information. Special Requirements 1. 0000002076 00000 n Estimated Non-Medicare Retiree Premiums Medicare Part A is hospital insurance (inpatient) and Medicare Part B is medical insurance (outpatient). 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. 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. AARP’s Medicare Question and Answer Tool is a starting point to guide you through some of the more common questions about costs and options for people with limited incomes. 0000028177 00000 n Better health Better care. There are also premiums and other out-of-pocket costs to consider. 0000457690 00000 n There is no obligation to enroll. Call Customer Service or go online for more information about the plan. Our licensed and board-certified providers are here to see you from 8 a.m. to midnight. Our PAC Fundraiser is open through October 30th - Click here. 0000007288 00000 n 0000441448 00000 n 0000007696 00000 n 0000006493 00000 n Our mission is to unite retired public employees for their mutual benefit and welfare. Depending on your income and resources, you could save an average of $4,900¹ per year. 0000004270 00000 n Revised: 1/3/2017 PEBB Health Plans and Medicare 1 Employees PEBB Employee Health Plans and Medicare What are the different parts of Medicareand what do they cover? PEBB non-Medicare retirees Kaiser Foundation Health Plan of Washington Classic. $100 individual, $300 family . 0000491770 00000 n 0000011906 00000 n There is a premium for Medicare Part D . Medicare offers Extra Help (sometimes called Low Income Subsidy or LIS) to people with low incomes and limited assets. Surcharges in addition to medical plan premiums. These are the same benefits you have as an employee however the monthly premiums you pay are different. Find out what to do if your payment is late. 0000504864 00000 n PEBB Medicare Contribution Resolution 2 Resolved, that the PEB Board endorses the maximum $150 employer Medicare Contribution, not to exceed 50% of plan premium set forth in the legislative budget appropriation. 0000433164 00000 n 0000425089 00000 n • Medicare premiums are reduced by the state-funded contribution, up to the lesser of $183 or 50 percent of the plan rate per retiree per month. RPEC also continues to have concerns about the long term health of the Medicare program as more emphasis is placed on Medicare Advantage plans which receive larger subsidies than traditional Medicare plans and receive less oversight from the Office of the Insurance Commissioner (OIC). 0000005136 00000 n %PDF-1.6 %���� To qualify for the Medicare premium, at least one covered family member must be enrolled in both Medicare Part A and Part B. – Medicare Part B; pay monthly premium to Social Security – PEBB Medicare Advantage Plan (ay monthly premium to HCA) > Choose primary care physician – Kaiser Permanente - Cannot go out of network unless approved – United Healthcare – Recommended but not required. startxref 2021PEBB Retiree Monthly Premiums Special requirement for Medicare premiums • To qualify for the Medicare premium, at least one member on the account must be enrolled in Medicare Part A and Part B. 0000024667 00000 n Due to the efforts of RPEC members, the PEBB Medicare Benefit will be $183 per month in 2020. View plan details and costs, and see what additional benefits are available. 0000002848 00000 n This is the lowest increase in many years without increases in copays, coinsurance, or deductibles. The standard Part B premium amount in 2020 is $144.60. Monthly Premium Surcharges (for non-Medicare subscribers only) 0000425200 00000 n and am submitting a printed . Estimated total monthly premiums for selected options noted below: Clear All To determine if you are eligible for Optional Life insurance, and for more information about the features and benefits of this coverage, as well as costs, exclusions and reductions, review the Coverage Highlights and Group Life Certificate of Insurance . 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. Get a quick overview of your plan benefits and costs and find more detailed information about additional coverage and benefit services. h���1 0ð4\GbG&`�'MF[����. $15 copay. If you don't qualify for premium-free Part A, you can buy Part A. 0000031946 00000 n 0000433624 00000 n 1. Benefits, formulary, pharmacy network, premiums, and copayments/coinsurance may change on January 1 of each year. UMP continues to face cost pressures from specialty medications, but these increases are not as high as retirees have seen in recent years. Skip to Main Content. 0000004127 00000 n Please note, these tables exclude the impact of 2019 legislation which increased the Medicare premium reduction (aka explicit subsidy cap) to $183 on January 1, 2020.

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