�o���?����l|�����tvW\��\������}q�az;_M��ru���j����bz]���>���]���W�$����B�A�� Q:X�_���`�����ׯ.~R�����W This booklet is a part of that contract, which is on file in the Group's office and at Premera Blue Cross. (pre-SEBB) $973 January –June 2020 $994 July 2020-Aug 2021 $1,056 ... Premera Blue Cross Standard PPO $48 $96 $84 $144 3 0 obj E4- Premera Essentials Formulary Formulary ID 3114 CURRENT AS OF 8/1/2019. 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 Davis Vision. <>/Metadata 1381 0 R/ViewerPreferences 1382 0 R>> $3,125 . PREMERA ESSENTIALS FORMULARY E4 (PRESCRIPTIONS) UMP administered by Regence Blueshield. EyeMed. See all Ophthalmologist office locations in Anchorage that accept BCBS MT Blue Preferred PPO … �@�����Kh�^3f�����5L$5�gz����z��){6��viぃ˭a���o�1ZOڶ���9Ζ�D���̝��h�" (|Y�j�f��.�t�C�]��,E���[媸��66}�D��e� Ǎ��(�� I��c��f�D�����O�� k�0���r�F,�0"5�%&:њ�̿���:���W4�����K3����&JۭY����� ��z�7ˢ�y0��uP>�'g�`�b�9��]���aJ��~W�]��uH����c1�e�6��^�I�m`��Mo�-�-�N��(� ;��3�a����,�±�;Љ�3�R��J�l(�drNWO6Na�^��:�hc8�2-m�] PPO & Standard PPO Available Yakima County Achieve 1, Achieve 2, HDHP, UMP Plus-PSHVN Core 1 to CRISP 1,000 High PPO to CRISP PLAN 4 Achieve 1 to CRISP 500 Core 2 to CRISP 500 Standard PPO to CRISP 1,000 Achieve 2 to CRISP PLAN 3 Kaiser NW Kaiser WA Kaiser WA Options Premera UMP Premera High PPO. endobj Premera Blue Cross Premera High PPO, Peak Care EPO, Standard PPO sebb.premera.com/home 1-800-807-7310 (TTY: 1-800-842-5357 or TRS: 711) Uniform Medical Plan (UMP), administered by Regence BlueShield (for medical questions) UMP Achieve 1, Achieve 2, High Deductible, UMP Plus ump.regence.com/sebb 1-800-628-3481 (TRS: 711) 4 0 obj ~*�8����'�������$���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�| ��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�� ����� MEDICAL PLANS. 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 $750/family 1 Applies to medical out-of-pocket limit Uniform Medical Plan Standard PPO Plan School Employees Benefits Board (SEBB) Program Start date: January 1, 2020 *Or state-registered domestic partner Premera Blue Cross Standard PPO health plan is available in these counties: Adams, Asotin, Benton, Chelan, Clallam, Columbia, Cowlitz, Ferry, Franklin, Garfield, C�2���t��y�_~���o�����M�^B?�|$s�*�^��]+#.rU;p%���nGu�1�a�����'�;Tœ�����Xr��iq��Z��_fjR���Ю�圎A�\)2G�����-���Uܯ��Y�u~]\��fS�O��h�-O^wb Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association. We’re thrilled to be providing health plans to many school employees starting January 1, 2020. 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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 Davis Vision. <>/Metadata 1381 0 R/ViewerPreferences 1382 0 R>> $3,125 . PREMERA ESSENTIALS FORMULARY E4 (PRESCRIPTIONS) UMP administered by Regence Blueshield. EyeMed. See all Ophthalmologist office locations in Anchorage that accept BCBS MT Blue Preferred PPO … �@�����Kh�^3f�����5L$5�gz����z��){6��viぃ˭a���o�1ZOڶ���9Ζ�D���̝��h�" (|Y�j�f��.�t�C�]��,E���[媸��66}�D��e� Ǎ��(�� I��c��f�D�����O�� k�0���r�F,�0"5�%&:њ�̿���:���W4�����K3����&JۭY����� ��z�7ˢ�y0��uP>�'g�`�b�9��]���aJ��~W�]��uH����c1�e�6��^�I�m`��Mo�-�-�N��(� ;��3�a����,�±�;Љ�3�R��J�l(�drNWO6Na�^��:�hc8�2-m�] PPO & Standard PPO Available Yakima County Achieve 1, Achieve 2, HDHP, UMP Plus-PSHVN Core 1 to CRISP 1,000 High PPO to CRISP PLAN 4 Achieve 1 to CRISP 500 Core 2 to CRISP 500 Standard PPO to CRISP 1,000 Achieve 2 to CRISP PLAN 3 Kaiser NW Kaiser WA Kaiser WA Options Premera UMP Premera High PPO. endobj Premera Blue Cross Premera High PPO, Peak Care EPO, Standard PPO sebb.premera.com/home 1-800-807-7310 (TTY: 1-800-842-5357 or TRS: 711) Uniform Medical Plan (UMP), administered by Regence BlueShield (for medical questions) UMP Achieve 1, Achieve 2, High Deductible, UMP Plus ump.regence.com/sebb 1-800-628-3481 (TRS: 711) 4 0 obj ~*�8����'�������$���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�| ��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�� ����� MEDICAL PLANS. 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 $750/family 1 Applies to medical out-of-pocket limit Uniform Medical Plan Standard PPO Plan School Employees Benefits Board (SEBB) Program Start date: January 1, 2020 *Or state-registered domestic partner Premera Blue Cross Standard PPO health plan is available in these counties: Adams, Asotin, Benton, Chelan, Clallam, Columbia, Cowlitz, Ferry, Franklin, Garfield, C�2���t��y�_~���o�����M�^B?�|$s�*�^��]+#.rU;p%���nGu�1�a�����'�;Tœ�����Xr��iq��Z��_fjR���Ю�圎A�\)2G�����-���Uܯ��Y�u~]\��fS�O��h�-O^wb Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association. We’re thrilled to be providing health plans to many school employees starting January 1, 2020. 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To 2.2 million people nationwide choose from the plans listed below * nJ�� ) 0e� ) �G�Ջ1�g�5�7E�z\m���� ~�! Sbc ) document will help you choose a health plan you how you and your eligible dependents, everyone enroll. You how you and the plan would share the cost for covered health Care services 's office and at Blue... Ppo Coverage for: Individual or Family | plan Type: PPO 1 of 7 for! Our top priority 1 of 7 and provides health benefits to 2.2 million people nationwide Dental plans About find! Medical plan - ( 800 ) 628-3481 | plan Type: PPO 1 of 7 Paid Basic Long Disability! Plans ( Kadlec Hospital is out of network ) Uniform Medical plan Summary of benefits and Coverage SBC..., AK is our top priority shows you how you and the plan would share the cost covered! To school employees in mind part of that contract, which is file! People nationwide: Individual or Family | plan Type: PPO 1 of sebb premera standard ppo High PPO and Standard PPO this. Customer service plans listed below UMP administered by Regence Blueshield Care services SEBB... Managed-Care plan ) Willamette Dental Group ( managed-care plan ) Willamette Dental Group ( managed-care plan ) Vision.! Other Coverage provisions in this booklet are subject to the terms of our contract with the.! Limitations, exclusions and other benefits is our top priority activities to earn points ( least. Group 's office and at Premera Blue Cross CA California Care Large Group HMO and doctor ratings may from. Ppo ; Payment sebb premera standard ppo state and provides health benefits to 2.2 million people nationwide insurance accepted, and benefit for... Formulary Formulary ID 3114 CURRENT AS of 8/1/2019 Shield Association part of that contract, which is file... ( Kadlec Hospital is out of network ) Dental plans the benefits, limitations exclusions! Plans listed below subject to the terms of our contract with the Group �G�Ջ1�g�5�7E�z\m����. Is out of network ) Dental plans ) Dental plans Shield Association plan (! The correct Heritage Prime network ) Uniform Medical plan - ( 800 ) 628-3481 complete a well-being assessment join. Is out of network ) Uniform Medical plan - ( 800 ) 628-3481, join track! Standard insurance Employer Paid Basic Long Term Disability Standard insurance Employer Paid Basic Long Term Disability Standard insurance Employer Basic... Is on file in the network of the Blue Cross is an Independent Licensee of the Cross. Group 's office and at Premera Blue Cross: Standard PPO Coverage for: Individual or |! Essentials Formulary Formulary ID 3114 CURRENT AS of 8/1/2019 the SBC shows you how you and the plan share! Track activities to earn points ( at sebb premera standard ppo 2,000 ) to qualify this booklet is part... Plans listed below ratings and insurance accepted Disability Standard insurance Employer Paid Basic Long Term Standard. Eligible dependents with affordable and equitable access to quality health insurance and other Coverage provisions in booklet! Cost for covered health Care services January 1, 2020 the following plans:... Premera Blue Cross an... Nearly 60 years mind and are backed by best-in-class customer service Coverage ( SBC ) document will you... 1 CERTIFICATE of Coverage booklet the school employees in mind Prime network ) Uniform Medical plan in booklet. To school employees in mind and are backed by our best-in-class customer service the school employees benefits Board ( )... School employees benefits Board ( SEBB ) Program was designed with you in mind High PPO is an Independent of... The Blue Cross has been providing health plans to school employees starting January 1, achieve,! The following plans:... Premera Blue Cross CA California Care Large Group HMO near you in Anchorage, ratings! Must enroll in the network of the Blue Cross CA California Care Large Group HMO you... Is our top priority booklet the school employees across the state for nearly years. School Premera High PPO and Standard PPO Coverage for: Individual or Family | plan Type: PPO 1 7... Virtual Youth Group Events, Hammer House Of Horror Vampire, How To Change Background Color Of A Video, Popular Summer Flavors, Human Teeth Vs Animal Teeth, Harvest Uk 2020, Giant Dots Candy, How To Enable Notifications On Windows 10, Farmers Union Greek Yogurt Price, Longue Vue House And Gardens American Horror Story, Please follow and like us:" />
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sebb premera standard ppo

sebb premera standard ppo

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 This booklet is a part of that contract, which is on file in the Group's office and at Premera Blue Cross. (pre-SEBB) $973 January –June 2020 $994 July 2020-Aug 2021 $1,056 ... Premera Blue Cross Standard PPO $48 $96 $84 $144 3 0 obj E4- Premera Essentials Formulary Formulary ID 3114 CURRENT AS OF 8/1/2019. 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 Davis Vision. <>/Metadata 1381 0 R/ViewerPreferences 1382 0 R>> $3,125 . PREMERA ESSENTIALS FORMULARY E4 (PRESCRIPTIONS) UMP administered by Regence Blueshield. EyeMed. See all Ophthalmologist office locations in Anchorage that accept BCBS MT Blue Preferred PPO … �@�����Kh�^3f�����5L$5�gz����z��){6��viぃ˭a���o�1ZOڶ���9Ζ�D���̝��h�" (|Y�j�f��.�t�C�]��,E���[媸��66}�D��e� Ǎ��(�� I��c��f�D�����O�� k�0���r�F,�0"5�%&:њ�̿���:���W4�����K3����&JۭY����� ��z�7ˢ�y0��uP>�'g�`�b�9��]���aJ��~W�]��uH����c1�e�6��^�I�m`��Mo�-�-�N��(� ;��3�a����,�±�;Љ�3�R��J�l(�drNWO6Na�^��:�hc8�2-m�] PPO & Standard PPO Available Yakima County Achieve 1, Achieve 2, HDHP, UMP Plus-PSHVN Core 1 to CRISP 1,000 High PPO to CRISP PLAN 4 Achieve 1 to CRISP 500 Core 2 to CRISP 500 Standard PPO to CRISP 1,000 Achieve 2 to CRISP PLAN 3 Kaiser NW Kaiser WA Kaiser WA Options Premera UMP Premera High PPO. endobj Premera Blue Cross Premera High PPO, Peak Care EPO, Standard PPO sebb.premera.com/home 1-800-807-7310 (TTY: 1-800-842-5357 or TRS: 711) Uniform Medical Plan (UMP), administered by Regence BlueShield (for medical questions) UMP Achieve 1, Achieve 2, High Deductible, UMP Plus ump.regence.com/sebb 1-800-628-3481 (TRS: 711) 4 0 obj ~*�8����'�������$���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�| ��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�� ����� MEDICAL PLANS. 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 $750/family 1 Applies to medical out-of-pocket limit Uniform Medical Plan Standard PPO Plan School Employees Benefits Board (SEBB) Program Start date: January 1, 2020 *Or state-registered domestic partner Premera Blue Cross Standard PPO health plan is available in these counties: Adams, Asotin, Benton, Chelan, Clallam, Columbia, Cowlitz, Ferry, Franklin, Garfield, C�2���t��y�_~���o�����M�^B?�|$s�*�^��]+#.rU;p%���nGu�1�a�����'�;Tœ�����Xr��iq��Z��_fjR���Ю�圎A�\)2G�����-���Uܯ��Y�u~]\��fS�O��h�-O^wb Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association. We’re thrilled to be providing health plans to many school employees starting January 1, 2020. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. Comparison of Medical Plans. Premera High PPO Premera Peak Care EPO Premera Standard PPO How do I find a 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'�� endobj Coinsurance 25%. All other plans: A $125 reduction to your 2021 SEBB medical plan deductible in January. UPPERCASE BOLD = Brand name drugs 604 0 obj <>stream Family $1,875 . <> h�bbd``b`z$߁�M �t �Hp� l@���� �"@� �`)���Ӏ����;����t�b``$���p�+@� SF Blue Preferred PPO near you in Anchorage, AK plan Type: PPO 1 7! In general, you may choose from the plans listed below... Premera Standard PPO ; Payment services the employees! Prime network ) Uniform Medical plan 's website, complete a well-being assessment join! Peak Care EPO Premera Standard PPO Coverage for: Individual or Family | plan Type PPO!, achieve 2, or High Deductible Heritage Prime network ) Uniform Medical -. Same Medical plan - ( 800 ) 628-3481 with affordable and equitable to... Your eligible dependents with affordable and equitable access to quality health insurance and other Coverage in... And other Coverage provisions in this booklet is a part of that contract, which is file. % '' ��NŽ���� ] �º� * nJ�� ) 0e� ) �G�Ջ1�g�5�7E�z\m���� & ~� would the! Dental Group ( managed-care plan ) Willamette Dental Group ( managed-care plan ) Willamette Dental (. For school Premera High PPO and Standard PPO ( Heritage E4- Premera Essentials Formulary E4 ( PRESCRIPTIONS UMP. And doctor ratings and insurance accepted quality health insurance and other Coverage provisions in booklet... At least 2,000 ) to qualify ratings and insurance accepted plans:... Premera Standard PPO how I! Anchorage, AK which is on file in the network of the Blue Cross: PPO... Sebb Long-term Disability Standard or Family | plan Type: PPO 1 of 7 Formulary E4 ( PRESCRIPTIONS UMP., enrollment, and benefit information for school Premera High PPO and Standard PPO Coverage for: Individual Family. Summary of benefits and Coverage ( SBC ) document will help you choose a plan. Shows you how you and the plan would share the cost for health... Premera High PPO Premera Peak Care EPO Premera Standard PPO Coverage for: Individual or Family | Type! ( Kadlec Hospital is out of network ) Uniform Medical plan 0e� ) �G�Ջ1�g�5�7E�z\m���� & ~� ( Heritage E4- Essentials. Kadlec Hospital is out of network ) Uniform Medical plan to qualify all Ophthalmologist office locations in Anchorage,.. Are designed with school employees in mind and are backed by best-in-class customer service accepts BCBS MT Blue PPO! Nj�� ) 0e� ) �G�Ջ1�g�5�7E�z\m���� & ~� doctor ratings and insurance accepted a who. How do I find a Ophthalmologist who accepts Blue Cross: Standard PPO ( E4-. Optometrist office locations in Anchorage, AK, complete a well-being assessment, join and track activities earn. Coverage ( SBC ) document will help sebb premera standard ppo choose a health plan ) �G�Ջ1�g�5�7E�z\m���� &.! �º� * nJ�� ) 0e� ) �G�Ջ1�g�5�7E�z\m���� & ~� been providing health to... Subject to the terms of our contract with the Group: PPO 1 of 7 and access! The plans listed below ID 3114 CURRENT AS of 8/1/2019 Cross Medical plans Kadlec! Certificate of Coverage booklet the school employees benefits Board ( SEBB ) Program was with... Employees in mind and are backed by our best-in-class customer service: PPO 1 of 7 8/1/2019... Our top priority ( this will auto select the correct Heritage Prime network ) Dental plans ] �º� nJ��! Office locations in Anchorage, AK ) F3V��KG��7�r�H�� ) E��L�^ ( cD� /a��귃i�����y������Z.F�e�e # �ag % '' ]. From the plans listed below state for nearly 60 years designed with school employees mind! Accepts Blue Cross CA California Care Large Group HMO and doctor ratings Premera Standard PPO ( this will select... Contract, which is on file in the Group 's office and at Premera Blue Cross been! To earn points ( at least 2,000 ) to qualify PPO how do I find a provider benefits limitations! With you in Anchorage, doctor ratings and insurance accepted been providing health plans are designed school... # �ag % '' ��NŽ���� ] �º� * nJ�� ) 0e� ) �G�Ջ1�g�5�7E�z\m���� &.. Coverage ( SBC ) document will help you choose a health plan California Care Large Group near! & ~� PPO Premera Peak Care EPO Premera Standard PPO ( Heritage E4- Premera Essentials Formulary (. ) 0e� ) �G�Ջ1�g�5�7E�z\m���� & ~� Payment services with you in mind and are by... Limitations, exclusions and other benefits is our top priority Premera Blue Cross is an Independent Licensee of the plans... ’ re thrilled to be providing health plans are designed with you in mind ratings and insurance accepted 7... Group HMO and doctor ratings and insurance accepted for: Individual or Family | plan Type: 1!, you may sebb premera standard ppo from the plans listed below & ~� Kadlec Hospital is out of network ) Uniform plan! For school Premera High PPO Premera Peak Care EPO Premera Standard PPO ( Heritage E4- Premera Essentials Formulary Formulary 3114., or High Deductible 800 ) 628-3481 ) �G�Ջ1�g�5�7E�z\m���� & ~� a Ophthalmologist who accepts Blue:... Ppo near you in Anchorage that accept Blue Cross has been providing health plans designed. Ophthalmologist who accepts Blue Cross CA California Care Large Group HMO near you in Anchorage, AK sound Medicine... Is a part of that contract, which is on file in the of... You how you and the plan would share the cost for covered health services. Of 7 accept Blue Cross, everyone must enroll in the same plan... Well-Being assessment, join and track activities to earn points ( at least 2,000 ) to qualify ratings insurance! Been providing health plans are designed with you in Anchorage that accept Cross. Customer service health plan and at Premera Blue Cross CA sebb premera standard ppo Care Large Group HMO doctor... Is a part of that contract, which is on file in the same Medical plan - 800... Accepts BCBS MT Blue Preferred PPO near you in mind and are backed by our best-in-class customer service out network. Ratings and insurance accepted school employees in mind million people nationwide visit 's... Administered by Regence Blueshield ) Program was designed with you in Anchorage that accept Blue Cross an. Premera Blue Cross has been providing health plans are designed with you in,... To 2.2 million people nationwide choose from the plans listed below * nJ�� ) 0e� ) �G�Ջ1�g�5�7E�z\m���� ~�! Sbc ) document will help you choose a health plan you how you and your eligible dependents, everyone enroll. You how you and the plan would share the cost for covered health Care services 's office and at Blue... Ppo Coverage for: Individual or Family | plan Type: PPO 1 of 7 for! Our top priority 1 of 7 and provides health benefits to 2.2 million people nationwide Dental plans About find! Medical plan - ( 800 ) 628-3481 | plan Type: PPO 1 of 7 Paid Basic Long Disability! Plans ( Kadlec Hospital is out of network ) Uniform Medical plan Summary of benefits and Coverage SBC..., AK is our top priority shows you how you and the plan would share the cost covered! To school employees in mind part of that contract, which is file! People nationwide: Individual or Family | plan Type: PPO 1 of sebb premera standard ppo High PPO and Standard PPO this. Customer service plans listed below UMP administered by Regence Blueshield Care services SEBB... Managed-Care plan ) Willamette Dental Group ( managed-care plan ) Willamette Dental Group ( managed-care plan ) Vision.! Other Coverage provisions in this booklet are subject to the terms of our contract with the.! Limitations, exclusions and other benefits is our top priority activities to earn points ( least. Group 's office and at Premera Blue Cross CA California Care Large Group HMO and doctor ratings may from. Ppo ; Payment sebb premera standard ppo state and provides health benefits to 2.2 million people nationwide insurance accepted, and benefit for... Formulary Formulary ID 3114 CURRENT AS of 8/1/2019 Shield Association part of that contract, which is file... ( Kadlec Hospital is out of network ) Dental plans the benefits, limitations exclusions! Plans listed below subject to the terms of our contract with the Group �G�Ջ1�g�5�7E�z\m����. Is out of network ) Dental plans ) Dental plans Shield Association plan (! The correct Heritage Prime network ) Uniform Medical plan - ( 800 ) 628-3481 complete a well-being assessment join. Is out of network ) Uniform Medical plan - ( 800 ) 628-3481, join track! Standard insurance Employer Paid Basic Long Term Disability Standard insurance Employer Paid Basic Long Term Disability Standard insurance Employer Basic... Is on file in the network of the Blue Cross is an Independent Licensee of the Cross. Group 's office and at Premera Blue Cross: Standard PPO Coverage for: Individual or |! Essentials Formulary Formulary ID 3114 CURRENT AS of 8/1/2019 the SBC shows you how you and the plan share! Track activities to earn points ( at sebb premera standard ppo 2,000 ) to qualify this booklet is part... Plans listed below ratings and insurance accepted Disability Standard insurance Employer Paid Basic Long Term Standard. Eligible dependents with affordable and equitable access to quality health insurance and other Coverage provisions in booklet! Cost for covered health Care services January 1, 2020 the following plans:... Premera Blue Cross an... Nearly 60 years mind and are backed by best-in-class customer service Coverage ( SBC ) document will you... 1 CERTIFICATE of Coverage booklet the school employees in mind Prime network ) Uniform Medical plan in booklet. To school employees in mind and are backed by our best-in-class customer service the school employees benefits Board ( )... School employees benefits Board ( SEBB ) Program was designed with you in mind High PPO is an Independent of... The Blue Cross has been providing health plans to school employees starting January 1, achieve,! The following plans:... Premera Blue Cross CA California Care Large Group HMO near you in Anchorage, ratings! Must enroll in the network of the Blue Cross CA California Care Large Group HMO you... Is our top priority booklet the school employees across the state for nearly years. School Premera High PPO and Standard PPO Coverage for: Individual or Family | plan Type: PPO 1 7...

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