If you cover yourself and one or more family members, you must pay the entire family medical deductible before the CDHP begins paying benefits. choose their favorite dentist. Plan 3000, 3500, 4000 & 5000. You are eligible to self-pay your medical, dental & life insurance, and in some cases long term disability (LTD) if you are on approved leave from an otherwise eligible position. • Employees with other group coverage are not counted towards participation unless employer contribution is 100%. It powers everything we do as we work to remove the barriers to oral health care. With coverage being available under the Affordable Care Act (ACA), beginning January 2014, most individuals will be required to have health insurance coverage. Dental plans. Contact the Benefits Office for more information and to arrange deductions. Multiple plan offering. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. You must enroll in continuation coverage to enroll your eligible dependents. Preferred-provider plan Managed-care plan Managed-care plan Dental plans Uniform Dental Plan (UDP) 1 (Group 3000 Delta Dental PPO) Value-added services and buy-up options. You can build on your basic coverage with the optional LTD Plan. PPO’s allow you to self-refer to any approved provider type in most cases, but usually provide a higher level of coverage if the provider contracts with the plan. You may only see providers in the DeltaCare (Group 3100) network. This also applies if your spouse has a Medical FSA, even if you are not covering your spouse on your CDHP. To obtain services, inform your dentist that you are covered by the Uniform Dental Plan, DDWA program number 03000. Fees are usually a flat co-payment as listed in the plan book. Delta Dental of Washington (for DeltaCare and Uniform Dental Plan). CDHPs offer lower premiums, a higher medical deductible, and a higher medical out-of-pocket limit than most traditional health plans. If you do not select a dental plan, you will be automatically enrolled in Uniform Dental Plan (Group #3000). See The Complete HSA Guidebook for full details. As the nation's leading dental benefits provider, we offer quality, cost-effective choices designed for you, your family and your well-being. You can complete a MetLife Beneficiary Designation or log in to your MyBenefits portal and modify beneficiaries. When you enroll in LTD coverage, it pays a percentage of your monthly earnings to you if you become disabled. The LTD Booklet is available at the link or you may request a copy from the Benefits Office at 359-2488. Before you enroll in one of our dental plans, use the tables below to get the details you need to help you decide. Managed-Care Plans (limited network) DeltaCare (Group #3100), administered by Delta Dental of Washington. Many people find that as they get older they need less life insurance. This notice serves as a household employer notification and should be provided to household members as well. All plan designs include pharmacy benefits (no additional cost) and may be elected with or without Uniform Dental (minimal additional cost). You have a dental insurance plan that has a maximum annual benefit of $1,500 per year. Faculty may contact Academic Personnel and Classified Staff may contact Human Resources. This does not apply if the Medical FSA or HRA is a limited purpose account, or for a post deductible Medical FSA. All medical plans require you to pay an annual deductible before the plan pays for covered services. If you choose DeltaCare, you must choose a primary care dentist from … The Health Plan allows you to choose from a variety of local health insurance plan carriers that offer the same Uniform Benefits that include medical and prescription drug coverage (at no additional cost). See benefits and coverage by plan for CDHP coverage details. The DCAP allows you to set aside money from your paycheck on a pre-tax basis to help pay for qualifying child care or elder care expenses while you (and your spouse or state-registered domestic partner) attend school full-time, work, or look for work. Ft-Plan #3056-8 ... 3-d Dental Office Design-General Dentist Strip Mall-1900.00 Sq. To obtain services, inform your dentist that you are covered by the Uniform Dental Plan, WDS program number 03000. Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Under UDP, you pay a percentage of the plan’s allowed amount (coinsurance) for dental services after you have met the annual deductible. If you have a favorite dentist, it's best to double-check that yours is included in our network. An additional $5,000 in case of accidental death or dismemberment. What is considered a disability? You'll have a primary care provider who oversees your care, and authorizes specialist referrals. Benefits offered to benefit-eligible Eastern Washington University (EWU) faculty and staff, have been determined to meet and/or exceed the standard identified by the ACA including premium affordability and acceptable health coverage levels of coverage. Preventive care services are covered at 100 percent with no medical deductible. Dental insurance plans that come the closest to the description “covers everything “are typically referred to as indemnity or fee-for-service dental insurance plans. Ft-Plan #3000-6 3-d Dental Office Design-Floor Plan-General Dentist 3056.00 Sq. Find a Delta Dental network dentist near you. The Delta Dental of Washington plan offered to your group is Delta Dental PPO, a preferred provider plan… Other plans require you to pay a percentage of an allowed fee (called a coinsurance) when you receive care. Benefits, in the event of a claim, would be based on the partial salary unless arrangements are made to pay the difference and continue premiums as though in regular appointment pay status. > How Long May I Continue Insurance on Self-Pay? > 18 Months of COBRA eligibility is available if: > 36 Months of COBRA eligibility is available: > You are not eligible for COBRA continuation if: > How Does the Affordable Care Act Affect Me at Eastern Washington University? Dental Plans PPO 3000, 3500, 4000 & 5000 by Ameritas Group Orthodontiais an optional benefit selected for the entire group by the employer. > What Insurances May I Continue via Self-pay? If you (the subscriber) are not eligible for a CDHP/HSA and enroll, you may be liable for tax penalties. An HSA is a tax-exempt account anyone can deposit funds into on your behalf. If you go into your dental office to get your free cleaning, the dental office charged your insurance $120 for that cleaning. Remove dependent(s) from coverage due to loss of eligibility (required). Usually this must be done within 30 days of the qualifying event. You will not have to hassle with sending in claim forms. Chose one dental plan. See Health plans with health savings accounts (HSAs). So, where are the plans you’re probably wondering? You can complete a MetLife Enrollment/Change Form or create an account on MetLife’s MyBenefits portal. This plan does not meet the minimum creditable coverage requirements under M.G.L. The Uniform and Preventive Dental plans provide coverage for diagnostic, preventive and basic services. To enroll or re-enroll visit Navia Benefits Solutions. PPO 3000, 3500, 4000 & 5000. The Uniform Dental Plan is a prefered provider plan administered by Washington Dental Plan that allows you the freedom to choose any dentist. *Guaranteed issue is the amount of coverage an employee may select when initially eligible for coverage, within the required deadlines below, without submitting a statement of health for carrier approval. If the provider you select is not in DeltaCare's Group 3100 network, you will be responsible for the costs. ... Plan 1000 & 3000 Prepaid Dental. You can choose any dental provider, and change providers at any time. Plan options; Health and dental plan options Uniform Medical Plan. Visit the plan sites for more information: DeltaCare, Willamette Dental Group, or Uniform Dental Plan. Other plan information you will find here includes Dental, Vision, Virtual Visits and Prescription coverages. Selecting a dental plan for your employees is all about balance. Be sure to complete the form in its entirety - this will replace all previous forms. For online webinars, please visit the Department of Retirement Systems site. *administered by Delta Dental of Washington. Doesn’t apply to generic drugs, pediatric vision services, pediatric dental services and the following in-network services: certain preventive care, office and urgent care visits, acupuncture visits and spinal With our dental cover, you’ll be able to see a dentist when you need to without worrying about the cost (subject to the terms of your plan). – coverage includes only the Codes listed below subject to the appropriate Delta of! Month published savings accounts ( HSAs ) reasons other than gross misconduct, or drugs send the in. Provider complete and sign a claim form ( required ) insurance covers you and well-being. Length of your death we offer quality, cost-effective choices designed for you, your family your. 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