Partial federal government shutdown
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
Find information on the open enrollment page that’s right for you: PEBB retirees, PEBB employees and PEBB continuation coverage subscribers, and SEBB employees and SEBB continuation coverage subscribers.
There are three SEBB Program dental plans to choose from — two managed care plans and one preferred-provider plan. Make sure you check with the plan to see if the dental provider you want is in the plan’s network.
Before you enroll in one of our dental plans, use the Dental Benefits Comparison to get the details you need to help you decide.
For information on specific benefits and exclusions, refer to the dental plan’s certificate of coverage (COC) or contact the plan. All dental plans include a nonduplication of benefits clause, which applies when you have dental coverage under more than one account.
Uniform Dental Plan is a preferred-provider organization (PPO) plan and offers a tiered network of providers throughout the United States. You can choose any dental provider, and change providers at any time.
When you see a provider in the Delta Dental PPO network, you maximize your coverage for services. A second tier of providers, the Delta Dental Premier network is also available and considered in-network. Providers in the Premier network charge a higher coinsurance for covered services.
You pay a percentage of the plan’s allowed amount (coinsurance) for dental services after you have met the annual deductible. Uniform Dental Plan pays up to an annual maximum of $1,750 for covered benefits for each enrolled dependent, including preventive visits.
DeltaCare is a managed-care plan. You choose and receive care from a primary care dental provider in the DeltaCare network. Referrals are required from your primary care dental provider to see a specialist. If you choose this plan and seek services from a dentist not in the plan's network, the plan will not pay your dental claims.
The plan does not have an annual deductible. You don't need to track how much you have paid out-of-pocket before the plan begins covering benefits. You pay a set amount (copay) when you receive dental services. The plan doesn't have an annual maximum that they pay for covered benefits (some specific exceptions apply).
You may change providers in your plan's network at any time. The DeltaCare service area is limited to Washington State.
Willamette Dental is a managed-care plan. You choose a dentist at one of Willamette Dental's offices to coordinate your care. Referrals are required from your primary care dental provider to see a specialist. If you choose this plan and seek services from a dentist not in the plan’s network, the plan will not pay your dental claims.
You pay a set amount (copay) when you receive dental services. The plan does not have an annual deductible. You don’t need to track how much you have paid out-of-pocket before the plan begins covering benefits. The plan does not have an annual maximum that they pay for covered benefits (some specific exceptions apply). Except for limited out-of-area emergency services, out-of-network services are not covered.
You may change providers in your plan’s network at any time. Willamette Dental offices are located in Washington, Oregon, and Idaho.
You may see any dental provider, but you'll usually pay less out-of-pocket if you go to a provider in the Delta Dental PPO network.
A second tier of providers, the Delta Dental Premier network, is also considered in-network. Providers in the Premier network charge a higher coinsurance for covered services.
If you see an out-of-network provider, you'll be responsible for having them complete and sign a claim form.
You may only see providers in the DeltaCare network. You'll have a primary care provider who oversees your care, and authorizes specialist referrals. If the provider you select is not in the DeltaCare network, you will be responsible for the costs. Keep in mind, DeltaCare's service area is limited to Washington State.
You may only see providers in the Willamette Dental network. You'll have a primary care provider who oversees your care, and authorizes specialist referrals. If you see an out-of-network provider, you'll be responsible for the costs. Keep in mind, Willamette Dental offices are located in Washington, Oregon, and Idaho.
The following documents—called a Certificate of Coverage (COC)—provide in-depth descriptions of the health care benefits for each plan.
Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. Preauthorization is not a guarantee, however, that your plan will pay for those services, supplies, or drugs.
These criteria do not imply or guarantee approval. Please check with your plan to ensure coverage. Preauthorization requirements are only valid for the month published. They may have changed from previous months and may change in future months.