Medical benefits comparison (SEBB) 2020

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This chart briefly compares the per-visit costs of some in-network benefits for SEBB medical plans. Some copays and coinsurance do not apply until after you have paid your annual deductible.

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Medical plan premiums and deductibles available by county (SEBB) (2020)

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All school employees (SEBB Program) are offered a selection of plans based on their county of residence. Use this document to see what plans are available in your county, along with premiums and annual deductibles.

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Medical plans available by district (SEBB) 2020

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If you work in a school district that crosses county lines, or is in a county that borders Idaho or Oregon, you may have access to more SEBB medical plans than what are available in your county of residence. Those school districts are listed this chart. If your school district is not listed below, see Medical plans available by county, about your available medical plans.

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Medicare Advantage disenrollment form (form D) 2019

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Use this form to disenroll from Medicare Advantage.

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Medicare Advantage disenrollment form (form D) 2020

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Use this form to disenroll from Medicare Advantage.

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Medicare Advantage plan election form (form C) 2019

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Use this form to enroll in Medicare Advantage plans.

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Medicare Advantage plan election form (form C) 2020

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Use this form to enroll in Medicare Advantage plans.

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Medicare benefits comparison 2019

This chart briefly compares the per-visit costs of some in-network benefits for PEBB plans. Some copays and coinsurance do not apply until after you have paid your annual deductible. Call the plans directly for more information on specific benefits, including preauthorization requirements and exclusions. Kaiser Permanente NW and Kaiser Permanente WA offer Medicare Advantage plans, but not in all areas.

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Medicare supplement plan F benefits 2019 (outline)

Outline of Medicare Supplement Plan F Coverage. Shows the benefits included in each of the standard Medicare supplement plans.

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Medicare supplement plan G benefits 2020 (outline)

Outline of Medicare Supplement Plan G Coverage. Shows the benefits included in each of the standard Medicare supplement plans.

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