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This is the third of ten messages Outreach and Training will send related to the SEBB Program’s annual open enrollment. The emails are numbered for easy tracking.
We ask that you share these messages with employees according to the recommended schedule. Please do not forward this email directly to employees. Instead, copy and paste the message included below into your regular means of communication to distribute to employees.
Thank you in advance for your time and effort to share these messages.
If you have comments or suggestions, contact us through HCA Support.
Recommendation: Share this message with employees on 10.30.2024.
Changes for 2025
All changes are effective January 1, 2025, unless otherwise noted. You can also view these changes on the SEBB Program open enrollment webpage and in the October Intercom newsletter.
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Medical plan service area changes: Members in these counties must choose a new plan or they will be automatically enrolled in UMP Achieve 1.
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Premera High PPO:Will no longer be available in Clallam and Mason counties.
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Premera Standard PPO:Will no longer be available in Clallam, Jefferson, and Mason counties.
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UMP Plus–Puget Sound Health Value Network (PSHVN): will no longer be available in Chelan or Douglas County. Confluence Health will no longer be part of UMP Plus–PSHVN.
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Vision hardware benefit: Will increase up to $200 per year (from $150) for prescription eyeglasses or contact lenses and will reset on odd years (2025, 2027, etc.).
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Deductible for UMP High Deductible:The IRS raised the minimum deductible for high-deductible health plans to $1,650 for single subscribers and $3,300 for families.
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Diagnostic and supplemental breast exam coverage:Diagnostic and supplemental breast exams will be covered without cost to members. UMP High Deductible members need to meet their deductible before the plan will pay.
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Health savings account (HSA) maximum: The annual maximum contribution to the Health Savings Account (HSA) will increase to $4,300 for a single subscriber and $8,550 for a subscriber with at least one enrolled dependent.
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Deductible for High-Deductible Health Plan: The IRS raised the minimum deductible for high-deductible health plans to $1,650 for a single subscriber and $3,300 for a subscriber with at least one enrolled dependent.
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Flexible spending arrangement (FSA): The annual maximum contribution for the FSA and Limited Purpose FSA will increase to $3,200.
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Behavioral Health Resources: The 2025 Medical Benefits At-a-Glance includes a section to compare behavioral health benefits by plan. You can also visit the Behavioral health services by plan webpage.
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Reduction in cost for inhalers and epinephrine injectors: Out-of-pocket costs will be capped at $35 for a 30-day supply of inhaled corticosteroids combination products and epinephrine autoinjectors.
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Increasing access to Human Immunodeficiency Virus (HIV) Post-Exposure Prophylaxis (PEP): Plans will be prohibited from cost-sharing or prior authorization requirements for at least one full PEP regimen.
Dental plan reminder
The SEBB program offers two dental plans administered by Delta Dental that are often confused. Sometimes people intend to enroll in the Uniform Dental Plan (UDP) but accidentally enroll in DeltaCare, or vice versa. During annual open enrollment, be careful to choose the dental plan you want.
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DeltaCare (Group 9601) is a managed-care plan with a narrow network. You must choose a primary care dentist within the network, or you will be assigned a primary care dentist. Your primary care dentist must give you a referral to see a specialist. The plan will not pay claims if you see a provider outside of the network.
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Uniform Dental Plan (Group 9600) is a preferred provider plan. You may choose and change to any dental provider at any time, but you will typically have a lower out-of-pocket cost if you see in-network providers.
Compare your dental plan options on the SEBB Program’s Dental plans and benefits webpage. Before you enroll in a dental plan, check with the plan (DeltaCare or UDP, not the provider) to see if your provider is in the plan’s network and confirm the group number. You can call the dental plan’s customer service or use the plan’s online directory.
Questions
For questions about
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Your enrollment or SEBB account: Contact your payroll or benefits office.
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Benefits: Contact the plans.
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Benefits 24/7: Go to the Help with Benefits 24/7 webpage or call the login assistance phone line at 1-866-335-0043. This line is for employee login issues only. Contact your payroll or benefits office for non-login related issues.
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