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        • What are my basic covered services?
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        • Behavioral health services for prenatal, children & young adults
        • Wraparound with Intensive Services (WISe)
        • Family initiated treatment (FIT)
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        • Wraparound with Intensive Services (WISe)
        • Family initiated treatment (FIT)
        • Early signs of psychosis
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        • Behavioral health services for American Indians & Alaska Natives (AI/AN)
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        • What is recovery support?
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      • Prevention
        • Substance use disorder prevention & mental health promotion
        • Substance use disorder prevention & mental health promotion
    • I help others apply for & access Apple Health
      • Apple Health Eligibility Manual
        • Apple Health eligibility manual overview
        • Introduction overview for general eligibility
        • General eligibility requirements that apply to all Apple Health programs
        • Classic (non-MAGI) based programs manual
        • Modified Adjusted Gross Income (MAGI) based programs manual
        • Long-term services & supports (LTSS) manual
        • Apple Health eligibility manual overview
        • Introduction overview for general eligibility
        • General eligibility requirements that apply to all Apple Health programs
        • Classic (non-MAGI) based programs manual
        • Modified Adjusted Gross Income (MAGI) based programs manual
        • Long-term services & supports (LTSS) manual
      • Additional tools
        • Apple Health manual WAC index
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        • Program standards for income & resources
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        • Webinars, videos & presentations
        • Apple Health outreach toolkit
        • COFA outreach toolkit
        • Apple Health Medicare Connect
        • Hospital Presumptive Eligibility
        • Medicaid suspension
      Quick links
      • Apply for or renew Apple Health coverage
      • Apple Health for you
      • Apple Health account logins
      • Find forms & publications
      • Get help paying for prescriptions
      • Behavioral health facilities complaints
      • Ombuds services
      • General eligibility introduction
      • ​Program standard for income & resources
      • Voices of Apple Health
      • Voices of behavioral health & recovery
      MM - Footer
      • Contact Apple Health (Medicaid)
      • News
      • Apple Health Eligibility Manual
        • Apple Health eligibility manual overview
        • Introduction overview for general eligibility
        • General eligibility requirements that apply to all Apple Health programs
        • Classic (non-MAGI) based programs manual
        • Modified Adjusted Gross Income (MAGI) based programs manual
        • Long-term services & supports (LTSS) manual
        • Apple Health eligibility manual overview
        • Introduction overview for general eligibility
        • General eligibility requirements that apply to all Apple Health programs
        • Classic (non-MAGI) based programs manual
        • Modified Adjusted Gross Income (MAGI) based programs manual
        • Long-term services & supports (LTSS) manual
      • Additional tools
        • Apple Health manual WAC index
        • Apple Health manual revision log
        • Program standards for income & resources
        • Apple Health manual WAC index
        • Apple Health manual revision log
        • Program standards for income & resources
      • Stakeholder training & education
        • Training & education overview
        • Community-based training
        • Reference guides
        • Webinars, videos & presentations
        • Apple Health outreach toolkit
        • COFA outreach toolkit
        • Apple Health Medicare Connect
        • Hospital Presumptive Eligibility
        • Medicaid suspension
        • Training & education overview
        • Community-based training
        • Reference guides
        • Webinars, videos & presentations
        • Apple Health outreach toolkit
        • COFA outreach toolkit
        • Apple Health Medicare Connect
        • Hospital Presumptive Eligibility
        • Medicaid suspension
    • I need medical, dental, or vision care
      • Find Apple Health benefits & services
        • What are my basic covered services?
        • How do I get dental care?
        • Can I get vision care?
        • Other benefits & services
        • What are my basic covered services?
        • How do I get dental care?
        • Can I get vision care?
        • Other benefits & services
      • Other Apple Health programs
        • Noncitizens
        • Apple Health Expansion
        • Apple Health Medicare Connect
        • Apple Health for Workers with Disabilities (HWD)
        • Family Planning Only (FPO)
        • Medically Intensive Children's Program (MICP)
        • Medicare Savings Program
        • Veterans & family members
        • Noncitizens
        • Apple Health Expansion
        • Apple Health Medicare Connect
        • Apple Health for Workers with Disabilities (HWD)
        • Family Planning Only (FPO)
        • Medically Intensive Children's Program (MICP)
        • Medicare Savings Program
        • Veterans & family members
      • Am I eligible?
        • Eligibility overview
        • Individual adults
        • Parents & caretakers
        • Pregnant individuals
        • Children
        • Age 65 & older, or Medicare eligible
        • Aged, blind, or disabled
        • Long-term care & hospice
        • Foster care
        • Eligibility overview
        • Individual adults
        • Parents & caretakers
        • Pregnant individuals
        • Children
        • Age 65 & older, or Medicare eligible
        • Aged, blind, or disabled
        • Long-term care & hospice
        • Foster care
      • Learn about my coverage
        • Coverage with managed care
        • Coverage without managed care
        • American Indians & Alaska Natives
        • Coordination of benefits
        • Premium payment program
        • Patient review & coordination
        • Client rights
        • Coverage with managed care
        • Coverage without managed care
        • American Indians & Alaska Natives
        • Coordination of benefits
        • Premium payment program
        • Patient review & coordination
        • Client rights
      • Use my coverage
        • How do I use my coverage?
        • Enrollment next steps
        • Make my first appointment
        • Transportation services (nonemergency)
        • Apple Health client booklets
        • How do I use my coverage?
        • Enrollment next steps
        • Make my first appointment
        • Transportation services (nonemergency)
        • Apple Health client booklets
      • Manage my coverage
        • Update my income or address
        • Submit my verification
        • Log into my Apple Health accounts
        • Replace my services card
        • Change my health plan
        • Pay my Apple Health premium
        • Cancel my coverage
        • Update my income or address
        • Submit my verification
        • Log into my Apple Health accounts
        • Replace my services card
        • Change my health plan
        • Pay my Apple Health premium
        • Cancel my coverage
      Quick links
      • Apply for or renew Apple Health coverage
      • Apple Health for you
      • Apple Health account logins
      • Find forms & publications
      • Get help paying for prescriptions
      • Behavioral health facilities complaints
      • Ombuds services
      • General eligibility introduction
      • ​Program standard for income & resources
      • Voices of Apple Health
      • Voices of behavioral health & recovery
      MM - Footer
      • Contact Apple Health (Medicaid)
      • News
      • Find Apple Health benefits & services
        • What are my basic covered services?
        • How do I get dental care?
        • Can I get vision care?
        • Other benefits & services
        • What are my basic covered services?
        • How do I get dental care?
        • Can I get vision care?
        • Other benefits & services
      • Other Apple Health programs
        • Noncitizens
        • Apple Health Expansion
        • Apple Health Medicare Connect
        • Apple Health for Workers with Disabilities (HWD)
        • Family Planning Only (FPO)
        • Medically Intensive Children's Program (MICP)
        • Medicare Savings Program
        • Veterans & family members
        • Noncitizens
        • Apple Health Expansion
        • Apple Health Medicare Connect
        • Apple Health for Workers with Disabilities (HWD)
        • Family Planning Only (FPO)
        • Medically Intensive Children's Program (MICP)
        • Medicare Savings Program
        • Veterans & family members
      • Am I eligible?
        • Eligibility overview
        • Individual adults
        • Parents & caretakers
        • Pregnant individuals
        • Children
        • Age 65 & older, or Medicare eligible
        • Aged, blind, or disabled
        • Long-term care & hospice
        • Foster care
        • Eligibility overview
        • Individual adults
        • Parents & caretakers
        • Pregnant individuals
        • Children
        • Age 65 & older, or Medicare eligible
        • Aged, blind, or disabled
        • Long-term care & hospice
        • Foster care
      • Learn about my coverage
        • Coverage with managed care
        • Coverage without managed care
        • American Indians & Alaska Natives
        • Coordination of benefits
        • Premium payment program
        • Patient review & coordination
        • Client rights
        • Coverage with managed care
        • Coverage without managed care
        • American Indians & Alaska Natives
        • Coordination of benefits
        • Premium payment program
        • Patient review & coordination
        • Client rights
      • Use my coverage
        • How do I use my coverage?
        • Enrollment next steps
        • Make my first appointment
        • Transportation services (nonemergency)
        • Apple Health client booklets
        • How do I use my coverage?
        • Enrollment next steps
        • Make my first appointment
        • Transportation services (nonemergency)
        • Apple Health client booklets
      • Manage my coverage
        • Update my income or address
        • Submit my verification
        • Log into my Apple Health accounts
        • Replace my services card
        • Change my health plan
        • Pay my Apple Health premium
        • Cancel my coverage
        • Update my income or address
        • Submit my verification
        • Log into my Apple Health accounts
        • Replace my services card
        • Change my health plan
        • Pay my Apple Health premium
        • Cancel my coverage
    • I need behavioral health support
      • Mental health
        • Mental health crisis lines
        • Mental health services
        • Acute mental health care
        • Problem gambling
        • Mental health advance directives
        • Mental health crisis lines
        • Mental health services
        • Acute mental health care
        • Problem gambling
        • Mental health advance directives
      • Substance use
        • Substance use treatment
        • Alcohol use treatment
        • Opioid use treatment
        • Substance use treatment
        • Alcohol use treatment
        • Opioid use treatment
      • Prenatal, children & young adults
        • Behavioral health services for prenatal, children & young adults
        • Wraparound with Intensive Services (WISe)
        • Family initiated treatment (FIT)
        • Early signs of psychosis
        • Behavioral health services for prenatal, children & young adults
        • Wraparound with Intensive Services (WISe)
        • Family initiated treatment (FIT)
        • Early signs of psychosis
      • American Indians & Alaska Natives
        • Behavioral health services for American Indians & Alaska Natives (AI/AN)
        • Behavioral health services for American Indians & Alaska Natives (AI/AN)
      • Recovery support services
        • What is recovery support?
        • Peer support & counseling
        • Recovery housing
        • What is recovery support?
        • Peer support & counseling
        • Recovery housing
      • Prevention
        • Substance use disorder prevention & mental health promotion
        • Substance use disorder prevention & mental health promotion
      Quick links
      • Apply for or renew Apple Health coverage
      • Apple Health for you
      • Apple Health account logins
      • Find forms & publications
      • Get help paying for prescriptions
      • Behavioral health facilities complaints
      • Ombuds services
      • General eligibility introduction
      • ​Program standard for income & resources
      • Voices of Apple Health
      • Voices of behavioral health & recovery
      MM - Footer
      • Contact Apple Health (Medicaid)
      • News
      • Mental health
        • Mental health crisis lines
        • Mental health services
        • Acute mental health care
        • Problem gambling
        • Mental health advance directives
        • Mental health crisis lines
        • Mental health services
        • Acute mental health care
        • Problem gambling
        • Mental health advance directives
      • Substance use
        • Substance use treatment
        • Alcohol use treatment
        • Opioid use treatment
        • Substance use treatment
        • Alcohol use treatment
        • Opioid use treatment
      • Prenatal, children & young adults
        • Behavioral health services for prenatal, children & young adults
        • Wraparound with Intensive Services (WISe)
        • Family initiated treatment (FIT)
        • Early signs of psychosis
        • Behavioral health services for prenatal, children & young adults
        • Wraparound with Intensive Services (WISe)
        • Family initiated treatment (FIT)
        • Early signs of psychosis
      • American Indians & Alaska Natives
        • Behavioral health services for American Indians & Alaska Natives (AI/AN)
        • Behavioral health services for American Indians & Alaska Natives (AI/AN)
      • Recovery support services
        • What is recovery support?
        • Peer support & counseling
        • Recovery housing
        • What is recovery support?
        • Peer support & counseling
        • Recovery housing
      • Prevention
        • Substance use disorder prevention & mental health promotion
        • Substance use disorder prevention & mental health promotion
    • I help others apply for & access Apple Health
      • Apple Health Eligibility Manual
        • Apple Health eligibility manual overview
        • Introduction overview for general eligibility
        • General eligibility requirements that apply to all Apple Health programs
        • Classic (non-MAGI) based programs manual
        • Modified Adjusted Gross Income (MAGI) based programs manual
        • Long-term services & supports (LTSS) manual
        • Apple Health eligibility manual overview
        • Introduction overview for general eligibility
        • General eligibility requirements that apply to all Apple Health programs
        • Classic (non-MAGI) based programs manual
        • Modified Adjusted Gross Income (MAGI) based programs manual
        • Long-term services & supports (LTSS) manual
      • Additional tools
        • Apple Health manual WAC index
        • Apple Health manual revision log
        • Program standards for income & resources
        • Apple Health manual WAC index
        • Apple Health manual revision log
        • Program standards for income & resources
      • Stakeholder training & education
        • Training & education overview
        • Community-based training
        • Reference guides
        • Webinars, videos & presentations
        • Apple Health outreach toolkit
        • COFA outreach toolkit
        • Apple Health Medicare Connect
        • Hospital Presumptive Eligibility
        • Medicaid suspension
        • Training & education overview
        • Community-based training
        • Reference guides
        • Webinars, videos & presentations
        • Apple Health outreach toolkit
        • COFA outreach toolkit
        • Apple Health Medicare Connect
        • Hospital Presumptive Eligibility
        • Medicaid suspension
      Quick links
      • Apply for or renew Apple Health coverage
      • Apple Health for you
      • Apple Health account logins
      • Find forms & publications
      • Get help paying for prescriptions
      • Behavioral health facilities complaints
      • Ombuds services
      • General eligibility introduction
      • ​Program standard for income & resources
      • Voices of Apple Health
      • Voices of behavioral health & recovery
      MM - Footer
      • Contact Apple Health (Medicaid)
      • News
      • Apple Health Eligibility Manual
        • Apple Health eligibility manual overview
        • Introduction overview for general eligibility
        • General eligibility requirements that apply to all Apple Health programs
        • Classic (non-MAGI) based programs manual
        • Modified Adjusted Gross Income (MAGI) based programs manual
        • Long-term services & supports (LTSS) manual
        • Apple Health eligibility manual overview
        • Introduction overview for general eligibility
        • General eligibility requirements that apply to all Apple Health programs
        • Classic (non-MAGI) based programs manual
        • Modified Adjusted Gross Income (MAGI) based programs manual
        • Long-term services & supports (LTSS) manual
      • Additional tools
        • Apple Health manual WAC index
        • Apple Health manual revision log
        • Program standards for income & resources
        • Apple Health manual WAC index
        • Apple Health manual revision log
        • Program standards for income & resources
      • Stakeholder training & education
        • Training & education overview
        • Community-based training
        • Reference guides
        • Webinars, videos & presentations
        • Apple Health outreach toolkit
        • COFA outreach toolkit
        • Apple Health Medicare Connect
        • Hospital Presumptive Eligibility
        • Medicaid suspension
        • Training & education overview
        • Community-based training
        • Reference guides
        • Webinars, videos & presentations
        • Apple Health outreach toolkit
        • COFA outreach toolkit
        • Apple Health Medicare Connect
        • Hospital Presumptive Eligibility
        • Medicaid suspension
  • Employee & retiree benefits
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      • Find benefits
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      • Manage benefits
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      • Get help
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        • PEBB wellness programs
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        • Medical plans & benefits
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        • Vision plans & benefits
        • Benefits while traveling
        • Find a PEBB plan provider
        • Life, home, auto, AD&D, LTD, FSA, & DCAP benefits
        • PEBB wellness programs
        • Medicare & PEBB benefits while employed
      • Explore costs
        • Medical plan premiums
        • Life insurance premiums
        • Long-term disability insurance premiums
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        • Paying for benefits
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      • Learn how to enroll
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        • For newly eligible employees
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      • Manage benefits
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      • Explore costs
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        • Enroll as a survivor
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        • Enroll as a survivor
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      • Manage benefits
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      • Explore costs
        • Medical, dental & vision plan premiums
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        • Am I eligible?
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      • Learn how to enroll
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        • Verify & enroll my dependents
      • For survivors
        • Enroll as a survivor
        • Defer as a survivor
        • How do I notify SEBB that my loved one has passed away?
        • Enroll as a survivor
        • Defer as a survivor
        • How do I notify SEBB that my loved one has passed away?
      • Manage benefits
        • What is special open enrollment?
        • Change my coverage
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        • What is special open enrollment?
        • Change my coverage
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      • Get help
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      Quick links
      • Benefits 24/7
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      • Contact us
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      • Find benefits
        • Medical plans & benefits
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        • Medical plans & benefits
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        • Vision plans & benefits
        • Benefits while traveling
        • Find a SEBB plan provider
        • Life & FSA benefits
        • SEBB wellness programs
      • Explore costs
        • Medical, dental & vision plan premiums
        • Life insurance premiums
        • Surcharges
        • Paying for benefits
        • Medical, dental & vision plan premiums
        • Life insurance premiums
        • Surcharges
        • Paying for benefits
      • Determine eligibility
        • Am I eligible?
        • Are my dependents eligible?
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        • Am I eligible?
        • Are my dependents eligible?
        • Are my survivors eligible?
      • Learn how to enroll
        • For newly eligible members
        • Verify & enroll my dependents
        • For newly eligible members
        • Verify & enroll my dependents
      • For survivors
        • Enroll as a survivor
        • Defer as a survivor
        • How do I notify SEBB that my loved one has passed away?
        • Enroll as a survivor
        • Defer as a survivor
        • How do I notify SEBB that my loved one has passed away?
      • Manage benefits
        • What is special open enrollment?
        • Change my coverage
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        • Cancel my coverage
        • What is special open enrollment?
        • Change my coverage
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      • Get help
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  • Billers, providers & partners
    • Prior authorization, claims & billing
      • Getting started
        • For new providers
        • Overview of prior authorization (PA), claims & billing
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      • Submit prior authorization (PA)
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      Quick links
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      • Submit prior authorization (PA)
        • Step-by-step guide for prior authorization (PA)
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      • Programs: A-E
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        • Applied Behavior Analysis therapy
        • Child & youth behavioral health services
        • Community behavioral support services
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        • Designated crisis responders
        • Doulas
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      • Programs: F-H
        • Family Planning Only
        • First Steps (maternity support & infant care)
        • Foster care & adoption support
        • Foundational Community Supports
        • Global leasing
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        • Health Home
        • Home health care services: electronic visit verification
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        • First Steps (maternity support & infant care)
        • Foster care & adoption support
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        • Global leasing
        • Ground emergency medical transportation
        • Health Home
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      • Programs: I-N
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        • Medicaid Administrative Claiming
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      • Programs: O-P
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      • Programs: Q-Z
        • Resources for behavioral health providers
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        • Washington Integrated Care Assessment
        • Resources for behavioral health providers
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        • Suicide prevention resources
        • Transhealth program
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        • Washington Integrated Care Assessment
      Quick links
      • Log into ProviderOne
      • Find billing guides & fee schedules
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      • Contact us
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      • Getting started
        • Program benefit packages & scope of services
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        • Program benefit packages & scope of services
        • Patient review & coordination
      • Programs: A-E
        • 340B Drug Pricing Program
        • 90- & 180-day civil commitment beds
        • Applied Behavior Analysis therapy
        • Child & youth behavioral health services
        • Community behavioral support services
        • Dental services
        • Designated crisis responders
        • Doulas
        • Early Periodic Screening, Diagnosis & Treatment
        • 340B Drug Pricing Program
        • 90- & 180-day civil commitment beds
        • Applied Behavior Analysis therapy
        • Child & youth behavioral health services
        • Community behavioral support services
        • Dental services
        • Designated crisis responders
        • Doulas
        • Early Periodic Screening, Diagnosis & Treatment
      • Programs: F-H
        • Family Planning Only
        • First Steps (maternity support & infant care)
        • Foster care & adoption support
        • Foundational Community Supports
        • Global leasing
        • Ground emergency medical transportation
        • Health Home
        • Home health care services: electronic visit verification
        • Family Planning Only
        • First Steps (maternity support & infant care)
        • Foster care & adoption support
        • Foundational Community Supports
        • Global leasing
        • Ground emergency medical transportation
        • Health Home
        • Home health care services: electronic visit verification
      • Programs: I-N
        • Immunization services
        • Indian health programs
        • Intensive behavioral health treatment facilities
        • Intensive residential treatment teams
        • Interpreter services
        • Kidney Disease Program
        • Managed care
        • Medicaid Administrative Claiming
        • Medical equipment and supplies
        • Mobile Crisis Response Endorsement Program
        • Immunization services
        • Indian health programs
        • Intensive behavioral health treatment facilities
        • Intensive residential treatment teams
        • Interpreter services
        • Kidney Disease Program
        • Managed care
        • Medicaid Administrative Claiming
        • Medical equipment and supplies
        • Mobile Crisis Response Endorsement Program
      • Programs: O-P
        • Partnership Access Lines
        • Peer support
        • Pharmacy services
        • Preadmission screening & resident review
        • Prescription drug discount card
        • Primary Care Practice Recognition
        • Program of Assertive Community Treatment
        • Partnership Access Lines
        • Peer support
        • Pharmacy services
        • Preadmission screening & resident review
        • Prescription drug discount card
        • Primary Care Practice Recognition
        • Program of Assertive Community Treatment
      • Programs: Q-Z
        • Resources for behavioral health providers
        • School-based services
        • Substance use disorder
        • Suicide prevention resources
        • Transhealth program
        • Transportation services (nonemergency)
        • Washington Integrated Care Assessment
        • Resources for behavioral health providers
        • School-based services
        • Substance use disorder
        • Suicide prevention resources
        • Transhealth program
        • Transportation services (nonemergency)
        • Washington Integrated Care Assessment
    • Become an Apple Health provider
      • Learn how to enroll
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        • Enroll as a billing provider
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        • Enroll as a nonbilling provider
        • Enroll as a billing agent or clearinghouse
      • What's next
        • Track my application
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      Quick links
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      • Contact us
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      • Learn how to enroll
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        • Enroll as a billing provider
        • Enroll as a health care professional practicing under a group or facility
        • Enroll as a nonbilling provider
        • Enroll as a billing agent or clearinghouse
        • Enrollment overview
        • Eligible provider types & requirements
        • Become a behavioral health provider
        • Become a Community Behavioral Health Support (CBHS) provider
        • Enroll as a billing provider
        • Enroll as a health care professional practicing under a group or facility
        • Enroll as a nonbilling provider
        • Enroll as a billing agent or clearinghouse
      • What's next
        • Track my application
        • Find next steps for new Medicaid providers
        • Track my application
        • Find next steps for new Medicaid providers
      • For existing medicaid providers
        • Update my provider information
        • Revalidation
        • Update my provider information
        • Revalidation
    • Learn ProviderOne
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      Quick links
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      • Contact us
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        • How do I access ProviderOne?
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    • Prior authorization, claims & billing
      • Getting started
        • For new providers
        • Overview of prior authorization (PA), claims & billing
        • Document submission cover sheets
        • HIPAA Electronic Data Interchange (EDI)
        • Audit & program integrity
        • For new providers
        • Overview of prior authorization (PA), claims & billing
        • Document submission cover sheets
        • HIPAA Electronic Data Interchange (EDI)
        • Audit & program integrity
      • Submit prior authorization (PA)
        • Step-by-step guide for prior authorization (PA)
        • Pharmacy prior authorization
        • Step-by-step guide for prior authorization (PA)
        • Pharmacy prior authorization
      • Submit claims
        • Provider billing guides & fee schedules
        • Hospital rates & reimbursement
        • Provider billing guides & fee schedules
        • Hospital rates & reimbursement
      Quick links
      • Log into ProviderOne
      • Find billing guides & fee schedules
      • Find forms & publications
      • Sign up for Provider Alerts
      • ProviderOne Billing & Resource Guide
      • ProviderOne Discovery Log
      • ProviderOne maintenance
      • Termination & exclusion list
      MM - Footer
      • Contact us
      • News
      • Getting started
        • For new providers
        • Overview of prior authorization (PA), claims & billing
        • Document submission cover sheets
        • HIPAA Electronic Data Interchange (EDI)
        • Audit & program integrity
        • For new providers
        • Overview of prior authorization (PA), claims & billing
        • Document submission cover sheets
        • HIPAA Electronic Data Interchange (EDI)
        • Audit & program integrity
      • Submit prior authorization (PA)
        • Step-by-step guide for prior authorization (PA)
        • Pharmacy prior authorization
        • Step-by-step guide for prior authorization (PA)
        • Pharmacy prior authorization
      • Submit claims
        • Provider billing guides & fee schedules
        • Hospital rates & reimbursement
        • Provider billing guides & fee schedules
        • Hospital rates & reimbursement
    • Program information for providers
      • Getting started
        • Program benefit packages & scope of services
        • Patient review & coordination
        • Program benefit packages & scope of services
        • Patient review & coordination
      • Programs: A-E
        • 340B Drug Pricing Program
        • 90- & 180-day civil commitment beds
        • Applied Behavior Analysis therapy
        • Child & youth behavioral health services
        • Community behavioral support services
        • Dental services
        • Designated crisis responders
        • Doulas
        • Early Periodic Screening, Diagnosis & Treatment
        • 340B Drug Pricing Program
        • 90- & 180-day civil commitment beds
        • Applied Behavior Analysis therapy
        • Child & youth behavioral health services
        • Community behavioral support services
        • Dental services
        • Designated crisis responders
        • Doulas
        • Early Periodic Screening, Diagnosis & Treatment
      • Programs: F-H
        • Family Planning Only
        • First Steps (maternity support & infant care)
        • Foster care & adoption support
        • Foundational Community Supports
        • Global leasing
        • Ground emergency medical transportation
        • Health Home
        • Home health care services: electronic visit verification
        • Family Planning Only
        • First Steps (maternity support & infant care)
        • Foster care & adoption support
        • Foundational Community Supports
        • Global leasing
        • Ground emergency medical transportation
        • Health Home
        • Home health care services: electronic visit verification
      • Programs: I-N
        • Immunization services
        • Indian health programs
        • Intensive behavioral health treatment facilities
        • Intensive residential treatment teams
        • Interpreter services
        • Kidney Disease Program
        • Managed care
        • Medicaid Administrative Claiming
        • Medical equipment and supplies
        • Mobile Crisis Response Endorsement Program
        • Immunization services
        • Indian health programs
        • Intensive behavioral health treatment facilities
        • Intensive residential treatment teams
        • Interpreter services
        • Kidney Disease Program
        • Managed care
        • Medicaid Administrative Claiming
        • Medical equipment and supplies
        • Mobile Crisis Response Endorsement Program
      • Programs: O-P
        • Partnership Access Lines
        • Peer support
        • Pharmacy services
        • Preadmission screening & resident review
        • Prescription drug discount card
        • Primary Care Practice Recognition
        • Program of Assertive Community Treatment
        • Partnership Access Lines
        • Peer support
        • Pharmacy services
        • Preadmission screening & resident review
        • Prescription drug discount card
        • Primary Care Practice Recognition
        • Program of Assertive Community Treatment
      • Programs: Q-Z
        • Resources for behavioral health providers
        • School-based services
        • Substance use disorder
        • Suicide prevention resources
        • Transhealth program
        • Transportation services (nonemergency)
        • Washington Integrated Care Assessment
        • Resources for behavioral health providers
        • School-based services
        • Substance use disorder
        • Suicide prevention resources
        • Transhealth program
        • Transportation services (nonemergency)
        • Washington Integrated Care Assessment
      Quick links
      • Log into ProviderOne
      • Find billing guides & fee schedules
      • Find forms & publications
      • Sign up for Provider Alerts
      • ProviderOne Billing & Resource Guide
      • ProviderOne Discovery Log
      • ProviderOne maintenance
      • Termination & exclusion list
      MM - Footer
      • Contact us
      • News
      • Getting started
        • Program benefit packages & scope of services
        • Patient review & coordination
        • Program benefit packages & scope of services
        • Patient review & coordination
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Breadcrumb

  1. Home
  2. Employee and retiree benefits
  3. SEBB Continuation Coverage
  4. Benefits while traveling

Benefits while traveling

Most SEBB medical plans provide coverage over a wide area. This helps you get the care you may need when traveling. However, some plans do not have coverage outside their service area, except for urgent and emergency services.

Research the health care options at your destination in case you have a medical emergency or need a health care provider. Thinking ahead can save you time and confusion if you end up needing care.

On this page

  • Before you travel
  • While you're traveling
  • Medical services
  • Dental services
  • Vision services

Before you travel

  • Pack your medical plan ID card. (If you need an ID card, contact your plan.)
  • Note your plans’ toll-free and local numbers in case you need to use them. If you are traveling internationally, be sure you are comfortable with making international calls. Visit Country Code’s How to dial internationally webpage to learn how to make international calls before traveling outside the U.S.
  • Pack prescription drugs and medications in the original bottle or package, and if you are going to be gone for an extended time, ask your plan about getting extra refills.
  • Wear a medical ID bracelet for any allergies or special medical needs.
  • Research any travel restrictions or other requirements, such as required vaccinations.

While you're traveling

  • You pay your copayments, coinsurance, deductibles, and other costs for covered services received outside the plans’ service areas.
  • If you seek medical care while traveling, contact your plan. They can help answer your questions, help you find providers or access care, and provide details on requirements for submitting claims from another country.
  • In most cases, Medicare won’t pay for health care or supplies you receive outside the U.S. Visit Medicare’s Travel outside the U.S. webpage for more information.

Medical services

Kaiser Permanente NW

For more information visit Kaiser’s Care while traveling webpage.

Out-of-area (within U.S.)

  • Emergency care is covered. After emergency admission, call Kaiser Permanente NW at 1-800-813-2000 (TRS: 711) as soon as possible.
  • Urgent care is covered at out-of-network facilities when you are outside the Kaiser Permanente service area. You may also visit any Kaiser Permanente urgent care clinic in other Kaiser Permanente regions. In states without Kaiser Permanente providers, you can receive urgent care at a CVS MinuteClinic.
  • Nonemergency care may also be covered in limited situations with approval from your plan. Call the Away from Home Travel Line at 1-951-268-3900 (TRS: 711) to confirm you are in a location that qualifies.

Outside U.S.

  • Emergency and urgent care are covered worldwide. After emergency admission call Kaiser Permanente NW at 1-800-813-2000 as soon as possible.
  • For urgent care call the Away from Home Travel Line at 1-951-268-3900. Long-distance charges may apply; no collect calls.
  • If you’ve received care or are in the hospital, call Kaiser Permanente NW at 1-800-225-8883 to let them know.

Prescription drugs

Ask for an early or extra refill 1 to 2 weeks before you travel. Travel immunizations are not covered.

Kaiser Permanente WA and Kaiser Permanente WA Options

For more information visit Kaiser’s Care while traveling webpage.

Out-of-area (within U.S.)

  • Emergency and urgent care are covered at network and nonnetwork facilities. After emergency admission, call Kaiser Permanente WA’s Hospital Notification Line at 1-888-457-9516 within 24 hours, or as soon as possible.
  • Nonemergency care is covered at Kaiser Permanente facilities in other Kaiser regions as a visiting member. To set up visiting member access, call Kaiser Permanente WA member services at 1-888-901-4636 (TRS: 711).
  • In states without Kaiser Permanente providers, you can receive care at any urgent care location or retail clinic.

Outside U.S.

  • Emergency and urgent care are covered worldwide. After emergency admission call Kaiser Permanente WA’s Hospital Notification Line at 1-888-457-9516 within 24 hours or as soon as possible.
  • Nonemergency care is covered with approval from your plan. Call Kaiser Permanente WA member services at 1-888-901-4636 (TRS: 711).

Prescription drugs

Ask for an early or extra refill from pharmacy 1 to 2 weeks before you travel. You can ask for up to a 90-day supply. Prescriptions filled outside the Kaiser Permanente service area may not be covered.

Premera

Call customer service at 1-800-807-7310 (TRS: 711) or refer to your plan's Benefits Book for more information.

Out-of-area (within U.S)

  • High PPO and Standard PPO: Your network is Heritage Prime. When traveling, call the BlueCard provider line on the back of your ID card to locate an in-network provider. Emergency services are always covered at in-network amounts.
  • Premera HMO: Out-of-network coverage is not covered except for emergency services. Your network is Sherwood HMO.

Outside U.S.

  • High PPO and Standard PPO: Your network is Heritage Prime. When traveling, call the BlueCard provider line on the back of your ID card to locate an in-network provider. Emergency services are always covered at in-network amounts.
  • Premera HMO: Out-of-network coverage is not covered except for emergency services. Your network is Sherwood HMO.

Prescription drugs

Out-of-network coverage is cost share, then 40% (to allowed amount). Not covered for mail order. If you need an early refill, call customer service at 1-800-807-7310.

Uniform Medical Plan (UMP)

Call UMP Customer Service at 1-800-628-3481 (TRS: 711) or refer to your plan’s certificate of coverage for more information.

Out-of-area (within U.S.)

UMP has nationwide coverage, which means you can get coverage anywhere while you travel within the U.S. However, a few benefits are covered at the network rate, regardless of network status:

  • Emergency care.
  • Urgent care at Regence BlueShield preferred providers (network providers for UMP Plus) and Blue Cross and Blue Shield plan providers.

Out-of-network providers for covered services are paid at the out-of-network rate.

UMP Plus members: The Plus plans are for services inside Washington State. If you travel outside of the state and have a medical emergency, the plan with cover at the same rate. For non-emergent services, the plan with pay 50% of the allowed amount after deductible as there are no in-network providers outside of Washington State.

Outside U.S.

Call Blue Cross Blue Shield Global Core Service Center at 1-800-810-2583 or call collect at 1-804-673-1177 to find providers outside the U.S. You can also use the online provider search tool on the Blue Cross Blue Shield Global Core website.

UMP has worldwide coverage so you can get coverage anywhere while you travel outside of the U.S. However, a few benefits are covered at the network rate, regardless of network status:

  • Emergency care.
  • Urgent care at Regence BlueShield preferred providers (network providers for UMP Plus) and Blue Cross and Blue Shield plan providers.

Out-of-network providers for covered services are paid at the out-of-network rate.

UMP Plus members: The Plus plans are for services inside Washington State. If you travel outside of the state and have a medical emergency, the plan with cover at the same rate. For non-emergent services, the plan with pay 50% of the allowed amount after deductible as there are no in-network providers outside of Washington State.

Prescription drugs

Ask for an early refill or extra supply of prescription drugs up to 2 weeks before your departure. To request a travel override, call ArrayRx Customer Service at 1-888-361-1611 (TRS: 711).

A maximum of two travel override requests per year are allowed (includes travel within or outside U.S.). Benefits are limited to prescription drugs approved by the U.S. Food and Drug Administration (FDA) for use in the U.S. You will pay applicable charges (deductible and coinsurance) for each extra supply received.

Travel immunizations are not covered.

Out-of-area (Within U.S.)

Request up to a 90-day supply per prescription (or as allowed under that prescription). You may access network pharmacies across the U.S.

Outside U.S.

Request up to a six-month supply (or as allowed under that prescription). You may purchase prescription drugs worldwide. You will pay the difference between the allowed amount and what the pharmacy charges, and it will not apply to your prescription drug deductible or prescription drug out-of-pocket limit for prescriptions purchased outside the U.S. because there are no international pharmacies in the network.

Dental services

DeltaCare

Call DeltaCare at 1-800-650-1583 after receiving emergency care.

Out-of-area (within U.S.)

Your network primary care dentist provides urgent and emergency dental care or a referral within 24 hours of being contacted. You must visit a DeltaCare network provider for all dental care. Note: The DeltaCare service area is limited to Washington.

Urgent care from a non-DeltaCare dentist is covered when you are more than 50 miles from a DeltaCare network office. Treatment is limited to the care necessary to evaluate and stabilize your condition until you can get to your primary care dentist.

Outside U.S.

Urgent dental care outside the U.S. is covered. Treatment is limited to the care necessary to evaluate and stabilize your condition until you can get to your primary care dentist.

Uniform Dental Plan

Call 1-800-537-3406 (TRS: 711) before you travel for details.

Out-of-area (within U.S.)

Use Delta Dental preferred provider organization (PPO) network dentists for the best rates. The PPO network includes over 104,000 dentists nationwide. You may see any licensed dentist within the U.S. for care, but out-of-network dentists will cost you more.

Outside U.S.

Emergency dental care outside the U.S. is covered. Submit an out-of-country claim form within six months of treatment for reimbursement. Claims are processed on the same basis as non-participating dentist claims.

Willamette Dental Plan

Call Willamette Dental at 1-855-433-6825 (TRS: 711) after receiving emergency care.

Out-of-area (within U.S.)

Willamette Dental Group’s offices in Washington, Oregon, and Idaho provide care for dental emergencies while you are traveling. Call Willamette Dental at 1-855-433-6825 (TRS: 711) to make an appointment.

If you are more than 50 miles from a Willamette Dental Group office, visit any licensed dentist for emergency treatment and Willamette will reimburse up to $200 (minus your copays).

Outside U.S.

Visit any licensed dentist for emergency treatment and Willamette will reimburse up to $200 (minus your copays).

Vision services

Davis Vision by MetLife

Out-of-area (within U.S.)

This vision plan includes access to the Davis Vision by MetLife network. The network is located throughout the United States. If you visit an out-of-network provider, you are responsible for paying the provider in full for the services and eyewear received at the time of your appointment, including taxes. To receive reimbursement, submit a Davis Vision by MetLife claim form and itemized receipt within 180 days of the date of service. Refer to your Certificate of Coverage for benefit provisions for services received out-of-network.

Outside U.S.

Services and materials obtained while outside the United States, except for emergency vision care, are exclusions of the plan. Emergency vision services provided outside the U.S. are covered on an out-of-network basis. You are responsible for paying the provider in full for the services and eyewear received at the time of your appointment, including taxes. To receive reimbursement, submit a Davis Vision by MetLife claim form and itemized receipt within 180 days of the date of service. Refer to your Certificate of Coverage for benefit provisions for services received out-of-network.

EyeMed

Out-of-area (within U.S.)

EyeMed has nationwide coverage. Visit EyeMed's Access Network to find an in-network provider based on your ZIP Code. You can also visit an out-of-network provider; however, you will pay for services in full and you  will need to submit an out-of-network claim form with the itemized receipts online, through the mobile app, or by mail for reimbursement of covered services. You can submit an out-of-network claim form for reimbursement up to 15 months from the date of service. Refer to the Certificate of Coverage for benefit provisions for services received out-of-network.

Outside U.S.

You can visit any provider outside of the U.S. and submit an out-of-network reimbursement claim along with itemized receipts online, through the mobile app, or by mail to be reimbursed for any covered services expenses incurred. You can submit an out-of-network claim form for reimbursement up to 15 months from the date of service. EyeMed accepts receipts in foreign languages and foreign currency. EyeMed will convert to U.S. dollars and process the claim. Reimbursements are issues in U.S. dollars and can be mailed to addresses in the U.S., Canada, Puerto Rico, or the U.S. Virgin Islands. Refer to the Certificate of Coverage for benefit provisions for services received out-of-network.

MetLife Vision Plan

Out-of-area (within U.S.)

This vision plan includes access to the VSP Choice Network, along with additional MetLife providers. The network is located throughout the U.S. If you visit an out-of-network provider, you are responsible for paying the provider in full for the services and eyewear received at the time of your appointment, including taxes. To receive reimbursement, submit a MetLife Vision claim form and itemized receipt within 6 months of the date of service. You may be able to assign the claim to the out-of-network provider. Ask your provider if they accept assignment of claims. If the provider accepts the assignment, they will submit the claim on your behalf. You will be responsible for any charges not covered by the plan. Refer to your Certificate of Coverage for benefit provisions for services received out-of-network.

Outside U.S.

Emergency vision services provided outside the U.S. are covered on an out-of-network basis. You are responsible for paying the provider in full for the services and eyewear received at the time of your appointment, including taxes. To receive reimbursement, submit a MetLife Vision claim form and itemized receipt within 6 months of the date of service. Refer to your Certificate of Coverage for benefit provisions for services received out-of-network.

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