Full Answer
How does Peba pay for insurance?
PEBA pays members’ claims and the Plan's administrative expenses from this trust fund. PEBA partners with the state's public employers to provide comprehensive insurance coverage. We strive to keep costs responsive to employee needs and fair to all stakeholders. Copyright © 2021 South Carolina Public Employee Benefit Authority.
How many public employees are covered by Peba?
More than 600,000 public employees are covered by the five defined benefit retirement plans, and PEBA administers insurance benefits to more than 500,000 members. An additional 50,000 members participate in the State Optional Retirement Program.
What can Peba do for You?
Use PEBA’s online resources to submit transactions. Protect your lungs and breathe easier. If you need help to quit smoking, State Health Plan members can enroll in the Quit For Life® program at no cost. I want to ... Do you know the value of your retirement and insurance benefits?
What does Peba do in South Carolina?
PEBA is the state agency responsible for the administration and management of the state’s retirement systems and employee insurance programs for South Carolina’s public workforce. More than 600,000 public employees are covered by the five defined benefit retirement plans, and PEBA administers insurance benefits to more than 500,000 members.
What type of plan is Peba?
PEBA believes the State Health Plan is a “grandfathered health plan” under the Patient Protection and Affordable Care Act (the Affordable Care Act). As permitted by the Affordable Care Act, a grandfathered health plan can preserve certain basic health coverage that was already in effect when that law was enacted.
What is Peba savings plan?
The Savings Plan is a high deductible plan and has individual deductibles and family deductibles. If more than one family member is covered, no family member will receive benefits, other than preventive benefits, until the family deductible is met.
What does PEBA stand for?
The South Carolina Public Employee Benefit Authority (PEBA), which was created July 1, 2012, is governed by an 11-member Board of Directors who supervises and directs the agency's functions.
Does PEBA cover Shingrix?
The State Health Plan covers all adult vaccinations, including the Shingrix vaccine, as recommended by the Centers for Disease Control and Prevention (CDC) for a $0 copayment. Members can take advantage of this benefit at a network pharmacy.
Is there a network for basic dental?
There is no network for Basic Dental. Therefore, providers can charge you for the difference in their cost and the allowed amount.
Does Dental Plus have a network?
Dental Plus has a network of dentists through BlueCross. Network dentists agree to accept the Plan’s negotiated rate, or allowed amount, as their total fee. You are responsible only for any deductibles and coinsurance, plus any non-covered services rendered by a network dentist who has accepted BlueCross’ agreement.
Does Lowcountry Family Dentistry accept PEBA?
Lowcountry Family Dentistry is a SC PEBA Dental Plus provider. We accept PEBA Dental Plus insurance for those South Carolina state retirees and current South Carolina state employees. If you are looking for a In-Network Dental Plus dentist office in Beaufort SC, we have you covered.
Does BCBS have a credentialing process?
You can be confident knowing that our dentists have completed a thorough credentialing process to make sure we have met Blue Cross Blue Shiled strict standards. BCBS continuously monitors network dentists to maintain these standards.
How much is a prosthodontist deductible?
1 If you have basic or prosthodontic services, you pay only one deductible. Deductible is limited to three per family per year. 2 There is a $1,000 maximum lifetime benefit for each covered child, regardless of plan or plan year. {}.
How much is deductible for prosthodontics?
Prosthodontics (crowns, bridges, dentures, implants): You pay up to a $25 deductible per person. 1 The Plan will pay 50 percent of a higher allowed amount. In network, a provider cannot charge you for the difference in its cost and the allowed amount.
How much is Dental Plus?
The maximum yearly benefit for a person covered by Dental Plus is $2,000 for diagnostic and preventive, basic and prosthodontics services. Not all dental procedures are covered. You will be responsible for any charges related to non-covered services.
What is Dental Plus?
Dental Plus. Dental Plus has higher allowed amounts, which are the maximum amounts allowed by the Plan for a covered service. Network providers cannot charge you for the difference in their cost and the allowed amount. Your dental benefits are divided into four classes:
Do dental insurance plans have deductibles?
Your dental benefits are divided into four classes: Diagnostic and preventive (exams, cleanings, X-rays): You do not pay a deductible. The Plan will pay 100 percent of a higher allowed amount. In network, a provider cannot charge you for the difference in its cost and the allowed amount.
What is PEBA insurance?
Insurance benefits. PEBA administers the state’s employee insurance programs for South Carolina's public workforce. The largest program, the State Health Plan, is a self-funded health insurance plan. That means premiums are not paid to an insurance company, but instead are held in a trust fund. PEBA pays members’ claims and ...
Does PEBA pay insurance premiums?
That means premiums are not paid to an insurance company, but instead are held in a trust fund. PEBA pays members’ claims and the Plan's administrative expenses from this trust fund. PEBA partners with the state's public employers to provide comprehensive insurance coverage.