Top 3 Facts About Provider One & Your Health Insurance

Individual Provider One (IPOne) is a new payroll system for Independent Providers (IPs) across the state. Hours reported in Provider One not only send IPs a paycheck, but also keep Health Benefit Trust members enrolled in their insurance plan.

If you are an IP and Health Benefits Trust insurance member, here are the top three things to know about how Provider One will work with your insurance.

Effective with your May paycheck:

  • IPOne will attempt to automatically deduct the $25 co-premium payment from your first paycheck.
  • If there are insufficient funds to cover the $25, another attempt will be made from your second paycheck (on the 15th).
  • If IPOne is unable to auto-deduct the co-premium from either paychecks, you will receive a billing statement for the $25 co-premium from the HBT.

Please note: You will not see any health insurance deductions from your paychecks in April. Your coverage will not be affected.

For the next few months while we work with DSHS on the transition to IPOne, your co-premium will be due in the same month as your coverage.

(Example: Co-premium deductions for May coverage will be taken in May. As long as you are eligible, the changes to the deduction schedule will not affect your healthcare coverage.)

We sincerely appreciate your patience and cooperation with these changes, as we try to make your experience during the IPOne transition as smooth as possible.

For any additional questions regarding your insurance, please contact the Member Resource Center (MRC) at 1-866-371-3200, Monday – Friday, 8am – 6pm.

To report your hours, login to Individual Provider One (IPOne) here.

For support on reporting your hours, call the Provider One Call Center at 844-240-1526.

Their hours are Monday – Friday, 7 a.m – 7 p.m., and Saturday, 8 a.m. – 1 p.m.

Frequently Asked Questions: Provider One and Your Health Insurance

What is changing?

The timing of the payroll deductions for your health insurance $25 co-premium payment is changing temporarily, while we continue to work with DSHS to ensure that IPOne makes timely co-premium payments.

Should I be concerned about my health insurance?

No, as long as you continue to work at least 80 hours per month and the $25 co-premium is paid, you will not experience any interruptions with your coverage.

Do I have coverage?

If you have worked at least 80 hours per month and the $25 co-premium is paid, you should have coverage. If you are unsure, please contact the MRC.

Do I need to reapply for my health insurance?

No, you do not need to reapply for health insurance if you are a current Health Benefits Trust member and work at least 80 hours per month.

Do I have to self-pay my co-premium now?

As long as you are eligible for HBT coverage, your co-premium payment will be auto-deducted through your payroll. However, if there are insufficient funds available, you may be required to mail in your self-payment.

When will my co-premiums be auto-deducted?

Your co-premium payment will be auto-deducted during your coverage month, from either your first paycheck or second paycheck, depending on availability of funds.

What happens if I don't have enough money in my paycheck to cover the co-premium?

ProviderOne will attempt to auto-deduct the $25 co-premium from the 1st or 15th paycheck. If ProviderOne is unable to deduct, you will be billed for the $25 co-premium.

I received a bill from HBT, what does this mean?

If you received the billing statement, it is because ProviderOne was unable to auto-deduct the $25 co-premium payment from your paycheck. At this time your coverage has not and will not be interrupted.

What are my options for self-paying the co-premium?

Please mail in a check or money order payable to SEIU 775 Healthcare NW Health Benefits Trust. Please include the coverage month in the memo field and mail to: SEIU 775 Healthcare NW Health Benefits Trust, – P.O. Box 6, Mukilteo, WA 98275.

How long do I have to pay the co-premium?

If you received a billing statement from HBT, your co-premium payment is due by the last day of your coverage month.

Why wasn’t my co-premium taken in April for May coverage?

Due to the transition to ProviderOne, no co-premiums will be taken in April for May coverage. The co-premium for May’s coverage will be collected in May and as long as you meet the eligibility requirements, your coverage will not be affected.

Why is this change necessary?

In order for us to transition our members to IPOne with very minimal impact and adjust our systems and processes to accommodate IPOne, we have to temporarily implement this change, which will only last a few months.


12 comments on “Top 3 Facts About Provider One & Your Health Insurance

  1. rebecca brandt says:

    how are our CE online classes we complete for the required 12 hours for Washington state reported?

  2. Bonnie Dennis says:

    I had completed my CE hrs. In February 2016. To date, I have not seen where my 12 hrs are to be paid?

  3. I AM LOCK OUT OF THIS WEB SIGHT EVERY TIME I CALL THE NUMBER I AM TOLD THEY CAN NOT HELP ME GET UNLOCKED SO I HAVE NOT BEEN ABLE TO GET ON IPONE ONE for 2 months now what do I do.

  4. jeffrey barrio says:

    I have been trying to use the insurance I singed up for and have exhaused my options for getting my cards. please cancel this program for me . I refuse to pay for a service I cannot use .
    As far as your union, I wish to opt out effective May 1 st. I have no representation and am now dealing with a state pay system which is broken and now is denying me pay with no explination. I have been very patient and not pushing for hours worked without pay for two and a half years. I have been paying union dues and have been left with no representation for my issues.
    My only option now is to hire legal representation and sue both the state and your union in a class action suit.

  5. Sara McCaslin says:

    Hi Jeffrey,

    I am so sorry to hear you have had such a frustrating experience with both our insurance program and with DSHS’ new Provider One payroll system.

    The Member Resource Center can help address your insurance and union membership questions at 866-371-3200.

    Please let me know if there is anything else we can do to support your concerns.

    Best,

    Sara McCaslin
    SEIU 775 Benefits Group, Communications Team

  6. Sara McCaslin says:

    Hi Bonnie,

    Thank you so much for your question. The Member Resource Center will be able to best help answer this question for you at 866-371-3200.

    Please let me know if I can help support on any other questions you have!

    Sara McCaslin
    SEIU 775 Benefits Group, Communications Team

  7. Sara McCaslin says:

    Hi Ruth,

    I am so sorry to hear you have had such a frustrating experience with the IPOne call center and website! We’ve been hearing similar reports from other caregivers about long wait times.

    If you would like to call the Member Resource Center at 866-371-3200, they can help document your grievance and escalate your case to DSHS staff for action. Please let us know if run into more barriers that we can help address with you!

    Thank you again for letting us know Ruth,

    Sara McCaslin
    SEIU 775 Benefits Group, Communications Team

  8. I’m not an IP but I depend on my caregivers to provide care so that I can work. My long time, overqualified caregiver is frustrated as am I. We use an agency provider, far more than in the past because of the IP headache. Those of us who have multiple providers, who need some flexibility due to need, schedules, caregiver availability or school schedules and are now required to have weekly hours, (use them or lose them we’re told). We are expected to know at the beginning of the month the exact number of hours to be used- impossible. Our IP received an insurance cancellation for April even though she has the required amount. It’s harder to find caregivers because the more casual and valued individuals who would have been easy to enlist in the past are frightened away by the extensive training. You may have helped caregivers but you have harmed many of us who need the help. This complicated mess and now overtime will assuredly cause many vulnerable harm. The important thing is SEIU gets to fill their coffers.

  9. Terry Craner says:

    I also am having problems with my schooling hrs showing my credits hrs.Then I had to redue my classes on line a second time still not showing my credits ,and then finally was called back with message that they did locate them and I would be notified of my certifcate. That was early feb. And I have not been able to get paid now for 2 in half mths.Haven’t been able to get any help with this and also want to get out of this 775 union obl. I have tried to reach this union and also this ppl paying system. And yes I have been n touch with case mgnr.And to no avail have had no luck with this at getting any one to address this issue. Im about to be evicted ,, no power, phn, have had to borrow money .This has become a very serious hard ship with not getting my checks. This new system has been a very serious hard ship on me my abilitys to pay my responsibility SO I can continue to care for my client.

  10. Shelbie Spiegel says:

    I completed 5 hours of CE on 3/03/16, I have called the case worker 3 times to find out how to claim these hours, I have not been called back by the case worker at all. How, and when will I get credit to claim these hours. It shows in the system that I have completed them. Thank you

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