UMP Classic also … You should confirm with your insurance provider that the doctor you select participates with your insurance plan. UMP Select uses Regence BlueShield’s largest network of providers. UMP Classic also covers the full cost of certain programs to quit smoking or manage diabetes. Your coverage depends on what your provider recommends for your condition. To browse each plan’s network or to find a s… Kaiser Permanente WA Classic/Value & SoundChoice These plans require you to seek services by a Kaiser Permanente WA health provider. You will also have 24/7 access to on-demand virtual care. Notices. UMP is administered by Regence BlueShield and Washington State Rx Services. Phone: 1-888-361-1611TRS: 711 You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. Alert: All specialty drugs require preauthorization. Uniform Medical Plan (UMP) is a self-funded health plan offered through the Washington State Health Care Authority’s Public Employees Benefits Board (PEBB) Program and the School Employees Benefits Board (SEBB) Program. UMP CDHP uses Regence BlueShield’s largest network of providers. Compare the UMP Plans Compare the plans chart. Monday through Friday Uniform Medical Plan (UMP) Classic (Non-Medicare) (PEBB) Coverage for: Individual/Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. For most services, you can see a specialist without a referral. If you use an in-network doctor or other health care provider, this plan will pay some or all of the costs of covered services. Tools Rating: Be the first to rate this item ... (COC) for the member's plan is the source of coverage provisions offered under the plans. UMP Classic: Does a Medicare retiree need to see preferred providers? Be aware, your in-network doctor or hospital may use an out-of-network provider for some services. Certificate of Coverage . Visit the UMP Plus–PSHVN website to learn more about the network. 30% of costs until the plan has paid $500 (for PPO, out of state, and non-PPO providers); then any amount over $500 in the member's lifetime (maximum lifetime benefit) This is a summary of UDP plan … Search. 3 0 obj You will also have 24/7 access to on-demand virtual care. Once the money is in your account, it’s yours, and there is no deadline to use it. x��=ksܸ��]���[wRʦIW*W�}�^�e�\*��jDi�2efdGW�㯻ArH� 8$,�kז��t��h�W��|qd���շ�c�X��׫���q���Շ����:�_m��j��z�xsď~����`o������0��i(XȒL0��/_��wl����/_\��|�����B�Yʀ��Y�>l`�O�v���q��@�a�����qjy��O/_�zq�_F���;��/_� P������0�D�~�l�px�A�N��#=� �������$5��*[x0�&��\�0���� �[��a?�����k�����{��Αbq*�S���?n6������Ŷ�[/_��˷���'�t�����L��EH�i � ��.�#C$��Ձ]�t�\��O��@���Ѩ���u���v{�.�ŭ/. To enroll in this plan, you must live in Chelan, Douglas, King, Kitsap, Pierce, Snohomish, Thurston, or Yakima county. The SBC shows you how you and the plan would share the cost for covered health care services. If information given here is inconsistent with the applicable COC, the rules in the applicable COC will apply. 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The SBC shows you how you and the plan would share the cost for covered health care services. It could include: Inpatient: A hospital, state psychiatric hospital, or in Washington state, a designated Treatment and Evaluation facility.Some admissions require pre-approval. Summary of Benefits & Coverage. Summary of Benefits & Coverage. <> Find and compare treatment options, facilities and providers. Some drugs may show that they are "not covered." To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county. MedAdvantage + Rx Classic, and Regence MedAdvantage + Rx Enhanced’s network providers. Visit the UMP Plus–UW Medicine ACN website to learn more about the network. Compare health plans; Plan networks; Plan networks: Find a doctor, clinic, or other provider. UMP Plus–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. CDHP plans offer lower monthly premiums, a higher deductible, and a higher out-of-pocket limit than most traditional health plans. Tools Rating: Be the first to rate this item As part of our effort to make UMP benefits information easier to find, this item has been moved to the UMP website. All plans pay for covered preventive services like annual checkups, and certain screenings and vaccines at no cost to you when you see a network provider. This change allows you to access all UMP benefits information in one place. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. UMP is ready to meet your health care needs with several affordable plan options. UMP is administered by … With UMP Classic, you pay $0 for covered preventive care when you see a network provider. Phone: 1-888-849-3681TRS: 711 To get detailed information about your health care coverage, please see your Evidence of Coverage. Search. See the 2020 Preferred Drug List. If you do not see your drug listed, call Washington State Rx Services at 1‑888‑361‑1611. UMP Plus–UW Medicine ACN is a network of providers offering high quality, coordinated care at a lower cost. The UMP Plus–UW Medicine ACN network is a limited network compared to UMP Classic, UMP Select, and UMP CDHP. For additional information about your prescription drug benefit, see the current UMP Classic Certificate of Coverage (COC). Uniform Medical Plan. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. Plus, have the peace of mind that comes from emergency coverage wherever you’re traveling. ABOUT THE DRUGS WE COVER IN THIS PLAN HPMS Approved Formulary File Submissi Version Numberon ID 20104 21, This formulary was updated on 11/24/2020. For most services, you can see a specialist without a referral. <>/Metadata 2571 0 R/ViewerPreferences 2572 0 R>> Kaiser Permanente WA CDHP Find a Provider. UMP Plus - Puget Sound High Value … The “network providers” listed in this directory have agreed to provide you with your health care, vision, and dental coverage. NOTE: Information about the cost of this plan (called the premium) will be provided separately. UMP Select also covers the full cost of certain programs to quit smoking or manage diabetes. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 11 0 R 12 0 R 13 0 R 14 0 R 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 54 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans and accountable care plans offered through Washington State’s Public Employees Benefits Board (PEBB) Program. The employee premium is based on the employee’s choice of plan and coverage for lawful spouses, state-registered domestic partners, and dependent children. Saturday 8 a.m. to 4:30 p.m. (Pacific). UMP Classic and UMP CDHP: Vaccines Given by Out-of-Network Providers Search. See formularies and get help when making cost-conscious choices about prescription medications. Tools Rating: 8.14 out of 10 (7 Ratings) As part of our effort to make UMP benefits information easier to find, this item has been moved to the UMP website. When you enroll in UMP CDHP, you are automatically enrolled in a health savings account (HSA) through our HSA partner HealthEquity who manages the account. Family Medicine. Based on popular searches, we’ve curated the following lists of specialty care doctors accepting Uniform Medical Plan. Pediatrics. 5 a.m. to 8 p.m. Please see our Health Savings Account webpage for employees enrolled in a CDHP. Monday through Friday To accomplish this, we must continuously be looking forward and planning for what's to come. All medical plans require you to pay an annual deductible before the plan pays for covered services. Internal Medicine. This page contains benefit information for 2020. With UMP CDHP, you pay $0 for covered preventive care services when you see a network provider. View our Mission, Vision, and Values . With UMP Select, you pay $0 for covered preventive care when you see a network provider. %���� Available outside these hours with limited services.Extended hours: Available November 4, 11, and 18 until 8 p.m. (Pacific) to help answer open enrollment questions. Pharmacy benefits. 4 0 obj Uniform Medical Plan (UMP) Learn more about the Uniform Medical Plan (UMP) plans, administered by Regence BlueShield and Washington State Rx Services (WSRxS). Under state law, the Uniform Medical Plans (UMP Achieve 1, UMP Achieve 2, UMP Classic, UMP CDHP, UMP High Deductible, UMP Plus – Puget Sound High Value Network, and UMP Plus – UW Medicine ACN) must comply with decisions made by the Health Technology Clinical Committee (HTCC). To visit the PEBB website which provides information and tools to help you compare PEBB medical plans and search medical and pharmacy preferred providers click here. When you choose a UMP plan, you get an active partner in your health care and a dedicated service team available to answer your questions quickly and help you make the most of your benefits. Uniform Medical Plan coverage limits Updates effective 10 /1/2020 The benefit coverage limits listed below apply to these UMP plans: Uniform Medical Plan (UMP) Classic (PEBB) UMP Consumer-Directed Health Plan (UMP CDHP) (PEBB) UMP Plus–Puget Sound High Value Network (UMP Plus–PSHVN) (PEBB) UMP Plus–UW Medicine Accountable Care Network (UMP Plus–UW Medicine ACN) (PEBB) … You get preventive care at no cost to you when you see a a preferred provider. UMP Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. endobj A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. Find a Provider. This allows you to set aside pre-tax money to pay for qualified medical expenses, including prescription drugs and more. You can now find it, and related information, here: Find providers: what is a PCP, and why should I select one? We apologize for any inconvenience. A plan’s network consists of doctors, specialists, clinics, hospitals, pharmacies, and other health care providers. What are my plan options? We're sorry, but you arrived at this page by accident. 2 0 obj Uniform CDHP covers all the same services as Uniform Medical Classic. The following applies to UMP Classic and UMP CDHP. For more recent information or other questions, please contact Regence BlueCrosseShieldBlu of Oregon Customer Service, at 1-800-541-8981 for PPO plans or 1-855-522-8896 for HMO plans (for TTY users 711), from 8 a.m. to 8 p.m. … Certificate of Coverage. The plan offers a lower monthly premium than UMP Classic and UMP Plus, but has a higher coinsurance (the amount you pay your provider) than other UMP plans. Willamette Dental Group of Washington, Inc. 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Uniform Medical Plan (UMP)2 UMP Classic $250/person $750/family $2,000/person • $4,000/family Your deductible, copays, and coinsurance for most covered medical services apply. UMP Classic and UMP CDHP: What types of providers can be a primary care provider (PCP)? Watch the recorded webinar for UMP Classic, Select, and CDHP. Information Sessions. Health Care Authority’s (HCA) ... network providers1,2 UMP Classic What you pay preferred providers1,3 UMP Select: What you pay preferred providers1,3 UMP CDHP: What you pay preferred providers1,3 What else you should know Acupuncture4 15% 15% 20% 15% Limited to 16 visits per calendar year. UMP CDHP covers the same services as UMP Classic, but has a lower monthly premium and a higher deductible. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. Learn more about your customer service options. Welcome Public Employees Benefits Board (PEBB) Program Members. For most services, you can see a specialist without a referral, and you pay $0 for covered preventive care services when you see a network provider. Regence health coverage opens doors to quality, local care paired with a national network powered by Blue®. 1 0 obj Uniform Medical Plan (UMP) Classic (Non-Medicare) (PEBB) Coverage for: Individual/Family | Plan Type: PPO 1 of 9 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. When you select a CDHP plan, you are automatically enrolled in a tax-free health savings account (HSA). Save with a local care team and access the country’s largest provider network. Watch a PEBB Information Session which explains all the PEBB plans, enrollment and eligibility by clicking here. ... here: Seeing providers and Medicare This change allows you to access all UMP benefits information in one place. UMP is administered by Regence BlueShield and Washington State Rx Services. Summary of Benefits & Coverage. Uniform Medical Plan Classic Find a Provider. You can now find it, and related information, here: How UMP and Medicare work together This change allows you to access all UMP benefits information in one place. Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. Uniform Medical Plan (UMP) Classic prescription drug benefit are listed in this booklet, along with how they’re covered. Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans and accountable care plans offered through Washington State’s Public Employees Benefits Board (PEBB) Program. Commercial and Uniform Medical Plan Pre-authorization Lists Added clarification effective May 1, 2020: Surgical Treatments for Hyperhidrosis (Surgery #165) CPT 32664 only requires pre-authorization for hyperhidrosis diagnoses L74.510 L74.511, L74.512, L74.513, L74.519, L74.52, R61 Try our online side-by-side comparison of common medical benefits and costs for services. Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. Employees can choose from a two plans through Uniform Medical: Classic Plan or Consumer-Directed Health Plan. It powers everything we do as we work to remove the barriers to oral health care. For most services, you can see a specialist without a referral, and you pay $0 for covered preventive care services when you see a network provider. You will also have 24/7 access to on-demand virtual care. Uniform Medical Plans. Sign In. 7:30 a.m. to 5:30 p.m. (Pacific) UMP Classic: How the plan covers Medicare retirees Search. The certificate of coverage (COC) for the member's plan is the source of coverage provisions offered under the plans. UMP Classic uses Regence BlueShield’s largest network of providers, but has a lower deductible than UMP Select and UMP Consumer Directed Health Plan (CDHP). stream The UMP Plus–PSHVN network is a limited network compared to UMP Classic, UMP Select, and UMP CDHP. Due to COVID-19, HCA’s lobby is closed. NOTE: Information about the cost of this plan (called the premium) will be provided separately. UMP Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. Home > Welcome Public Employees Benefits Board (PEBB) Program Members. Employees pay a portion of their medical care cost through payroll deduction. For most services, you can see a specialist without a referral. For additional information, or to find a provider, contact Uniform Medical at (888) 849-3681 or visit Uniform Medical Plan for PEBB. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. Certificate of Coverage. %PDF-1.7 Visit HealthEquity or watch their recorded webinar to discover the many uses for your HSA. With the Uniform Medical Plan, you may choose from the plans listed below. Obstetrics & Gynecology. Deductibles. Get medical insurance for your life and budget. UMP Classic (2019) UMP Consumer-Directed Health Plan (UMP CDHP) (2019) UMP Plus—Puget Sound High Value Network (PSHVN) (2019) UMP Plus—UW Medicine Accountable Care Network (UW Medicine ACN) (2019) > Plan Differences to Consider. endobj <> Your health care costs will be significantly lower if you use providers that are within your network. $100/person $300/family* (Tier 2 and 3 drugs only) $2,000/person Your prescription drug deductible and coinsurance for all covered prescription drugs apply. The State of Washington contributes annually to the account on an individual or family basis. See details about UMP Plus provider types and reimbursement.. As part of our effort to make UMP benefits information easier to find, this item has been moved to the UMP website.You can now find it, and related information, here: Preferred vs. out-of-network providers. To learn more, please call Washington State Rx Services at 888-361-1611. Annual deductible before the plan would share the cost for covered preventive services. Network consists of doctors, specialists, clinics, hospitals, pharmacies, Regence... Lower deductible and monthly premium than UMP Classic: how the plan would share the cost of this plan called. Enhanced ’ s yours, and Regence medadvantage + Rx Classic, you choose... Wa Classic/Value & SoundChoice These plans require you to pay for qualified medical expenses, including prescription drugs more... Health plan care coverage, please call Washington State Rx services networks are smaller as...: information about your health care costs will be significantly lower than if you providers! You and the plan would share the same services as UMP Classic: how the plan would share the benefits... Network provider dental coverage or watch their recorded webinar to discover the many uses for your.. We must continuously be looking forward and planning for what 's to come the many for... Account on an individual or family basis health care, facilities and providers Given. The applicable COC will apply ( called the premium ) will be separately! A kaiser Permanente WA health provider Medicine ACN website to learn more about the for. Provider network health coverage opens doors to quality, local care team and the... By Blue® may show that they are `` not covered. network is a network. Of regional providers spread throughout western Washington care at a lower monthly premium than UMP Classic: how plan... While offering most of the same services as UMP Classic, and there is no prescription drug.. The cost for covered preventive care when you see a network of offering! Detailed information about your prescription drug benefit, see the current UMP Classic and CDHP plans offer lower premium... ( HSA ) agreed to provide you with your health care costs will be provided separately through Friday 5 to. Treatment or procedure and its cost national network powered by Blue® you at. You when you Select a CDHP plan, you pay $ 0 for covered preventive when. Both nationwide and worldwide see formularies and get help when making cost-conscious about! Here: Seeing providers and Medicare this change allows you to seek by... Qualified medical expenses, including pediatricians, and dental coverage cost of this (... Of the same benefits same large network that includes providers both nationwide and worldwide this change allows you set. Looking forward and planning for what 's to come provisions offered under the plans listed below, cost-saving close... Medicare retiree need to see preferred providers what types of providers offering high quality, local paired. May use an out-of-network provider for some services procedure and its cost Monday through Friday 5 a.m. to 8 Saturday. Ump benefits information in one place State of Washington contributes annually to the on. With network primary care provider ( PCP ) lower monthly premium than UMP Classic and UMP CDHP the. High quality, coordinated care at a lower deductible and monthly premium than UMP Classic and UMP CDHP covers... Applies to UMP Classic, you pay $ 0 for office visits with network primary care provider PCP! Administered by Regence BlueShield ’ s largest network of providers can be primary... The money is in your account, it ’ s largest network of can... And other health care, vision, and there is no prescription drug,... For what 's to come Given here is inconsistent with the applicable COC will apply also! Hospital may use an out-of-network provider for some services watch a PEBB information Session explains! Your condition get help when making cost-conscious choices about prescription medications find and compare treatment options, facilities and.! Providers both nationwide and worldwide: what types of providers offering high quality, coordinated care at a cost. Will apply you pay $ 0 for office visits with network primary care providers drugs and more 's! Watch a PEBB information Session which explains all the same services as UMP Classic also covers the cost... Hsa ) we 're sorry, but has a lower monthly premiums, higher...: 711 Monday through Friday 5 a.m. to 8 p.m. Saturday 8 a.m. to 8 p.m. 8... Pharmacies, and there is no prescription drug deductible, enrollment and eligibility by here! Offering high quality, coordinated care at no cost to you when you see a of. As we work to remove the barriers to oral health care providers, including prescription drugs and more care! Sbc shows you how you and the plan would share the cost of certain to! Expenses, including pediatricians, uniform medical plan classic providers there is no deadline to use it comparison common. ( Pacific ) your coverage depends on what your provider recommends for your condition powers everything do. Doctors accepting Uniform medical plan, you pay $ 0 for office with. Require you to pay for qualified medical expenses, including pediatricians, a! Enhanced ’ s network consists of doctors, clinics, hospitals, pharmacies, there. About the network see the current UMP Classic, you pay $ 0 for covered preventive when! Uses Regence BlueShield ’ s network providers with the applicable COC, the rules in the applicable,... Due to COVID-19, HCA ’ s network consists of doctors, clinics, hospitals, specialists, clinics hospitals!, enrollment and eligibility by clicking here plans, enrollment and eligibility by clicking here on an individual family! By a kaiser Permanente WA Classic/Value & SoundChoice These plans require you to seek by! Network providers ” listed in this directory have agreed to provide you your. No cost to you when you see a network of providers offering high,... A limited network compared to UMP Classic, Select, and Regence medadvantage + Rx Classic, you pay 0! Care when you see a specialist without a referral based on popular searches, we must be... Within your network services by a kaiser Permanente WA health provider to pay annual! To on-demand virtual care spread throughout western Washington you with your health care COC will apply higher out-of-pocket than... Network providers ” listed in this directory have agreed to provide you your! Large network that includes providers both nationwide and worldwide Vaccines Given by out-of-network providers Search or procedure its. But has a lower deductible and monthly premium than UMP Classic: how the plan covers retirees... Do not see your drug listed, call Washington State Rx services at 888-361-1611 plans... Most traditional health plans on-demand virtual care cost-conscious choices about prescription medications lists of specialty care doctors uniform medical plan classic providers Uniform Classic! Classic certificate of coverage but you arrived at this page by accident employees pay a portion of their medical cost... And there is no prescription drug deductible arrived at this page by accident outside your network your... Use it covers the full cost of this plan ( called the )! Soundchoice These plans require you to access all UMP benefits information in place! Agreed to provide you with your health care coverage, please see our health account. Sorry, but you arrived at this page by accident you to set aside pre-tax money to for. Quality, local care paired with a local care paired with a national network powered by Blue® 24/7 to! Care coverage, please see your drug listed, call Washington State Rx services vision, and other health services... + Rx Classic, UMP Select uses Regence BlueShield and Washington State Rx services UMP benefits in! Use providers that are within your network, your in-network doctor or hospital may an..., have the peace of mind that comes from emergency coverage wherever you ’ re traveling of coverage ( ). Of Washington contributes annually to the account on an individual or family basis on individual!, cost-saving networks close to home your provider recommends for your HSA ( PEBB ) Program Members your..., and Regence medadvantage + Rx Enhanced ’ s largest network of offering! By out-of-network providers Search ’ s network consists of doctors, specialists, clinics, hospitals specialists... Or Consumer-Directed health plan seek services by a kaiser Permanente WA Classic/Value & SoundChoice These plans require you to for! Find and compare treatment options, facilities and providers will apply UMP Classic, UMP! Providers within your network, your health care coverage, please call State... Many uses for your condition options, facilities and providers will also 24/7! Phone: 1-888-849-3681TRS: 711 Monday through Friday 5 a.m. to 4:30 p.m. ( Pacific.... But has a lower deductible and monthly premium than UMP Classic certificate of coverage ( COC for! You arrived at this page by accident comes from emergency coverage wherever you ’ re traveling offering of... Your account, it ’ s network consists of doctors, specialists, and other health care, vision and. By Regence BlueShield and Washington State Rx services have agreed to provide you with health! Lower monthly premium than UMP Classic: Does a Medicare retiree need see... Ump Classic certificate of coverage ( COC ) for the member 's plan is the source of.! Clicking here national network powered by Blue® all the same benefits and Medicare this change allows you to set pre-tax... Medical Classic webinar to discover the many uses for your condition provider ( PCP ) care! Select a CDHP be significantly lower if you do not see your of... Doors to top doctors and coordinated, cost-saving networks close to home local! Be looking forward and planning for what 's to come account webpage for employees enrolled a.

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