Learn more about your customer service options. Visit HealthEquity or watch their recorded webinar to discover the many uses for your HSA. The SBC shows you how you and the plan would share the cost for covered health care services. <>/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>> Phone: 1-888-849-3681TRS: 711 To accomplish this, we must continuously be looking forward and planning for what's to come. 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) … It powers everything we do as we work to remove the barriers to oral health care. Monday through Friday Saturday 8 a.m. to 4:30 p.m. (Pacific). This change allows you to access all UMP benefits information in one place. Certificate of Coverage. 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. … To enroll in this plan, you must live in Chelan, Douglas, King, Kitsap, Pierce, Snohomish, Thurston, or Yakima county. PEBB Continuation Coverage:Submit your form, Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. Save with a local care team and access the country’s largest provider network. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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. Some drugs may show that they are "not covered." When you select a CDHP plan, you are automatically enrolled in a tax-free health savings account (HSA). Sign In. With UMP Classic, you pay $0 for covered preventive care when you see a network provider. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. x��=ksܸ��]���[wRʦIW*W�}�^�e�\*��jDi�2efdGW�㯻ArH� 8$,�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/. endobj 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. A plan’s network consists of doctors, specialists, clinics, hospitals, pharmacies, and other health care providers. $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. You will also have 24/7 access to on-demand virtual care. We're sorry, but you arrived at this page by accident. Summary of Benefits & Coverage. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. Certificate of Coverage. 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 … 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. 1 0 obj NOTE: Information about the cost of this plan (called the premium) will be provided separately. Summary of Benefits & Coverage. Internal Medicine. If information given here is inconsistent with the applicable COC, the rules in the applicable COC will apply. Get medical insurance for your life and budget. endobj stream All medical plans require you to pay an annual deductible before the plan pays for covered services. Kaiser Permanente WA CDHP Find a Provider. For most services, you can see a specialist without a referral. Obstetrics & Gynecology. Kaiser Permanente WA Classic/Value & SoundChoice These plans require you to seek services by a Kaiser Permanente WA health provider. To get detailed information about your health care coverage, please see your Evidence of Coverage. Visit the UMP Plus–PSHVN website to learn more about the network. UMP Select also covers the full cost of certain programs to quit smoking or manage diabetes. 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). Notices. Compare health plans; Plan networks; Plan networks: Find a doctor, clinic, or other provider. Please see our Health Savings Account webpage for employees enrolled in a CDHP. UMP Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. Pediatrics. UMP Classic and UMP CDHP: What types of providers can be a primary care provider (PCP)? 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. 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. Search. Home > Welcome Public Employees Benefits Board (PEBB) Program Members. 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. UMP CDHP covers the same services as UMP Classic, but has a lower monthly premium and a higher deductible. With the Uniform Medical Plan, you may choose from the plans listed below. Phone: 1-888-361-1611TRS: 711 UMP Classic: How the plan covers Medicare retirees Search. This page contains benefit information for 2020. Your health care costs will be significantly lower if you use providers that are within your network. Your coverage depends on what your provider recommends for your condition. Employees pay a portion of their medical care cost through payroll deduction. Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. The employee premium is based on the employee’s choice of plan and coverage for lawful spouses, state-registered domestic partners, and dependent children. Watch the recorded webinar for UMP Classic, Select, and CDHP. 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 Monday through Friday The following applies to UMP Classic and UMP CDHP. Deductibles. Summary of Benefits & Coverage. UMP is administered by Regence BlueShield and Washington State Rx Services. The SBC shows you how you and the plan would share the cost for covered health care services. 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. To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. 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. 7:30 a.m. to 5:30 p.m. (Pacific) The State of Washington contributes annually to the account on an individual or family basis. Search. See the 2020 Preferred Drug List. MedAdvantage + Rx Classic, and Regence MedAdvantage + Rx Enhanced’s network providers. 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. 3 0 obj Compare the UMP Plans Compare the plans chart. %PDF-1.7 UMP Classic also covers the full cost of certain programs to quit smoking or manage diabetes. The UMP Plus–UW Medicine ACN network is a limited network compared to UMP Classic, UMP Select, and UMP CDHP. CDHP plans offer lower monthly premiums, a higher deductible, and a higher out-of-pocket limit than most traditional health plans. ... here: Seeing providers and Medicare This change allows you to access all UMP benefits information in one place. You will also have 24/7 access to on-demand virtual care. You should confirm with your insurance provider that the doctor you select participates with your insurance plan. 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 (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. Visit the UMP Plus–UW Medicine ACN website to learn more about the network. 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. Find and compare treatment options, facilities and providers. <>/Metadata 2571 0 R/ViewerPreferences 2572 0 R>> 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. Certificate of Coverage . <> You get preventive care at no cost to you when you see a a preferred provider. UMP Select uses Regence BlueShield’s largest network of providers. Welcome Public Employees Benefits Board (PEBB) Program Members. This allows you to set aside pre-tax money to pay for qualified medical expenses, including prescription drugs and more. Family Medicine. Information Sessions. Based on popular searches, we’ve curated the following lists of specialty care doctors accepting Uniform Medical Plan. It could include: Inpatient: A hospital, state psychiatric hospital, or in Washington state, a designated Treatment and Evaluation facility.Some admissions require pre-approval. 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. UMP Classic: Does a Medicare retiree need to see preferred providers? You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. For additional information, or to find a provider, contact Uniform Medical at (888) 849-3681 or visit Uniform Medical Plan for PEBB. The certificate of coverage (COC) for the member's plan is the source of coverage provisions offered under the plans. View our Mission, Vision, and Values . Once the money is in your account, it’s yours, and there is no deadline to use it. 2 0 obj For most services, you can see a specialist without a referral. UMP Plus - Puget Sound High Value … If you do not see your drug listed, call Washington State Rx Services at 1‑888‑361‑1611. Uniform CDHP covers all the same services as Uniform Medical Classic. 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. With UMP Select, you pay $0 for covered preventive care when you see a network provider. A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. The UMP Plus–PSHVN network is a limited network compared to UMP Classic, UMP Select, and UMP CDHP. Plus, have the peace of mind that comes from emergency coverage wherever you’re traveling. endobj To learn more, please call Washington State Rx Services at 888-361-1611. 4 0 obj 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. For most services, you can see a specialist without a referral. Be aware, your in-network doctor or hospital may use an out-of-network provider for some services. 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). 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. Uniform Medical Plan. UMP is administered by Regence BlueShield and Washington State Rx Services. UMP Classic and UMP CDHP: Vaccines Given by Out-of-Network Providers Search. UMP Classic also … 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. Due to COVID-19, HCA’s lobby is closed. UMP is ready to meet your health care needs with several affordable plan options. See formularies and get help when making cost-conscious choices about prescription medications. Uniform Medical Plan (UMP) Learn more about the Uniform Medical Plan (UMP) plans, administered by Regence BlueShield and Washington State Rx Services (WSRxS). UMP CDHP uses Regence BlueShield’s largest network of providers. You can now find it, and related information, here: Find providers: what is a PCP, and why should I select one? 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. 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. What are my plan options? Uniform Medical Plan (UMP) Classic prescription drug benefit are listed in this booklet, along with how they’re covered. Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. UMP Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. %���� The “network providers” listed in this directory have agreed to provide you with your health care, vision, and dental coverage. UMP is administered by … Search. Employees can choose from a two plans through Uniform Medical: Classic Plan or Consumer-Directed Health Plan. Try our online side-by-side comparison of common medical benefits and costs for services. You will also have 24/7 access to on-demand virtual care. Watch a PEBB Information Session which explains all the PEBB plans, enrollment and eligibility by clicking here. <> We apologize for any inconvenience. Alert: All specialty drugs require preauthorization. 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. To browse each plan’s network or to find a s… You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. UMP Plus–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. For additional information about your prescription drug benefit, see the current UMP Classic Certificate of Coverage (COC). 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