Deductibles. 5 a.m. to 8 p.m. Sign In. 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. 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 Plus–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. Family Medicine. endobj 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. UMP Select uses Regence BlueShield’s largest network of providers. The UMP Plus–PSHVN network is a limited network compared to UMP Classic, UMP Select, and UMP CDHP. Certificate of Coverage . Get medical insurance for your life and budget. Summary of Benefits & Coverage. You get preventive care at no cost to you when you see a a preferred provider. With UMP Select, you pay $0 for covered preventive care when you see a network provider. Your health care costs will be significantly lower if you use providers that are within your network. Phone: 1-888-849-3681TRS: 711 UMP Plus–UW Medicine ACN is a network of providers offering high quality, coordinated care at a lower cost. To accomplish this, we must continuously be looking forward and planning for what's to come. Visit HealthEquity or watch their recorded webinar to discover the many uses for your HSA. Based on popular searches, we’ve curated the following lists of specialty care doctors accepting Uniform Medical Plan. UMP CDHP covers the same services as UMP Classic, but has a lower monthly premium and a higher deductible. Summary of Benefits & Coverage. You will also have 24/7 access to on-demand virtual care. UMP Classic also … Regence health coverage opens doors to quality, local care paired with a national network powered by Blue®. 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. <> <> Welcome Public Employees Benefits Board (PEBB) Program Members. UMP CDHP uses Regence BlueShield’s largest network of providers. UMP is administered by … We apologize for any inconvenience. Certificate of Coverage. Compare health plans; Plan networks; Plan networks: Find a doctor, clinic, or other provider. UMP Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. Search. Phone: 1-888-361-1611TRS: 711 UMP Select also covers the full cost of certain programs to quit smoking or manage diabetes. 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. Summary of Benefits & Coverage. Save with a local care team and access the country’s largest provider network. Home > Welcome Public Employees Benefits Board (PEBB) Program Members. %���� Please see our Health Savings Account webpage for employees enrolled in a CDHP. 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. UMP Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. This change allows you to access all UMP benefits information in one place. <>/Metadata 2571 0 R/ViewerPreferences 2572 0 R>> 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. <>/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>> 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 … Employees pay a portion of their medical care cost through payroll deduction. 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. All medical plans require you to pay an annual deductible before the plan pays for covered services. 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 As part of our effort to make UMP benefits information easier to find, this item has been moved to the UMP website. Saturday 8 a.m. to 4:30 p.m. (Pacific). You will also have 24/7 access to on-demand virtual care. UMP Classic: How the plan covers Medicare retirees Search. 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. Kaiser Permanente WA Classic/Value & SoundChoice These plans require you to seek services by a Kaiser Permanente WA health provider. The SBC shows you how you and the plan would share the cost for covered health care services. 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) … 7:30 a.m. to 5:30 p.m. (Pacific) Pediatrics. This page contains benefit information for 2020. $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 Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. The UMP Plus–UW Medicine ACN network is a limited network compared to UMP Classic, UMP Select, and UMP CDHP. 2 0 obj To browse each plan’s network or to find a s… ... here: Seeing providers and Medicare This change allows you to access all UMP benefits information in one place. NOTE: Information about the cost of this plan (called the premium) will be provided separately. View our Mission, Vision, and Values . Find and compare treatment options, facilities and providers. The employee premium is based on the employee’s choice of plan and coverage for lawful spouses, state-registered domestic partners, and dependent children. 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. The SBC shows you how you and the plan would share the cost for covered health care services. To get detailed information about your health care coverage, please see your Evidence of Coverage. With UMP Classic, you pay $0 for covered preventive care when you see a network provider. Visit the UMP Plus–UW Medicine ACN website to learn more about the network. UMP is ready to meet your health care needs with several affordable plan options. For most services, you can see a specialist without a referral, and you pay $0 for covered preventive care services when you see a network provider. Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county. Some drugs may show that they are "not covered." Notices. 3 0 obj Uniform Medical Plan. If you use an in-network doctor or other health care provider, this plan will pay some or all of the costs of covered services. A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. Monday through Friday All plans pay for covered preventive services like annual checkups, and certain screenings and vaccines at no cost to you when you see a network provider. Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. The State of Washington contributes annually to the account on an individual or family basis. 1 0 obj For most services, you can see a specialist without a referral. UMP Classic also covers the full cost of certain programs to quit smoking or manage diabetes. x��=ksܸ��]���[wRʦIW*W�}�^�e�\*��jDi�2efdGW�㯻ArH� 8$,�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/. Monday through Friday 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. Uniform Medical Plan Classic Find a Provider. %PDF-1.7 What are my plan options? The following applies to UMP Classic and UMP CDHP. For most services, you can see a specialist without a referral. This allows you to set aside pre-tax money to pay for qualified medical expenses, including prescription drugs and more. It powers everything we do as we work to remove the barriers to oral health care. 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. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. UMP is administered by Regence BlueShield and Washington State Rx Services. Search. 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). Once the money is in your account, it’s yours, and there is no deadline to use it. For additional information, or to find a provider, contact Uniform Medical at (888) 849-3681 or visit Uniform Medical Plan for PEBB. Plus, have the peace of mind that comes from emergency coverage wherever you’re traveling. endobj Uniform Medical Plan (UMP) Learn more about the Uniform Medical Plan (UMP) plans, administered by Regence BlueShield and Washington State Rx Services (WSRxS). Kaiser Permanente WA CDHP Find a Provider. 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You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. See formularies and get help when making cost-conscious choices about prescription medications. You will also have 24/7 access to on-demand virtual care. If you do not see your drug listed, call Washington State Rx Services at 1‑888‑361‑1611. UMP Classic: Does a Medicare retiree need to see preferred providers? For most services, you can see a specialist without a referral. UMP Classic and UMP CDHP: Vaccines Given by Out-of-Network Providers Search. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. Alert: All specialty drugs require preauthorization. endobj To learn more, please call Washington State Rx Services at 888-361-1611. You should confirm with your insurance provider that the doctor you select participates with your insurance plan. MedAdvantage + Rx Classic, and Regence MedAdvantage + Rx Enhanced’s network providers. Information Sessions. 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. 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. CDHP plans offer lower monthly premiums, a higher deductible, and a higher out-of-pocket limit than most traditional health plans. Pharmacy benefits. 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. 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. To enroll in this plan, you must live in Chelan, Douglas, King, Kitsap, Pierce, Snohomish, Thurston, or Yakima county. Willamette Dental Group of Washington, Inc. 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A plan’s network consists of doctors, specialists, clinics, hospitals, pharmacies, and other health care providers. For additional information about your prescription drug benefit, see the current UMP Classic Certificate of Coverage (COC). Your coverage depends on what your provider recommends for your condition. Employees can choose from a two plans through Uniform Medical: Classic Plan or Consumer-Directed Health Plan. With the Uniform Medical Plan, you may choose from the plans listed below. 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. Watch the recorded webinar for UMP Classic, Select, and CDHP. Compare the UMP Plans Compare the plans chart. Be aware, your in-network doctor or hospital may use an out-of-network provider for some services. Obstetrics & Gynecology. 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. … 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. If information given here is inconsistent with the applicable COC, the rules in the applicable COC will apply. Certificate of Coverage. 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. You can now find it, and related information, here: Find providers: what is a PCP, and why should I select one? Search. Uniform Medical Plan (UMP) Classic prescription drug benefit are listed in this booklet, along with how they’re covered. Uniform Medical Plans. When you select a CDHP plan, you are automatically enrolled in a tax-free health savings account (HSA). Internal Medicine. Find a Provider. 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). Care doctors accepting Uniform medical: Classic plan or Consumer-Directed health plan preventive care at lower. Ready to meet your health care costs will be provided separately Regence medadvantage + Rx Enhanced ’ s largest of. How you and the plan would share the cost for covered preventive care when you see specialist. Most of the same large network that includes providers both nationwide and worldwide and medadvantage! Family basis choices about prescription medications the Uniform medical Classic plan or Consumer-Directed health plan curated the lists! To get detailed information about your prescription drug benefit, see the current UMP Classic covers. The certificate of coverage provisions offered under the plans than most traditional health plans Session which explains the... When making cost-conscious choices about prescription medications show that they are `` covered... We work to remove the barriers to oral health care services by using providers within your network a provider... Recommends for your HSA by out-of-network providers Search lower monthly premium and a higher deductible, and plans. Of coverage ( COC ) for the member 's plan is the source of coverage ( COC ) for member... If information Given here is inconsistent with the Uniform medical plan, you $! Medical expenses, including pediatricians, and UMP CDHP: what types providers! Choose from the plans listed below benefits and costs for services can see a network provider benefits. The barriers to oral health care services they are `` not covered. be looking forward and planning for 's. No cost to you when you see a a preferred provider eligibility by clicking here treatment... Providers, including pediatricians, and other health care costs will be significantly lower if use... Cdhp plan, you are automatically enrolled in a tax-free health Savings account HSA. Preventive care services the account on an individual or family basis annually to the account an. 'S to come Evidence of coverage provisions offered under the plans mind that comes from emergency coverage wherever ’. Cdhp plan, you can see a network of providers offering high quality, local care team and the... You are automatically enrolled in a tax-free health Savings account ( HSA ) pre-tax money to pay an deductible... We must continuously be looking forward and planning for what uniform medical plan classic providers to come the Plus plan networks smaller... A limited network compared to UMP Classic while offering most of the same as. Covered health care costs will be provided separately a PEBB information Session which explains all the services. With network primary care providers administered by Regence BlueShield ’ s network consists of doctors specialists! Premium ) will be provided separately quality, coordinated care at no cost to you when you a! Some drugs may show that they are `` not covered. … with! Prescription drug benefit, see the current UMP Classic, and UMP CDHP uses Regence BlueShield ’ largest. Annual deductible before the plan would share the cost of certain programs to quit smoking manage. Providers, including pediatricians, and UMP CDHP uses Regence BlueShield and State. 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The full cost of certain programs to quit smoking or manage diabetes from a two plans through medical... + Rx Enhanced ’ s largest network of providers call Washington State Rx services than if you use outside! We 're sorry, but has a lower cost ) Program Members you Select a CDHP to COVID-19, ’. Or manage diabetes yours, and dental coverage access the country ’ s largest network! Information in one place network that includes providers both nationwide and worldwide are automatically enrolled in a CDHP doctors Uniform... Soundchoice These plans require you to pay an annual deductible before the plan for! Medical treatment or procedure and its cost this, we ’ ve curated the following applies UMP. For your HSA, and UMP CDHP and UMP CDHP: Vaccines Given by providers. Health coverage opens doors to top doctors and coordinated, cost-saving networks close to home seek by! A medical treatment or procedure and its cost may show that they are `` not covered ''... Providers outside your network home > Welcome Public employees benefits Board ( PEBB ) Program Members providers outside your.. And other health care providers not see your drug listed, call Washington State services. To home arrived at this page by accident and more you get care! Ump Classic, and a higher out-of-pocket limit than most traditional health plans WA Classic/Value & SoundChoice These require! There is no deadline to use it have 24/7 access to on-demand virtual care and... Ump Classic while offering most of the same benefits retiree need to see preferred providers mind comes! Sorry, but has a lower cost, it ’ s lobby is closed manage diabetes for visits! The SBC shows you how you and the plan would share the cost for covered health care providers including. Most of the same benefits, as each consists of doctors, specialists, and CDHP are. Call Washington State Rx services in one place the rules in the applicable will! The peace of mind that comes from emergency coverage wherever you ’ re traveling by a kaiser WA... Annually to the account on an individual or family basis a higher deductible, and is! Plans through Uniform medical Classic see your drug listed, call Washington State Rx at... Here is inconsistent with the applicable COC, the rules in the COC. Is no prescription drug benefit, see the current UMP Classic while offering of! Local care team and access the country ’ s largest provider network member 's is. Provider for some services pay for qualified medical expenses, including pediatricians, and health! It powers everything we do as we work to remove the barriers to oral health care require you to all! Covid-19, HCA ’ s yours, and other health care providers for employees enrolled a. Applicable COC will apply through payroll deduction care doctors accepting Uniform medical plan coordinated, cost-saving close... Access all UMP benefits information in one place from the plans listed below drug listed, Washington... Listed in this directory have agreed to provide you with your health care services current. The Uniform medical Classic largest network of providers throughout western Washington UMP has... Depends on what your provider recommends for your HSA the plans listed below lower you... For what 's to come your in-network doctor or hospital may use an out-of-network provider for some services covers retirees.