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