The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. Sign In. Uniform CDHP covers all the same services as Uniform Medical Classic. Compare health plans; Plan networks; Plan networks: Find a doctor, clinic, or other provider. 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 (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. 2 0 obj UMP Plus - Puget Sound High Value … 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. You will also have 24/7 access to on-demand virtual care. For most services, you can see a specialist without a referral. It powers everything we do as we work to remove the barriers to oral health care. See formularies and get help when making cost-conscious choices about prescription medications. Pediatrics. To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county. Willamette Dental Group of Washington, Inc. 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You will also have 24/7 access to on-demand virtual care. Welcome Public Employees Benefits Board (PEBB) Program Members. Watch a PEBB Information Session which explains all the PEBB plans, enrollment and eligibility by clicking here. Based on popular searches, we’ve curated the following lists of specialty care doctors accepting Uniform Medical Plan. %PDF-1.7 Compare the UMP Plans Compare the plans chart. Phone: 1-888-849-3681TRS: 711 Alert: All specialty drugs require preauthorization. Uniform Medical Plan Classic Find a Provider. UMP is administered by … <> This change allows you to access all UMP benefits information in one place. 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) Learn more about the Uniform Medical Plan (UMP) plans, administered by Regence BlueShield and Washington State Rx Services (WSRxS). UMP Select also covers the full cost of certain programs to quit smoking or manage diabetes. For additional information, or to find a provider, contact Uniform Medical at (888) 849-3681 or visit Uniform Medical Plan for PEBB. 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. Search. 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 Classic and UMP CDHP: What types of providers can be a primary care provider (PCP)? Visit the UMP Plus–PSHVN website to learn more about the network. It could include: Inpatient: A hospital, state psychiatric hospital, or in Washington state, a designated Treatment and Evaluation facility.Some admissions require pre-approval. Employees can choose from a two plans through Uniform Medical: Classic Plan or Consumer-Directed Health Plan. When you select a CDHP plan, you are automatically enrolled in a tax-free health savings account (HSA). 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. endobj 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 Please see our Health Savings Account webpage for employees enrolled in a CDHP. You can now find it, and related information, here: Find providers: what is a PCP, and why should I select one? <>/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>> The following applies to UMP Classic and UMP CDHP. NOTE: Information about the cost of this plan (called the premium) will be provided separately. UMP Classic: Does a Medicare retiree need to see preferred providers? 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. The certificate of coverage (COC) for the member's plan is the source of coverage provisions offered under the plans. 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. This allows you to set aside pre-tax money to pay for qualified medical expenses, including prescription drugs and more. Deductibles. For most services, you can see a specialist without a referral. UMP Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. 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. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. 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). By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. 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. UMP Plus–UW Medicine ACN is a network of providers offering high quality, coordinated care at a lower cost. Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. The employee premium is based on the employee’s choice of plan and coverage for lawful spouses, state-registered domestic partners, and dependent children. The UMP Plus–UW Medicine ACN network is a limited network compared to UMP Classic, UMP Select, 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. … The State of Washington contributes annually to the account on an individual or family basis. Your health care costs will be significantly lower if you use providers that are within your network. For most services, you can see a specialist without a referral. Home > Welcome Public Employees Benefits Board (PEBB) Program Members. Save with a local care team and access the country’s largest provider network. We apologize for any inconvenience. UMP is ready to meet your health care needs with several affordable plan options. Uniform Medical Plan (UMP) Classic prescription drug benefit are listed in this booklet, along with how they’re covered. UMP Plus–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. The UMP Plus–PSHVN network is a limited network compared to UMP Classic, UMP Select, and UMP CDHP. 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) … With UMP CDHP, you pay $0 for covered preventive care services when you see a network provider. Notices. $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. 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. 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). UMP Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. 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. With UMP Classic, you pay $0 for covered preventive care when you see a network provider. Uniform Medical Plans. Your coverage depends on what your provider recommends for your condition. Learn more about your customer service options. A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. Search. 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. Pharmacy benefits. All medical plans require you to pay an annual deductible before the plan pays for covered 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. Search. You get preventive care at no cost to you when you see a a preferred provider. 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. Kaiser Permanente WA CDHP Find a Provider. If you do not see your drug listed, call Washington State Rx Services at 1‑888‑361‑1611. Obstetrics & Gynecology. Summary of Benefits & Coverage. Visit the UMP Plus–UW Medicine ACN website to learn more about the network. Summary of Benefits & Coverage. To learn more, please call Washington State Rx Services at 888-361-1611. UMP CDHP covers the same services as UMP Classic, but has a lower monthly premium and a higher deductible. To accomplish this, we must continuously be looking forward and planning for what's to come. Be aware, your in-network doctor or hospital may use an out-of-network provider for some services. Employees pay a portion of their medical care cost through payroll deduction. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. Certificate of Coverage. You should confirm with your insurance provider that the doctor you select participates with your insurance plan. UMP Classic and UMP CDHP: Vaccines Given by Out-of-Network Providers Search. 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 a Provider. endobj Uniform Medical Plan. View our Mission, Vision, and Values . With the Uniform Medical Plan, you may choose from the plans listed below. <> With UMP Select, you pay $0 for covered preventive care when you see a network provider. 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 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. 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. Monday through Friday Family Medicine. Internal Medicine. Watch the recorded webinar for UMP Classic, Select, and CDHP. 30% of costs until the plan has paid $500 (for PPO, out of state, and non-PPO providers); then any amount over $500 in the member's lifetime (maximum lifetime benefit) This is a summary of UDP plan … Get medical insurance for your life and budget. x��=ksܸ��]���[wRʦIW*W�}�^�e�\*��jDi�2efdGW�㯻ArH� 8$,�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/. See the 2020 Preferred Drug List. Regence health coverage opens doors to quality, local care paired with a national network powered by Blue®. Saturday 8 a.m. to 4:30 p.m. (Pacific). You will also have 24/7 access to on-demand virtual care. Summary of Benefits & Coverage. Phone: 1-888-361-1611TRS: 711 Try our online side-by-side comparison of common medical benefits and costs for services. UMP is administered by Regence BlueShield and Washington State Rx Services. To enroll in this plan, you must live in Chelan, Douglas, King, Kitsap, Pierce, Snohomish, Thurston, or Yakima county. 1 0 obj Certificate of Coverage . Some drugs may show that they are "not covered." endobj MedAdvantage + Rx Classic, and Regence MedAdvantage + Rx Enhanced’s network providers. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Visit HealthEquity or watch their recorded webinar to discover the many uses for your HSA. UMP Classic: How the plan covers Medicare retirees Search. Find and compare treatment options, facilities and providers. UMP Select uses Regence BlueShield’s largest network of providers.