To get detailed information about your health care coverage, please see your Evidence of Coverage. UMP Plus–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. Search. See the 2020 Preferred Drug List. Monday through Friday Monday through Friday This change allows you to access all UMP benefits information in one place. 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. ... here: Seeing providers and Medicare This change allows you to access all UMP benefits information in one place. CDHP plans offer lower monthly premiums, a higher deductible, and a higher out-of-pocket limit than most traditional health plans. Certificate of Coverage . We're sorry, but you arrived at this page by accident. 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. 2 0 obj endobj For additional information, or to find a provider, contact Uniform Medical at (888) 849-3681 or visit Uniform Medical Plan for PEBB. To browse each plan’s network or to find a s… 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. 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. Find a Provider. UMP Classic also covers the full cost of certain programs to quit smoking or manage diabetes. Visit HealthEquity or watch their recorded webinar to discover the many uses for your HSA. 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. 1 0 obj UMP is administered by … %���� 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. To accomplish this, we must continuously be looking forward and planning for what's to come. Internal Medicine. With UMP CDHP, you pay $0 for covered preventive care services when you see a network provider. Phone: 1-888-849-3681TRS: 711 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. 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 Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. Kaiser Permanente WA Classic/Value & SoundChoice These plans require you to seek services by a Kaiser Permanente WA health provider. To learn more, please call Washington State Rx Services at 888-361-1611. When you select a CDHP plan, you are automatically enrolled in a tax-free health savings account (HSA). The UMP Plus–PSHVN network is a limited network compared to UMP Classic, UMP Select, and UMP CDHP. Sign In. 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. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. You should confirm with your insurance provider that the doctor you select participates with your insurance plan. Uniform Medical Plan (UMP) Classic (Non-Medicare) (PEBB) Coverage for: Individual/Family | Plan Type: PPO 1 of 9 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. You will also have 24/7 access to on-demand virtual care. Uniform Medical Plan Classic Find a Provider. Compare the UMP Plans Compare the plans chart. The following applies to UMP Classic and UMP CDHP. Notices. Under state law, the Uniform Medical Plans (UMP Achieve 1, UMP Achieve 2, UMP Classic, UMP CDHP, UMP High Deductible, UMP Plus – Puget Sound High Value Network, and UMP Plus – UW Medicine ACN) must comply with decisions made by the Health Technology Clinical Committee (HTCC). View our Mission, Vision, and Values . x��=ksܸ��]���[wRʦIW*W�}�^�e�\*��jDi�2efdGW�㯻ArH� 8$,�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/. Get medical insurance for your life and budget. Your coverage depends on what your provider recommends for your condition. 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. To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county. <>/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>> If information given here is inconsistent with the applicable COC, the rules in the applicable COC will apply. 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 is ready to meet your health care needs with several affordable plan options. UMP Select also covers the full cost of certain programs to quit smoking or manage diabetes. You get preventive care at no cost to you when you see a a preferred provider. You can now find it, and related information, here: Find providers: what is a PCP, and why should I select one? UMP Plus–UW Medicine ACN is a network of providers offering high quality, coordinated care at a lower cost. Information Sessions. Find and compare treatment options, facilities and providers. 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. Save with a local care team and access the country’s largest provider network. UMP Plus - Puget Sound High Value … Based on popular searches, we’ve curated the following lists of specialty care doctors accepting Uniform Medical Plan. Once the money is in your account, it’s yours, and there is no deadline to use it. <> Search. Please see our Health Savings Account webpage for employees enrolled in a CDHP. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. UMP Classic: How the plan covers Medicare retirees Search. 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. Uniform Medical Plan (UMP) Learn more about the Uniform Medical Plan (UMP) plans, administered by Regence BlueShield and Washington State Rx Services (WSRxS). Alert: All specialty drugs require preauthorization. Plus, have the peace of mind that comes from emergency coverage wherever you’re traveling. Your health care costs will be significantly lower if you use providers that are within your 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 … 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. 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Family Medicine. Due to COVID-19, HCA’s lobby is closed. endobj What are my plan options? Visit the UMP Plus–PSHVN website to learn more about the network. Watch a PEBB Information Session which explains all the PEBB plans, enrollment and eligibility by clicking here. UMP Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. Search. Willamette Dental Group of Washington, Inc. 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