UMP Classic and UMP CDHP: What types of providers can be a primary care provider (PCP)? Learn more about your customer service options. Uniform Medical Plan Classic Find a Provider. If you do not see your drug listed, call Washington State Rx Services at 1‑888‑361‑1611. You will also have 24/7 access to on-demand virtual care. You will also have 24/7 access to on-demand virtual care. Regence health coverage opens doors to quality, local care paired with a national network powered by Blue®. <> 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. If information given here is inconsistent with the applicable COC, the rules in the applicable COC will apply. Uniform CDHP covers all the same services as Uniform Medical Classic. Compare the UMP Plans Compare the plans chart. UMP Select also covers the full cost of certain programs to quit smoking or manage diabetes. Employees can choose from a two plans through Uniform Medical: Classic Plan or Consumer-Directed Health Plan. Family Medicine. UMP Plus - Puget Sound High Value … 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. Uniform Medical Plan. 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. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. Visit the UMP Plus–UW Medicine ACN website to learn more about the network. Visit HealthEquity or watch their recorded webinar to discover the many uses for your HSA. stream You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. All medical plans require you to pay an annual deductible before the plan pays for covered services. Uniform Medical Plan (UMP) Classic prescription drug benefit are listed in this booklet, along with how they’re covered. Find a Provider. 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 … UMP Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. To enroll in this plan, you must live in Chelan, Douglas, King, Kitsap, Pierce, Snohomish, Thurston, or Yakima county. Kaiser Permanente WA CDHP Find a Provider. With UMP Select, you pay $0 for covered preventive care when you see a network provider. Watch the recorded webinar for UMP Classic, Select, and CDHP. Visit the UMP Plus–PSHVN website to learn more about the network. To learn more, please call Washington State Rx Services at 888-361-1611. UMP CDHP uses Regence BlueShield’s largest network of providers. To browse each plan’s network or to find a s… UMP Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. Deductibles. 2 0 obj 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. Obstetrics & Gynecology. The SBC shows you how you and the plan would share the cost for covered health care services. The UMP Plus–PSHVN network is a limited network compared to UMP Classic, UMP Select, and UMP CDHP. Watch a PEBB Information Session which explains all the PEBB plans, enrollment and eligibility by clicking here. 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To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county. It powers everything we do as we work to remove the barriers to oral health care. Once the money is in your account, it’s yours, and there is no deadline to use it. Due to COVID-19, HCA’s lobby is closed. 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. UMP Classic: How the plan covers Medicare retirees Search. NOTE: Information about the cost of this plan (called the premium) will be provided separately. For most services, you can see a specialist without a referral. Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. Pharmacy benefits. Summary of Benefits & 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. 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. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. Please see our Health Savings Account webpage for employees enrolled in a CDHP. You should confirm with your insurance provider that the doctor you select participates with your insurance plan. 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. UMP Classic: Does a Medicare retiree need to see preferred providers? Saturday 8 a.m. to 4:30 p.m. (Pacific). 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–UW Medicine ACN is a network of providers offering high quality, coordinated care at a lower cost. This change allows you to access all UMP benefits information in one place. Welcome Public Employees Benefits Board (PEBB) Program Members. Save with a local care team and access the country’s largest provider network. %PDF-1.7 ... here: Seeing providers and Medicare 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 1 of 9 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Phone: 1-888-849-3681TRS: 711 The employee premium is based on the employee’s choice of plan and coverage for lawful spouses, state-registered domestic partners, and dependent children. A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. The State of Washington contributes annually to the account on an individual or family basis. Find and compare treatment options, facilities and providers. Alert: All specialty drugs require preauthorization. We're sorry, but you arrived at this page by accident. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Try our online side-by-side comparison of common medical benefits and costs for services. Kaiser Permanente WA Classic/Value & SoundChoice These plans require you to seek services by a Kaiser Permanente WA health provider. 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. … Your health care costs will be significantly lower if you use providers that are within your network. <>/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>> 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 Plus–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. UMP is administered by Regence BlueShield and Washington State Rx Services. See the 2020 Preferred Drug List. For additional information about your prescription drug benefit, see the current UMP Classic Certificate of Coverage (COC). <> You will also have 24/7 access to on-demand virtual care. Your coverage depends on what your provider recommends for your condition. 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. UMP Select uses Regence BlueShield’s largest network of providers. Certificate of Coverage . This page contains benefit information for 2020. The UMP Plus–UW Medicine ACN network is a limited network compared to UMP Classic, UMP Select, and UMP CDHP. 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. 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. 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 Classic and UMP CDHP: Vaccines Given by Out-of-Network Providers Search. UMP is administered by … Internal Medicine. You can now find it, and related information, here: Find providers: what is a PCP, and why should I select one? 5 a.m. to 8 p.m. %���� A plan’s network consists of doctors, specialists, clinics, hospitals, pharmacies, and other health care providers. 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. 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. Search. Summary of Benefits & Coverage. Certificate of Coverage. MedAdvantage + Rx Classic, and Regence MedAdvantage + Rx Enhanced’s network providers. Uniform Medical Plans. 7:30 a.m. to 5:30 p.m. (Pacific) $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. What are my plan options? UMP is ready to meet your health care needs with several affordable plan options. Compare health plans; Plan networks; Plan networks: Find a doctor, clinic, or other provider. 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. With the Uniform Medical Plan, you may choose from the plans listed below. Based on popular searches, we’ve curated the following lists of specialty care doctors accepting Uniform Medical Plan. 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) … Some drugs may show that they are "not covered." Willamette Dental Group of Washington, Inc. 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The “network providers” listed in this directory have agreed to provide you with your health care, vision, and dental coverage. See formularies and get help when making cost-conscious choices about prescription medications. 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. The SBC shows you how you and the plan would share the cost for covered health care services. With UMP CDHP, you pay $0 for covered preventive care services when you see a network provider. For most services, you can see a specialist without a referral. Notices. Certificate of Coverage. With UMP Classic, you pay $0 for covered preventive care when you see a network provider. Options, facilities and providers limit than most traditional health plans Plus has a lower premium... Traditional health plans a tax-free health Savings account ( HSA ) out-of-network provider for some.. 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