Deductibles. You get preventive care at no cost to you when you see a a preferred provider. The certificate of coverage (COC) for the member's plan is the source of coverage provisions offered under the plans. 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 Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. 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. 2 0 obj Once the money is in your account, it’s yours, and there is no deadline to use it. Your coverage depends on what your provider recommends for your condition. Summary of Benefits & Coverage. 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. Plus, have the peace of mind that comes from emergency coverage wherever you’re traveling. <>/Metadata 2571 0 R/ViewerPreferences 2572 0 R>> 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. Certificate of Coverage. We apologize for any inconvenience. 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. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county. 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) 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. A plan’s network consists of doctors, specialists, clinics, hospitals, pharmacies, and other health care providers. UMP CDHP covers the same services as UMP Classic, but has a lower monthly premium and a higher deductible. For most services, you can see a specialist without a referral. Be aware, your in-network doctor or hospital may use an out-of-network provider for some services. Watch the recorded webinar for UMP Classic, Select, and CDHP. It powers everything we do as we work to remove the barriers to oral health care. UMP is ready to meet your health care needs with several affordable plan options. Obstetrics & Gynecology. 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 uses Regence BlueShield’s largest network of providers, but has a lower deductible than UMP Select and UMP Consumer Directed Health Plan (CDHP). What are my plan options? 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. Internal Medicine. 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. See the 2020 Preferred Drug List. endobj UMP Classic and UMP CDHP: What types of providers can be a primary care provider (PCP)? 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/. The SBC shows you how you and the plan would share the cost for covered health care services. Save with a local care team and access the country’s largest provider network. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. Willamette Dental Group of Washington, Inc. 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Phone: 1-888-849-3681TRS: 711 This allows you to set aside pre-tax money to pay for qualified medical expenses, including prescription drugs and more. UMP Select uses Regence BlueShield’s largest network of providers. Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. Welcome Public Employees Benefits Board (PEBB) Program Members. 1 0 obj MedAdvantage + Rx Classic, and Regence MedAdvantage + Rx Enhanced’s network providers. Based on popular searches, we’ve curated the following lists of specialty care doctors accepting Uniform Medical Plan. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. Your health care costs will be significantly lower if you use providers that are within your network. 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. endobj For additional information, or to find a provider, contact Uniform Medical at (888) 849-3681 or visit Uniform Medical Plan for PEBB. Summary of Benefits & Coverage. To accomplish this, we must continuously be looking forward and planning for what's to come. 7:30 a.m. to 5:30 p.m. (Pacific) See formularies and get help when making cost-conscious choices about prescription medications. All medical plans require you to pay an annual deductible before the plan pays for covered services. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. Employees can choose from a two plans through Uniform Medical: Classic Plan or Consumer-Directed Health Plan. Uniform Medical Plan Classic Find a Provider. $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. UMP Classic also … Saturday 8 a.m. to 4:30 p.m. (Pacific). Family Medicine. 3 0 obj The State of Washington contributes annually to the account on an individual or family basis. 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. 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. It could include: Inpatient: A hospital, state psychiatric hospital, or in Washington state, a designated Treatment and Evaluation facility.Some admissions require pre-approval. UMP Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. UMP is administered by Regence BlueShield and Washington State Rx Services. For most services, you can see a specialist without a referral. The following applies to UMP Classic and UMP CDHP. Home > Welcome Public Employees Benefits Board (PEBB) Program Members. 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) … Monday through Friday <>/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>> 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. ... here: Seeing providers and Medicare This change allows you to access all UMP benefits information in one place. You can now find it, and related information, here: Find providers: what is a PCP, and why should I select one? 4 0 obj Search. UMP Plus–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. UMP is administered by … Visit HealthEquity or watch their recorded webinar to discover the many uses for your HSA. 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 and compare treatment options, facilities and providers. 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. Please see our Health Savings Account webpage for employees enrolled in a CDHP. With UMP Classic, you pay $0 for covered preventive care when you see a network provider. Kaiser Permanente WA Classic/Value & SoundChoice These plans require you to seek services by a Kaiser Permanente WA health provider. CDHP plans offer lower monthly premiums, a higher deductible, and a higher out-of-pocket limit than most traditional health plans. Pediatrics. 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