The plan offers a lower monthly premium than UMP Achieve 2 and UMP Plus, but has a higher coinsurance (the amount you pay your provider) than other UMP plans. • Page 43: In the “Medical Benefits Comparison” chart: • Under “Hearing hardware” for the Kaiser Foundation Plan of the Northwest, Kaiser Foundation Plan of Washington, and Kaiser Foundation Plan of Washington Options, Inc. plans it should read, “$400 max per ear To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county. Regence. 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 School Employees Benefits Board (SEBB) Program. UMP Plus has no prescription drug deductible and has a lower medical deductible than UMP Achieve 1 and UMP Achieve 2 while offering most of the same benefits. SEBB Continuation Coverage:​Submit your form, Phone: 1-800-628-3481TRS: 711 If you have a favorite dentist, it's best to double-check that yours is included in our network. Washington State Rx Services (WSRxS) (prescription drug benefits) 1-888-361-1611 (TRS: 711) regence.com/ ump/sebb/ benefits/ prescriptions . by Carol Dotlich, RPEC Executive Board Member. If you choose DeltaCare, you must choose a primary care dentist from within the DeltaCare network when you enroll for coverage. UMP Plus–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. We provide flexible, affordable health care for members of the School Employees Benefits Board (SEBB) and Public Employees Benefits Board (PEBB) programs.. PSHVN has a large geographic footprint with over 6,500 providers and 1,100 locations. UMP is administered by Regence BlueShield and Washington State Rx Services. UMP is ready to meet your health care needs with several affordable plan options. With UMP Achieve 2, you get covered preventive care at no cost to you when you see a preferred or participating provider. Welcome to the health plan that has been supporting school employees for nearly 60 years. It is a network of providers offering high quality, coordinated care at a lower cost. Additionally, you get covered preventive care at no cost to you when you see a network provider. 24 hours a day, 7 days a week . ��)��S�>��훯=�������o������x��V\�p��e>k��C��� ߮I��(v7�p#�g2l��|��1���(�u��Jd��? Once the money is in your account, it’s yours, and there is no deadline to use it. UMP Plus has a lower deductible and monthly premium than UMP Achieve 2 while offering most of the same benefits. You will also have 24/7 access to on-demand virtual care. (HTCC) decision or a Regence BlueShield medical policy. Use our Find a doctor tool to quickly verify the information about your practice and the networks you participate in. Members. Rehn & Associates . Visit Pharmacy to learn more about prescription drug coverage and cost, find a network pharmacy, learn about prescription drug policies, and log in to your pharmacy account.. Your deductibles are fixed dollar amounts you must pay each calendar year for health care and/or prescription drug expenses before the plan starts paying for covered services. 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 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 School Employees Benefits Board (SEBB) Program. You will also have 24/7 access to on-demand virtual care. 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. endobj 3 0 obj UMP Plus—PSHVN is only available in certain counties: King, Kitsap, Pierce, Snohomish, Thurston, and Yakima. To browse each plan’s network or to find a s… Visit HealthEquity or watch their recorded webinar to discover the many uses for your HSA. <>/Metadata 226 0 R/ViewerPreferences 227 0 R>> %���� The UMP Plus – PSHVN participating organizations include: CHI Franciscan and independent providers as part of … Tricare. With UMP Achieve 2, you pay $0 for covered preventive care when you see a network provider. ... Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. endobj stream With UMP Achieve 1, you pay $0 for covered preventive care when you see a network provider. Find out more about this opportunity to access great healthcare while saving money. The UMP Plus network is a limited network, compared to UMP Achieve 1 and UMP Achieve 2. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. The UMP Plus–PSHVN network is a limited network compared to UMP Achieve 1, UMP Achieve 2, and UMP High Deductible. The UMP Select medical deductible is $750 per member and $2,250 per family. 2 0 obj For more details, refer to your plan’s . You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. Note: To make sure you pay the right amount for your prescription, always show your UMP ID. 7:30 a.m. to 5:30 p.m. (Pacific) The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. UMP is administered by Regence BlueShield and Washington State Rx Services. For most services, you can see the specialist you choose without a referral. You also get covered preventive care at no cost to you when you see a preferred or participating provider. UMP Achieve 1 uses Regence BlueShield’s largest network of providers. Monday through Friday Trusteed. Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS. UMP High Deductible uses Regence BlueShield’s largest network of providers and covers all the same services as UMP Achieve 1 and UMP Achieve 2, but has a lower monthly premium and a higher deductible. For more details, refer to your plan’s . Monday through Friday UMP Achieve 2 uses Regence BlueShield’s largest network of providers, but has a lower deductible and lower coinsurance than UMP Achieve 1. For more details, refer to your plan’s . Most health plans cover many … For a list of network pharmacies, visit the Prescription drugs webpage at ump.regence.com/sebb/benefits/presc riptions or call 1 -888 361 1611 (TRS: 711). For the Spanish version of the above video, watch on YouTube. Uniform Medical Plan Contact us with any questions . regence uniform medical plan uhc military west regence ump geha ppo high. Find a doctor will also help ensure you refer patients to in-network providers to minimize their out-of-pocket expenses.. Members can use Find a doctor to get results that are personalized to their networks and benefits. <> 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 benefits. Plus, have the peace of mind that comes from emergency coverage wherever you’re traveling. 5 a.m. to 8 p.m. (Pacific) Cancel Proceed. The State of Washington contributes annually to the account on an individual or family basis. Visit the UMP Plus—UW Medicine ACN website to learn more about the network. UMP Achieve 1 uses Regence BlueShield’s largest provider network. December 1, 2019 Uniform Medical Plan coverage limits Updates effective 1 2 /1/2019 The benefit coverage limitslisted below apply to these UMP plans: UniformMedical Plan (UMP) Visit the UMP Plus–PSHVN website to learn more about the network. UMP Achieve 2 also covers the full cost of certain programs to quit using tobacco or manage diabetes. Each plan has a different state wide network. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 20 0 R 28 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Wednesday, October 28, 4 to 5 p.m. UMP Plus-UW Medicine Accountable Care Network is now an option for SEBB-eligible members living in King, Snohomish, Kitsap, Pierce, Skagit, Thurston and Spokane counties. Postal Prescription Services (network mail-order pharmacy) 1-800-552-6694 ppsrx.com Title: UMP (SEBB) (Regence) What’s new for 2021 Author: Regence BlueShield Created Date: 9/25/2020 2:12:53 PM The UMP Plus—UW Medicine ACN network is a limited network compared to UMP Achieve 1,UMP Achieve 2, and UMP High Deductible. Certificate of Coverage. With UMP High Deductible, you pay $0 for covered preventive care services when you see a network provider. Available outside these hours with limited services.Extended hours: November 4, 11, and 18 until 8 p.m. to help answer open enrollment questions. The table below does not include every limit or exclusion under this benefit. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. Most primary care office visits with primary care providers, including naturopaths from the support network, are covered at no cost to you. UMP Achieve 1 also covers the full cost of certain programs to quit smoking or manage diabetes. Find and compare treatment options, facilities and providers. {�}�?wz��y����n��i�����/��7��~���~o�ɏ�R�nP���Bz��J�0��c�ݙj�г��T�q@�N/8%l"焰qetJ���ɠ��J��������nҠ��m��kR��So2�o���r#����Z�Hy�L�N.��_O�U�ްį�_s����Z�5���4��O���y��%r����,/d�[�ә�g�2 '��2 '��2 ��MeN4 '� Designed with K-12 employees in mind, our School Employees Benefits Board (SEBB) health plans offer robust benefits and include the same great service you have come to expect from Premera. This plan has a combined deductible for medical and prescription drug expenses, which means you pay all of these expenses before the plan starts paying for covered medical services and covered prescription drugs. Uniform Medical Plan Pre-authorization List The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that This plan uses a provider network. For most services, you can see a specialist without a referral. UMP High Deductible automatically enrolls the subscriber in a health savings account (HSA), which allows you to set aside pre-tax money to pay for qualified medical expenses. #z�s2�Vg&%ul�1lwycKv�(��xOpxO�X�&��&�Iϒ]4�t�n�Q�"�_�bd�;�g�]Q�2�U�Y��au#mp9N�I�DWd��˵�8D�8�. A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS ... SEBB Continuation Coverage spousal plan questionnaire 2020. UMP Plus has no prescription drug deductible and has a lower medical deductible than UMP Achieve 1 and UMP Achieve 2 while offering most of the same benefits. Due to COVID-19, HCA’s lobby is closed. (HTCC) decision or a Regence BlueShield medical policy. Premera cards with prefix PBQ (Reading/Writing/Speech services) ** Providence Hospital/Medical Network outsourced their mental health benefits to Providence Behavioral Health, aka … UMP Plus—UW Medicine ACN is a network of providers offering high quality, coordinated care at a lower cost. Uniform Medical Plan (SEBB) Web TPA. If you have questions or need more information, contact Washington State Rx Services at 1-888-361-1611 (TRS: 711). Saturday 8 a.m. to 4:30 p.m. (Pacific). Uniform Medical Plan Pre-authorization List The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that You will also have 24/7 access to on-demand virtual care. To help you decide on a plan, it can be helpful to know the network—or the group of doctors, hospitals and pharmacies that are part of the plan. The Puget Sound High Value Network (PSHVN) is a network comprised of the highest quality health care organizations. Certificate of Coverage. This allows you to set aside pretax money to pay for qualified medical expenses, including prescription drugs and more. 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