Additionally, you get covered preventive care at no cost to you when you see a network provider. 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. For more details, refer to your plan’s . UMP High Deductible covers the same services as UMP Achieve 2, but has a lower monthly premium and a higher deductible. Once the money is in your account, it’s yours, and there is no deadline to use it. UMP Achieve 2 uses Regence BlueShield’s largest network of providers, but has a lower deductible and lower coinsurance than UMP Achieve 1. You will also have 24/7 access to on-demand virtual care. There are slight variations in the language and benefits pertaining specifically to Massage Therapy depending on your client’s specific plan. The Uniform Medical Plan (UMP) was built to provide top-quality, affordable healthcare to eligible Washington state public employees (active and retired), Leave Without Pay members, non-Medicare retirees or COBRA members. For more details, refer to your plan’s . For more details, refer to your plan’s . The state’s self-insured plan (Uniform Medical Plan/ UMP) is administered by Regence. Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS ... SEBB Continuation Coverage spousal plan questionnaire 2020. 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. endobj A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. 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. Tricare. You will also have 24/7 access to on-demand virtual care. With UMP Achieve 1, you get covered preventive care at no cost to you when you see a preferred or participating provider. 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. UMP is ready to meet your health care needs with several affordable plan options. 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). Direct clinical information reviews (MCG Health) For select CPT codes, Availity's electronic authorization tool automatically routes you to MCG Health's website where you can document specific clinical criteria for your patient. UMP Plus has a lower deductible and monthly premium than UMP Achieve 2 while offering most of the same benefits. UMP Achieve 2 also covers the full cost of certain programs to quit using tobacco or manage diabetes. 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. Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. 1 of 9 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2020 – 12/31/2020 Uniform Medical Plan (UMP) Plus—UW Medicine Accountable Care Network (ACN) (SEBB) Coverage for: Individual/Family | Plan Type: ACP The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Uniform Medical Plan Pre-authorization List The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that 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. 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. Learn more about your customer service options. Available outside these hours with limited services.Extended hours: November 4, 11, and 18 until 8 p.m. to help answer open enrollment questions. With UMP Achieve 2, you get covered preventive care at no cost to you when you see a preferred or participating provider. The UMP Plus – UW Medicine Accountable Care Network is an innovative healthcare option available to PEBB-eligible employees. ump.regence.com/sebb or call 1-800-628-3481 (TRS: 711) for a list of network providers (preferred providers). With UMP High Deductible, you pay $0 for covered preventive care services when you see a network provider. regence uniform medical plan uhc military west regence ump geha ppo high. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. x��=�n�H�����H �f�΅a�v��,6���{�d(��8-���ǃ����=��HIE٢K�6@$K,�\���T��(�q2,����uY&�I:_/����.�����>�'e��/��%~�K�����Jܼ��x�ƶl�KG�"��0vD��}���b������7��0�w�o$���A`Ł�o�����?} When you choose a UMP plan, you get an active partner in your health care and a dedicated service team available to answer your questions quickly and help you make the most of your benefits. Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans and accountable care plans offered through Washington State’s School Employees Benefits Board (SEBB) Program. ���C�i :b!#����_JA�=VO�����wRTxa���˱���d�A/#�{q�}�wï��1��Xbtו�_Ҥ��ȳ3R�}��{��#�w�H�}i��1�}��@��v�q,��~O�*N�5cKyO�����d��>gh!��Ҹd�(��Vؕ��s��*þX�USQ,���$w�z �5U�^�w �n�ag�!2;�j��9�F]�)aI�Y�\��a��J���+Zp���;�w2\�}���-0"Q[. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. UMP is administered by Regence BlueShield and Washington State Rx Services. Most read as follows: Massage Therapy The plan pays the standard rate for up to 16 massage therapy visits per Monday through Friday Try Alex, our interactive, virtual guide. Postal Prescription Services (network mail-order pharmacy) 1-800-552-6694 ppsrx.com Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS. This plan uses a provider network. Saturday 8 a.m. to 4:30 p.m. (Pacific). Phone: 1-888-361-1611TRS: 711 Visit the UMP Plus—UW Medicine ACN website to learn more about the network. Washington State Rx Services is the pharmacy benefit manager for UMP Plus. UMP Plus—UW Medicine ACN is only available in certain counties: King, Kitsap, Pierce, Skagit, Snohomish, Spokane, and Thurston. The table below does not include every limit or exclusion under this benefit. Uniform Medical Plan Pre-authorization List The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that Uniform Medical Plan Contact us with any questions . Use our Find a doctor tool to quickly verify the information about your practice and the networks you participate in. For most services, you can see a specialist without a referral. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. For the Spanish version of the above video, watch on YouTube. You also get covered preventive care at no cost to you when you see a preferred or participating provider. endobj <>/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>> UMP Achieve 2 uses Regence BlueShield’s largest network of providers, but has a lower deductible than UMP Achieve 1 and UMP High Deductible. Trusteed. %PDF-1.7 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. Find a doctor makes it easy to: • 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 ... Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. The UMP Plus network is a limited network, compared to UMP Achieve 1 and UMP Achieve 2. With UMP Achieve 2, you pay $0 for covered preventive care when you see a network provider. Visit the UMP Plus–PSHVN website to learn more about the network. Visit HealthEquity or watch their recorded webinar to discover the many uses for your HSA. To browse each plan’s network or to find a s… The Puget Sound High Value Network (PSHVN) is a network comprised of the highest quality health care organizations. The UMP Plus—UW Medicine ACN network is a limited network compared to UMP Achieve 1,UMP Achieve 2, and UMP High Deductible. UMP Achieve 1 uses Regence BlueShield’s largest network of providers. by Carol Dotlich, RPEC Executive Board Member. To make sure you pay the right amount for your prescription, always show your UMP ID. 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