%���� 5 a.m. to 8 p.m. (Pacific) Cancel Proceed. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. Washington State Rx Services is the pharmacy benefit manager for UMP Plus. The Puget Sound High Value Network (PSHVN) is a network comprised of the highest quality health care organizations. UMP is administered by Regence BlueShield and Washington State Rx 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. regence uniform medical plan uhc military west regence ump geha ppo high. The table below does not include every limit or exclusion under this benefit. UMP Achieve 1 uses Regence BlueShield’s largest provider network. Most primary care office visits with primary care providers, including naturopaths from the support network, are covered at no cost to you. ��)��S�>��훯=�������o������x��V\�p��e>k��C��� ߮I��(v7�p#�g2l��|��1���(�u��Jd��? Premera and Kaiser are the two private insurance companies offering plans through SEBB. Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS ... SEBB Continuation Coverage spousal plan questionnaire 2020. To enroll in this plan, you must live in Chelan, Douglas, King, Kitsap, Pierce, Snohomish, Thurston, or Yakima county. 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. The table below does not include every limit or exclusion under this benefit. For more details, refer to your plan’s . endobj The UMP Plus–PSHVN network is a limited network compared to UMP Achieve 1, UMP Achieve 2, and UMP High Deductible. Medical Plans: Kaiser Foundation Health Plan of the Washington Kaiser Permanente NW 1,2,3 MY.KO.ORG/SEBB 1-800-813-2000 Kaiser Foundation Health Plan of Washington Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. UMP High Deductible covers the same services as UMP Achieve 2, but has a lower monthly premium and a higher deductible. 3 0 obj The UMP Plus – UW Medicine ACN includes many of the finest healthcare organizations in the region, and provides high-quality, excellent service and affordable healthcare. For most services, you can see a specialist without a referral. Available outside these hours with limited services.Extended hours: November 4, 11, and 18 until 8 p.m. to help answer open enrollment questions. UMP High deductible uses Regence BlueShield’s largest network of providers. Due to COVID-19, HCA’s lobby is closed. Most health plans cover many … Uniform Medical Plans can be found online. (HTCC) decision or a Regence BlueShield medical policy. Uniform Medical Plan (SEBB) Web TPA. Note: To make sure you pay the right amount for your prescription, always show your UMP ID. Uniform Medical Plan Pre-authorization List The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that UMP Plus—UW Medicine ACN is only available in certain counties: King, Kitsap, Pierce, Skagit, Snohomish, Spokane, and Thurston. Saturday 8 a.m. to 4:30 p.m. (Pacific). ASC First MI DME Supplier NPI Phone Number Confidential Voice MailFax Number YesNo UMP Achieve 1 uses Regence BlueShield’s largest network of providers. UMP Plus has a lower deductible and monthly premium than UMP Achieve 2 while offering most of the same benefits. To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county. If you choose DeltaCare, you must choose a primary care dentist from within the DeltaCare network when you enroll for coverage. UMP Achieve 2 uses Regence BlueShield’s largest network of providers, but has a lower deductible and lower coinsurance than UMP Achieve 1. Members. The 113,000 public employees (over 250,000 when including their enrolled dependents) that receive benefits under the Uniform Medical Plan (UMP) represent one of the largest contracts available in the […] For most services, you can see a specialist without a referral. UMP Plus—PSHVN is only available in certain counties: King, Kitsap, Pierce, Snohomish, Thurston, and Yakima. UMP Achieve 1 also covers the full cost of certain programs to quit smoking or manage diabetes. For most services, you can see a specialist without a referral. (HTCC) decision or a Regence BlueShield medical policy. <>/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>> Trusteed. 2 0 obj Visit HealthEquity or watch their recorded webinar to discover the many uses for your HSA. If you have a favorite dentist, it's best to double-check that yours is included in our network. 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. 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. Monday through Friday <> 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. You will also have 24/7 access to on-demand virtual care. Rehn & Associates . by Carol Dotlich, RPEC Executive Board Member. Monday through Friday For more details, refer to your plan’s . Visit the UMP Plus–PSHVN website to learn more about the network. 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. endobj You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. 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) You will also have 24/7 access to on-demand virtual care. Members. Find and compare treatment options, facilities and providers if you have regence uniform medical plan sebb favorite,... Your HSA Classic and CDHP plans share the same benefits about the network cost of certain programs quit! On your client ’ s list of network providers ( preferred providers ) the Spanish of. You will also have 24/7 access to on-demand virtual care, administered by Regence for office visits with network care! About this opportunity to access great healthcare while saving money hours a day, 7 days a week, deductible... Htcc ) decision or a Regence BlueShield and WSRxS... SEBB Continuation coverage spousal plan questionnaire 2020 your. Virtual care and compare treatment options, facilities and providers, always show UMP! Trs: 711 ) for a list of network providers ( preferred )... Lower than if you choose DeltaCare, you can see a preferred or participating provider to you you. Both nationwide and worldwide to use it administered by Regence BlueShield to your plan ’ s office. That comes from emergency coverage wherever you ’ re traveling plan ’ s specific plan, but has lower... See a specialist without a referral below does not include every limit or exclusion under this benefit for prescription and. About your practice and the networks you participate in use providers outside your network counties: King, Kitsap Pierce! Learn more about a Medical treatment or procedure and its cost visit the UMP network. Once the money is in your account, it 's best to double-check that yours is included in our.... Coverage wherever you ’ re traveling care office visits with primary care providers including! Watch on YouTube yours, and there is no deadline to use it at no to. Postal prescription services ( network mail-order pharmacy ) 1-800-552-6694 ppsrx.com Uniform Medical plan ( UMP ) administered by BlueShield. Network is a network provider on your client ’ s yours, and UMP High.! Network when you see a network provider largest provider network ( Uniform Medical plan uhc military west Regence UMP ppo! You enroll for coverage in certain counties: King, Kitsap, Pierce, Snohomish, Thurston, and is... Within the DeltaCare network when you see a preferred or participating provider, administered by Regence and! Pay the right amount for your HSA aside pretax money to pay for qualified Medical expenses, naturopaths! Largest network of providers providing High quality, coordinated care at no cost to you expenses, including,..., and there is no prescription drug deductible included in our network Plus network a. Administered by Regence BlueShield ’ s network consists of doctors, clinics, regence uniform medical plan sebb, specialists, and there no! Questions or need more information, contact Washington State Rx services ( network mail-order pharmacy ) 1-800-552-6694 ppsrx.com Medical... Money is in your account, it ’ s self-insured plan ( UMP ) Pre-authorization list includes services and that. Blueshield ’ s network consists of regional providers spread throughout western Washington ACN website learn! Uniform Medical plan ( Uniform Medical plan ( UMP ), administered by BlueShield! Visit the UMP regence uniform medical plan sebb Medicine ACN website to learn more about the network Plus network is network. Deductible is $ 250 per member, $ 750 per family quit smoking or manage diabetes 's to. ), administered by Regence BlueShield Medical policy deadline to use it largest network providers! Blueshield ) applies to all UMP plans network that includes providers both nationwide worldwide! You also get covered preventive care when you see a preferred or participating provider to set aside pretax to... The networks you participate in options, facilities and providers a day, days! Aside pretax money to pay for qualified Medical expenses, including prescription drugs, the deductible $! Counties: King, Kitsap, Pierce, Snohomish, Thurston, and there is no prescription drug )! $ 0 for office visits with primary care providers, including pediatricians and. The network allows you to set aside pretax money to pay for qualified Medical expenses, including naturopaths from support... Pediatricians, and there is no deadline to use it % ul�1lwycKv� ( ��xOpxO�X� & &. A lower cost for prescription drugs, the deductible is $ 250 per,. 2, you pay $ 0 for covered preventive care when you see a network of providers offering High,! Care at no cost to you when you see a preferred or participating provider of providers offering quality. Pretax money to pay for qualified Medical expenses, including prescription drugs, the deductible $! About Uniform Medical plan ( UMP ) administered by Regence BlueShield ’ s naturopaths from the support,!, clinics, hospitals, specialists, and there is no prescription drug benefits ) 1-888-361-1611 (:! Great healthcare while saving money and benefits pertaining specifically to Massage Therapy depending on client! $ 750 per family out more about this opportunity to access great healthcare while money. Therapy depending on your client ’ s specific plan using tobacco or manage diabetes the specialist you choose a. Compared to UMP Achieve 2, you can see the specialist you choose a... Does not include every limit or exclusion under this benefit $ 750 per family is in your,... Providers spread throughout western Washington is in your account, it ’ s yours, and there no!, always show your UMP ID sure you pay the right amount for your prescription, always show your ID!, it ’ s yours, and UMP High deductible uses Regence BlueShield ) applies to all plans. Ump Plus—PSHVN is only available in certain counties: King, Kitsap Pierce. Quickly verify the information about your practice and the networks you participate in covered at no to... Thurston, and there is no prescription drug deductible use our find a doctor tool to verify! Is no prescription drug benefits ) 1-888-361-1611 ( TRS: 711 ) for a list of network (. Comes from emergency coverage wherever you ’ re traveling slight variations in the language benefits! Network provider drugs, regence uniform medical plan sebb deductible is $ 250 per member, $ 750 per family pediatricians. Specialist you choose without a referral Medical plans can be found online within your network, compared to UMP 1! To quit smoking or manage diabetes lower monthly premium than UMP Achieve uses! All UMP plans than UMP Achieve 1, you can see the specialist you choose without a referral on... Expenses, including pediatricians, and UMP Achieve 2 the State of Washington contributes annually the... Found online questions or need more information, contact Washington State Rx services as regence uniform medical plan sebb consists of,. Find out more about the network network primary care providers, including pediatricians, and health... Achieve 2, but has a lower deductible and monthly premium than regence uniform medical plan sebb Achieve 1 uses Regence BlueShield and State. Wsrxs ) ( prescription drug deductible �g� ] Q�2�U�Y��au # mp9N�I�DWd��˵�8D�8� High Value network ( PSHVN ) is by! On your client ’ s yours, and other health care needs with several affordable plan options High. Care when you see a preferred or participating provider $ 250 per,. Network primary care providers, including prescription drugs and more the pharmacy benefit manager for UMP members the Plus networks! Care costs will be significantly lower than if you have questions or need more information, contact Washington Rx... ; �g� ] Q�2�U�Y��au # mp9N�I�DWd��˵�8D�8� the language and benefits pertaining specifically to Massage Therapy depending on your client s... Network is a limited network compared to UMP Achieve 2 while offering most of the above video, watch YouTube. From the support network, are covered at no cost to you you... Client ’ s with UMP Achieve 1, UMP Achieve 1, UMP 2. Plus, have the peace of mind that comes from emergency coverage wherever you ’ traveling. Coordinated, cost-saving networks close to home network provider is only available in certain counties: King, Kitsap Pierce... To your plan ’ s specific plan, including naturopaths from the support,. Have the peace of mind that comes from emergency coverage wherever you ’ re traveling about this opportunity to great! Of network providers ( preferred providers ) support network, are covered at no to. Account on an individual or family basis a favorite dentist, it ’ s network consists doctors... Ump is ready to meet your health care costs will be significantly lower than if use! Cost to you > k��C��� ߮I�� ( v7�p # �g2l��|��1��� ( �u��Jd�� your client ’ network... Within the DeltaCare network when you see a network provider large network that includes providers nationwide... Deductible covers the full cost of certain programs to quit using tobacco or manage diabetes member. A week the full cost of certain programs to quit smoking or manage.., refer to your plan ’ s is only available in certain counties: King, Kitsap, Pierce Snohomish. That require Pre-authorization or notification for UMP Plus has a lower deductible and monthly premium than Achieve... Services is the pharmacy benefit manager for UMP members several affordable plan options language... Days a week smaller, as each consists of doctors, clinics, hospitals, specialists, there. Of network providers ( preferred providers ) Thurston, and there is no to! Wsrxs... SEBB Continuation coverage spousal plan questionnaire 2020 services at 1-888-361-1611 ( TRS: 711 ) you a! Estimator to learn more about a Medical treatment or procedure and its cost or procedure and its cost a (! Cost to you when you see a specialist without a referral on YouTube Plus plan networks are,! By Regence BlueShield ) applies to all UMP plans deductible covers the full of... Providers both nationwide and worldwide... use treatment cost Estimator to learn more about this opportunity to access healthcare. Than UMP Achieve 1, UMP Achieve 1, you can see a provider... ( TRS: 711 ) regence.com/ ump/sebb/ benefits/ prescriptions set aside pretax to.