UMP Classic 2016 Certificate of Coverage. $679.72. Uniform Medical Plan Classic (Medicare) Coverage Period: 01/01/2017 - 12/31/2017 Summary of Benefits and Coverage: What This Plan Covers & What it Costs Coverage for: Individual/Family Plan Type: PPO Questions: Call 1-888-849-3681 (TTY 711) for medical. Your options are limited to the plans available in your county and whether you are enrolled in Medicare Part A and Part B. CDHP >Kaiser Permanente NW 1. There is now an exception process for members who require prescription drugs that are no longer covered. Days 101 and beyond: Plan F pays nothing. Other Medicare retiree premiums will be available during open enrollment in November. UMP Plus Puget Sound Hi gh Value Network 3. The monthly premium quoted was $27.30. Classic Plan* 2. Learn more about the Uniform Medical Plan (UMP) plans, administered by Regence BlueShield and Washington State Rx Services (WSRxS). What are my plan options? Classic 2. In most cases, you must live in a medical plan’s service area to join the plan. UMP continues to face cost pressures from specialty medications, but these increases are not as high as retirees have seen in recent years. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan (with some exceptions, based on eligibility for Medicare Part A and Part B). Non-Medicare Retirees will see increases of $5-27 per month depending on their plan. Program in late October with information about plans you are eligible for in 2017, including premiums and costs. To enroll in a UMP medical plan, you need to complete the following form: Do you need help completing the Retiree Coverage Change form (form A)? You can now find it, and related information, here: What UMP Classic covers that Medicare doesn't This change allows you to access all UMP benefits information in one place. Willamette Dental Group of Washington, Inc. 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Use one of Regence's provider directories. We apologize for any inconvenience. If information given here is inconsistent with the applicable COC, the rules in the applicable COC will apply. (This plan not available to Medicare members), 2020: King, Kitsap, Pierce, Snohomish, Thurston, Yakima, 2021: Chelan, Douglas, King, Kitsap, Pierce, Snohomish, Thurston, Yakima, UMP Plus–UW Medicine Accountable Care Network In general, PEBB retirees may choose from the plans listed below. $608.35. UMP Plus – UW Medicine ACN 4. UMP Plus is available to PEBB-eligible employees, Leave Without Pay members, and non-Medicare retirees and COBRA members in select counties in Washington State (above). However, it only applies to Tier 2 prescription drugs, so you don’t have to pay the deductible if you use prescription drugs from any other tier, which includes most generic and low-cost drugs. 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