%���� Tools Rating: Be the first to rate this item ... (COC) for the member's plan is the source of coverage provisions offered under the plans. UMP Classic: How the plan covers Medicare retirees Search. The plan offers a lower monthly premium than UMP Classic and UMP Plus, but has a higher coinsurance (the amount you pay your provider) than other UMP plans. The UMP Plus–PSHVN network is a limited network compared to UMP Classic, UMP Select, and UMP CDHP. Welcome Public Employees Benefits Board (PEBB) Program Members. Pharmacy benefits. Internal Medicine. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. endobj Uniform Medical Plan (UMP) Classic prescription drug benefit are listed in this booklet, along with how they’re covered. 1 0 obj 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. 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. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. Search. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Your health care costs will be significantly lower if you use providers that are within your network. 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. Search. 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). We apologize for any inconvenience. Uniform Medical Plan Classic Find a Provider. Watch the recorded webinar for UMP Classic, Select, and CDHP. Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. Some drugs may show that they are "not covered." For most services, you can see a specialist without a referral. 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 … A plan’s network consists of doctors, specialists, clinics, hospitals, pharmacies, and other health care providers. Home > Welcome Public Employees Benefits Board (PEBB) Program Members. The SBC shows you how you and the plan would share the cost for covered health care services. <>/Metadata 2571 0 R/ViewerPreferences 2572 0 R>> 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. 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. Deductibles. Be aware, your in-network doctor or hospital may use an out-of-network provider for some services. Summary of Benefits & Coverage. Uniform Medical Plan (UMP) Learn more about the Uniform Medical Plan (UMP) plans, administered by Regence BlueShield and Washington State Rx Services (WSRxS). Search. See the 2020 Preferred Drug List. 2 0 obj This change allows you to access all UMP benefits information in one place. UMP CDHP uses Regence BlueShield’s largest network of providers. Saturday 8 a.m. to 4:30 p.m. (Pacific). 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. You will also have 24/7 access to on-demand virtual care. 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