regence uniform medical plan sebb

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 UMP Plus–PSHVN 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 provider network. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. 5 a.m. to 8 p.m. (Pacific) Additionally, you get covered preventive care at no cost to you when you see a network provider. With UMP Achieve 2, you pay $0 for covered preventive care when you see a network provider. Uniform Medical Plan Pre-authorization List The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that To make sure you pay the right amount for your prescription, always show your UMP ID. For most services, you can see a specialist without a referral. 4 0 obj UMP Achieve 2 uses Regence BlueShield’s largest network of providers, but has a lower deductible than UMP Achieve 1 and UMP High Deductible. %PDF-1.7 The state’s self-insured plan (Uniform Medical Plan/ UMP) is administered by Regence. Designed with K-12 employees in mind, our School Employees Benefits Board (SEBB) health plans offer robust benefits and include the same great service you have come to expect from Premera. Use our Find a doctor tool to quickly verify the information about your practice and the networks you participate in. %���� Regence. Uniform Medical Plan Contact us with any questions . UMP is administered by Regence BlueShield and Washington State Rx Services. There are slight variations in the language and benefits pertaining specifically to Massage Therapy depending on your client’s specific plan. Additionally, you get covered preventive care at no cost to you when you see a network provider. (HTCC) decision or a Regence BlueShield medical policy. UMP Achieve 1 also covers the full cost of certain programs to quit smoking or manage diabetes. (HTCC) decision or a Regence BlueShield medical policy. (HTCC) decision or a Regence BlueShield medical policy. ���C�i :b!#����_JA�=VO�����wRTxa���˱���d�A/#�{q�}�wï��1��Xbtו�_Ҥ��ȳ3R�}��{��#�w�H�}i��1�}��@��v�q,��~O�*N�5cKyO�����d��>gh!��Ҹd�(��Vؕ��s��*þX�USQ,���$w�z �5U�^�w �n�ag�!2;�j��9�F]�)aI�Y�\��a��J���+Zp���;�w2\�}���-0"Q[. 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). This allows you to set aside pretax money to pay for qualified medical expenses, including prescription drugs and more. 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.. Visit HealthEquity or watch their recorded webinar to discover the many uses for your HSA. ��)��S�>��훯=�������o������x��V\�p��e>k��C��� ߮I��(v7�p#�g2l��|��1���(�u��Jd��? 24 hours a day, 7 days a week . 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�����?} Once the money is in your account, it’s yours, and there is no deadline to use it. The State of Washington contributes annually to the account on an individual or family basis. For more details, refer to your plan’s . by Carol Dotlich, RPEC Executive Board Member. All times are listed in Pacific Time. Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS. <>/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>> Tricare. <>/Metadata 226 0 R/ViewerPreferences 227 0 R>> It is a network of providers offering high quality, coordinated care at a lower cost. regence uniform medical plan uhc military west regence ump geha ppo high. 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. ump.regence.com/sebb or call 1-800-628-3481 (TRS: 711) for a list of network providers (preferred providers). The UMP Plus network is a limited network, compared to UMP Achieve 1 and UMP Achieve 2. About Uniform Medical Plan (UMP), administered by Regence BlueShield. 7:30 a.m. to 5:30 p.m. (Pacific) Certificate of Coverage. The UMP Plus – UW Medicine Accountable Care Network is an innovative healthcare option available to PEBB-eligible employees. If you choose DeltaCare, you must choose a primary care dentist from within the DeltaCare network when you enroll for coverage. 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. ... Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. 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 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 […] Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS ... SEBB Continuation Coverage spousal plan questionnaire 2020. Most primary care office visits with primary care providers, including naturopaths from the support network, are covered at no cost to you. UMP Plus–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. For most services, you can see the specialist you choose without a referral. 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. Willamette Dental Group of Washington, Inc. 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ASC First MI DME Supplier NPI Phone Number Confidential Voice MailFax Number YesNo 2 0 obj Most primary care office visits with primary care providers, including naturopaths from the support network, are covered at no cost to you. • 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 UMP High deductible uses Regence BlueShield’s largest network of providers. who takes my insurance? With UMP Achieve 1, you pay $0 for covered preventive care when you see a network provider. Welcome to the health plan that has been supporting school employees for nearly 60 years. Cancel Proceed. For more details, refer to your plan’s . Postal Prescription Services (network mail-order pharmacy) 1-800-552-6694 ppsrx.com These UMP plans are available in every county and are available to anyone living outside of Washington, including those who For more details, refer to your plan’s . The table below does not include every limit or exclusion under this benefit. Trusteed. Visit the UMP Plus–PSHVN website to learn more about the network. 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. Visit the UMP Plus—UW Medicine ACN website to learn more about the network. Try Alex, our interactive, virtual guide. If you have a favorite dentist, it's best to double-check that yours is included in our network. For Uniform Medical Plan (UMP) Members: Fax to: 1 (877) 663-7526 or Mail to: PO Box 2998, Tacoma, WA 98401-2998 If this is an expedited request and meets the definition indicated below, please check the expedited request box AND fax this form to 1 (855) 240-6498. Title: UMP (SEBB) (Regence) What’s new for 2021 Author: Regence BlueShield Created Date: 9/25/2020 2:12:53 PM Monday through Friday UMP High Deductible covers the same services as UMP Achieve 2, but has a lower monthly premium and a higher deductible. Last week, the Health Care Authority (HCA) announced it was awarding the TPA contract for its public employees (PEBB) self funded plan to Regence Blue Shield. 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. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. stream Premera and Kaiser are the two private insurance companies offering plans through SEBB. Find and compare treatment options, facilities and providers. UMP Plus—UW Medicine ACN is a network of providers offering high quality, coordinated care at a lower cost. To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county. endobj You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. Uniform Medical Plan (SEBB) Web TPA. UMP Achieve 2 also covers the full cost of certain programs to quit smoking or manage diabetes. Plus, have the peace of mind that comes from emergency coverage wherever you’re traveling. For most services, you can see a specialist without a referral. You will also have 24/7 access to on-demand virtual care. Learn more about your customer service options. You also get covered preventive care at no cost to you when you see a preferred or participating provider. For prescription drugs, the deductible is $250 per member, $750 per family. Find a doctor makes it easy to: 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. Once the money is in your account, it’s yours, and there is no deadline to use it. 1 0 obj UMP Plus—PSHVN is only available in certain counties: King, Kitsap, Pierce, Snohomish, Thurston, and Yakima. 2020 Changes to Uniform Medical Plan (UMP) Prescription Drug Formulary. Uniform Medical Plan Pre-authorization List The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that The UMP Select medical deductible is $750 per member and $2,250 per family. With UMP High Deductible, you pay $0 for covered preventive care services when you see a network provider. With UMP Achieve 2, you get covered preventive care at no cost to you when you see a preferred or participating provider. The table below does not include every limit or exclusion under this benefit. The UMP Plus—UW Medicine ACN network is a limited network compared to UMP Achieve 1,UMP Achieve 2, and UMP High Deductible. This plan uses a provider network. Rehn & Associates . UMP Plus—UW Medicine ACN is only available in certain counties: King, Kitsap, Pierce, Skagit, Snohomish, Spokane, and Thurston. 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. {�}�?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 '� Members. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. 3 0 obj 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 The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. It is a network of providers providing high quality, coordinated care at a lower cost. Certificate of Coverage. Premera cards with prefix PBQ (Reading/Writing/Speech services) ** Providence Hospital/Medical Network outsourced their mental health benefits to Providence Behavioral Health, aka … 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. When you enroll in UMP High Deductible, you are automatically enrolled in a health savings account (HSA) through our HSA partner HealthEquity who manages the account. 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. UMP Achieve 2 also covers the full cost of certain programs to quit using tobacco or manage diabetes. 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. Uniform Medical Plans can be found online. 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. You will also have 24/7 access to on-demand virtual care. endobj Phone: 1-888-361-1611TRS: 711 UMP is ready to meet your health care needs with several affordable plan options. Due to COVID-19, HCA’s lobby is closed. To browse each plan’s network or to find a s… UMP is administered by Regence BlueShield and Washington State Rx Services. Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. Certificate of Coverage. Supported by Regence, UMP Plus — PSHVN connects eligible School Employee Benefits Board (SEBB) Program members to high-quality primary and specialty care, close to home. 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 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. 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. 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. With UMP Achieve 1, you get covered preventive care at no cost to you when you see a preferred or participating provider. For the Spanish version of the above video, watch on YouTube. If you have questions or need more information, contact Washington State Rx Services at 1-888-361-1611 (TRS: 711). Most read as follows: Massage Therapy The plan pays the standard rate for up to 16 massage therapy visits per Members. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. UMP Achieve 1 uses Regence BlueShield’s largest network of providers. endobj To enroll in this plan, you must live in Chelan, Douglas, King, Kitsap, Pierce, Snohomish, Thurston, or Yakima county. UMP Achieve 2 uses Regence BlueShield’s largest network of providers, but has a lower deductible and lower coinsurance than UMP Achieve 1. For most services, you can see a specialist without a referral. The UMP Plus – PSHVN participating organizations include: CHI Franciscan and independent providers as part of … Administered by Regence BlueShield) applies to all UMP plans. Washington State Rx Services (WSRxS) (prescription drug benefits) 1-888-361-1611 (TRS: 711) regence.com/ ump/sebb/ benefits/ prescriptions . Saturday 8 a.m. to 4:30 p.m. (Pacific). Most health plans cover many … You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. 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 Note: To make sure you pay the right amount for your prescription, always show your UMP ID. The Puget Sound High Value Network (PSHVN) is a network comprised of the highest quality health care organizations. Member. 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) Find out more about this opportunity to access great healthcare while saving money. The Public Employees Benefit Board (PEBB) passed the following resolution at their April 24th meeting: 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. For most services, you can see the specialist you choose without a referral. UMP Plus has a lower deductible and monthly premium than UMP Achieve 2 while offering most of the same benefits. UMP Achieve 1 also covers the full cost of certain programs to quit using tobacco or manage diabetes. Uniform Medical Plan Pre-authorization List The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that 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. 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Participating provider table below does not include every limit or exclusion under regence uniform medical plan sebb... Network provider network that includes providers both nationwide and worldwide drugs, the deductible is $ per! Doctor tool to quickly verify the information about your practice and the networks you participate.... 0 for office visits with network primary care office visits with network primary care providers have questions or need information! With UMP High deductible largest network of providers is administered by Regence BlueShield and Washington Rx... More about a Medical treatment or procedure and its cost the Classic CDHP... Be significantly lower than if you use providers outside your network, are at. 1 also covers the full cost of certain programs to quit smoking or manage diabetes by using providers within network..., administered by Regence it is a limited network, your health care needs several. Regence.Com/ ump/sebb/ benefits/ prescriptions the deductible is $ 250 per member, $ 750 per family that includes both... A doctor tool to quickly verify the information about your practice and the networks you participate.... Uses Regence BlueShield Medical policy facilities and providers details, refer to your plan ’ s yours and... Below does not include every limit or exclusion under this benefit can see specialist! Have the peace of mind that comes from emergency coverage wherever you ’ re.... 24 hours a day, 7 days a week higher deductible coordinated care at no cost to you you! King, Kitsap, Pierce, Snohomish, Thurston, and there is no prescription drug benefits 1-888-361-1611! You see a specialist without a referral providers providing High quality, coordinated care a! While saving money �_�bd� ; �g� ] Q�2�U�Y��au # mp9N�I�DWd��˵�8D�8� no cost to you when you see a or! Double-Check that yours is included in our network with network primary care office visits primary..., contact Washington State Rx services by Regence recorded webinar to discover the uses! $ 750 per family access to on-demand virtual care not include every limit or exclusion under this.., refer to your plan ’ s network consists of regional providers spread western... Details, refer to your plan ’ s yours, and there is no prescription benefits... Network provider more details, refer to your plan ’ s largest network of providers offering quality. Pre-Authorization or notification for UMP Plus has a lower deductible and monthly premium than UMP Achieve 1, get. The highest quality health care providers, including pediatricians, and there is no drug... Spread throughout western Washington allows you to set aside pretax money to pay for qualified Medical,... Quickly verify the information about your practice and the networks you participate..
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