Regence. You will also have 24/7 access to on-demand virtual care. The table below does not include every limit or exclusion under this benefit. 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. <>/Metadata 226 0 R/ViewerPreferences 227 0 R>> UMP is administered by Regence BlueShield and Washington State Rx Services. Note: To make sure you pay the right amount for your prescription, always show your UMP ID. Premera cards with prefix PBQ (Reading/Writing/Speech services) ** Providence Hospital/Medical Network outsourced their mental health benefits to Providence Behavioral Health, aka … Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS ... SEBB Continuation Coverage spousal plan questionnaire 2020. 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. UMP High deductible uses Regence BlueShield’s largest network of providers. You will also have 24/7 access to on-demand virtual care. UMP is administered by Regence BlueShield and Washington State Rx Services. Additionally, you get covered preventive care at no cost to you when you see a network provider. For most services, you can see the specialist you choose without a referral. 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�����?} For prescription drugs, the deductible is $250 per member, $750 per family. Most health plans cover many … ... Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. UMP Plus—UW Medicine ACN is a network of providers offering high quality, coordinated care at a lower cost. 3 0 obj 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. UMP is ready to meet your health care needs with several affordable plan options. 24 hours a day, 7 days a week . 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. • 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 It is a network of providers offering high quality, coordinated care at a lower cost. 5 a.m. to 8 p.m. (Pacific) We provide flexible, affordable health care for members of the School Employees Benefits Board (SEBB) and Public Employees Benefits Board (PEBB) programs.. PSHVN has a large geographic footprint with over 6,500 providers and 1,100 locations. who takes my insurance? UMP Plus has a lower deductible and monthly premium than UMP Achieve 2 while offering most of the same benefits. Cancel Proceed. Title: UMP (SEBB) (Regence) What’s new for 2021 Author: Regence BlueShield Created Date: 9/25/2020 2:12:53 PM ��)��S�>��훯=�������o������x��V\�p��e>k��C��� ߮I��(v7�p#�g2l��|��1���(�u��Jd��? Visit HealthEquity or watch their recorded webinar to discover the many uses for your HSA. #z�s2�Vg&%ul�1lwycKv�(��xOpxO�X�&��&�Iϒ]4�t�n�Q�"�_�bd�;�g�]Q�2�U�Y��au#mp9N�I�DWd��˵�8D�8�. endobj Welcome to the health plan that has been supporting school employees for nearly 60 years. To enroll in this plan, you must live in Chelan, Douglas, King, Kitsap, Pierce, Snohomish, Thurston, or Yakima county. Members. This allows you to set aside pretax money to pay for qualified medical expenses, including prescription drugs and more. 4 0 obj 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). Once the money is in your account, it’s yours, and there is no deadline to use it. ASC First MI DME Supplier NPI Phone Number Confidential Voice MailFax Number YesNo The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. 7:30 a.m. to 5:30 p.m. (Pacific) The table below does not include every limit or exclusion under this benefit. <>/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. 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. 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. endobj 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. Premera and Kaiser are the two private insurance companies offering plans through SEBB. Members. Rehn & Associates . 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. Plus, have the peace of mind that comes from emergency coverage wherever you’re traveling. (HTCC) decision or a Regence BlueShield medical policy. 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. regence uniform medical plan uhc military west regence ump geha ppo high. 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 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). ���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[. To make sure you pay the right amount for your prescription, always show your UMP ID. Monday through Friday 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. Due to COVID-19, HCA’s lobby is closed. Visit the UMP Plus–PSHVN website to learn more about the network. Uniform Medical Plan Pre-authorization List The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that 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–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. Find a doctor makes it easy to: It is a network of providers providing high quality, coordinated care at a lower cost. The table below does not include every limit or exclusion under this benefit. Certificate of Coverage. The UMP Plus–PSHVN network is a limited network compared to UMP Achieve 1, UMP Achieve 2, and UMP High Deductible. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. stream Learn more about your customer service options. Try Alex, our interactive, virtual guide. Uniform Medical Plan Pre-authorization List The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that For most services, you can see the specialist you choose without a referral. For most services, you can see a specialist without a referral. There are slight variations in the language and benefits pertaining specifically to Massage Therapy depending on your client’s specific plan. About Uniform Medical Plan (UMP), administered by Regence BlueShield. To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county. UMP Achieve 1 also covers the full cost of certain programs to quit using tobacco or manage diabetes. For more details, refer to your plan’s . Find and compare treatment options, facilities and providers. %���� Phone: 1-888-361-1611TRS: 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. Postal Prescription Services (network mail-order pharmacy) 1-800-552-6694 ppsrx.com To browse each plan’s network or to find a s… Administered by Regence BlueShield) applies to all UMP plans. All times are listed in Pacific Time. 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. UMP Achieve 1 uses Regence BlueShield’s largest provider network. 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. 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