regence uniform medical plan sebb

Members. The table below does not include every limit or exclusion under this benefit. Most read as follows: Massage Therapy The plan pays the standard rate for up to 16 massage therapy visits per Available outside these hours with limited services.Extended hours: November 4, 11, and 18 until 8 p.m. to help answer open enrollment questions. 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�����?} Visit the UMP Plus—UW Medicine ACN website to learn more about the network. 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. The State of Washington contributes annually to the account on an individual or family basis. Find out more about this opportunity to access great healthcare while saving money. UMP Plus—UW Medicine ACN is a network of providers offering high quality, coordinated care at a lower cost. Member. Visit the UMP Plus–PSHVN website to learn more about the network. 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. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. Members. Once the money is in your account, it’s yours, and there is no deadline to use it. Premera cards with prefix PBQ (Reading/Writing/Speech services) ** Providence Hospital/Medical Network outsourced their mental health benefits to Providence Behavioral Health, aka … Trusteed. The UMP Plus—UW Medicine ACN network is a limited network compared to UMP Achieve 1,UMP Achieve 2, and UMP High Deductible. The Public Employees Benefit Board (PEBB) passed the following resolution at their April 24th meeting: Rehn & Associates . 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. To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county. UMP is ready to meet your health care needs with several affordable plan options. ��)��S�>��훯=�������o������x��V\�p��e>k��C��� ߮I��(v7�p#�g2l��|��1���(�u��Jd��? Most primary care office visits with primary care providers, including naturopaths from the support network, are covered at no cost to you. With UMP Achieve 2, you pay $0 for covered preventive care when you see a network provider. <>/Metadata 226 0 R/ViewerPreferences 227 0 R>> ���C�i :b!#����_JA�=VO�����wRTxa���˱���d�A/#�{q�}�wï��1��Xbtו�_Ҥ��ȳ3R�}��{��#�w�H�}i��1�}��@��v�q,��~O�*N�5cKyO�����d��>gh!��Ҹd�(��Vؕ��s��*þX�USQ,���$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. by Carol Dotlich, RPEC Executive Board Member. For most services, you can see the specialist you choose without a referral. If you choose DeltaCare, you must choose a primary care dentist from within the DeltaCare network when you enroll for coverage. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your 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. Premera and Kaiser are the two private insurance companies offering plans through SEBB. (HTCC) decision or a Regence BlueShield medical policy. 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 The UMP Plus network is a limited network, compared to UMP Achieve 1 and UMP Achieve 2. For more details, refer to your plan’s . You will also have 24/7 access to on-demand virtual care. UMP Achieve 2 also covers the full cost of certain programs to quit smoking or manage diabetes. 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 prescription drugs, the deductible is $250 per member, $750 per family. Additionally, you get covered preventive care at no cost to you when you see a network provider. UMP Achieve 1 uses Regence BlueShield’s largest network of providers. The table below does not include every limit or exclusion under this benefit. who takes my insurance? These UMP plans are available in every county and are available to anyone living outside of Washington, including those who 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.regence.com/sebb or call 1-800-628-3481 (TRS: 711) for a list of network providers (preferred providers). UMP Plus—PSHVN is only available in certain counties: King, Kitsap, Pierce, Snohomish, Thurston, and Yakima. 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. (HTCC) decision or a Regence BlueShield medical policy. Certificate of Coverage. Most health plans cover many … 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. %PDF-1.7 UMP Achieve 1 also covers the full cost of certain programs to quit using tobacco or manage diabetes. To browse each plan’s network or to find a s… For most services, you can see the specialist you choose without a referral. Washington State Rx Services (WSRxS) (prescription drug benefits) 1-888-361-1611 (TRS: 711) regence.com/ ump/sebb/ benefits/ prescriptions . 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. UMP High deductible uses Regence BlueShield’s largest network of providers. Phone: 1-888-361-1611TRS: 711 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. 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. 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. 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. For most services, you can see a specialist without a referral. 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For more details, refer to your plan’s . stream UMP Achieve 1 also covers the full cost of certain programs to quit smoking or manage diabetes. The table below does not include every limit or exclusion under this benefit. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. endobj Uniform Medical Plans can be found online. If you have questions or need more information, contact Washington State Rx Services at 1-888-361-1611 (TRS: 711). 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. 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. <> SEBB Continuation Coverage:​Submit your form, Phone: 1-800-628-3481TRS: 711 With UMP Achieve 1, you get covered preventive care at no cost to you when you see a preferred or participating provider. The state’s self-insured plan (Uniform Medical Plan/ UMP) is administered by Regence. Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS ... SEBB Continuation Coverage spousal plan questionnaire 2020. UMP Achieve 2 also covers the full cost of certain programs to quit using tobacco or manage diabetes. The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. endobj 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. #z�s2�Vg&%ul�1lwycKv�(��xOpxO�X�&��&�Iϒ]4�t�n�Q�"�_�bd�;�g�]Q�2�U�Y��au#mp9N�I�DWd��˵�8D�8�. 4 0 obj Washington State Rx Services is the pharmacy benefit manager for UMP Plus. <> Cancel Proceed. regence uniform medical plan uhc military west regence ump geha ppo high. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. Uniform Medical Plan (SEBB) Web TPA. Title: UMP (SEBB) (Regence) What’s new for 2021 Author: Regence BlueShield Created Date: 9/25/2020 2:12:53 PM 2020 Changes to Uniform Medical Plan (UMP) Prescription Drug Formulary. About Uniform Medical Plan (UMP), administered by Regence BlueShield. 3 0 obj To enroll in this plan, you must live in Chelan, Douglas, King, Kitsap, Pierce, Snohomish, Thurston, or Yakima county. Learn more about your customer service options. Certificate of Coverage. There are slight variations in the language and benefits pertaining specifically to Massage Therapy depending on your client’s specific plan. 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 […] This allows you to set aside pretax money to pay for qualified medical expenses, including prescription drugs and more. 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. 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. 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. Postal Prescription Services (network mail-order pharmacy) 1-800-552-6694 ppsrx.com Visit HealthEquity or watch their recorded webinar to discover the many uses for your HSA. The UMP Plus–PSHVN network is a limited network compared to UMP Achieve 1, UMP Achieve 2, and UMP High Deductible. ... Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. The Puget Sound High Value Network (PSHVN) is a network comprised of the highest quality health care organizations. Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS. Additionally, you get covered preventive care at no cost to you when you see a network provider. This plan uses a provider network. UMP Plus has a lower deductible and monthly premium than UMP Achieve 2 while offering most of the same benefits. Use our Find a doctor tool to quickly verify the information about your practice and the networks you participate in. A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. For more details, refer to your plan’s . Each plan has a different state wide network. Most primary care office visits with primary care providers, including naturopaths from the support network, are covered at no cost to you. Find a doctor will also help ensure you refer patients to in-network providers to minimize their out-of-pocket expenses.. Members can use Find a doctor to get results that are personalized to their networks and benefits. 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. 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. Find and compare treatment options, facilities and providers. Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. Welcome to the health plan that has been supporting school employees for nearly 60 years. Find a doctor makes it easy to: Try Alex, our interactive, virtual guide. Saturday 8 a.m. to 4:30 p.m. (Pacific). UMP is administered by Regence BlueShield and Washington State Rx Services. endobj (HTCC) decision or a Regence BlueShield medical policy. For the Spanish version of the above video, watch on YouTube. Uniform Medical Plan Pre-authorization List The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that Tricare. 7:30 a.m. to 5:30 p.m. (Pacific) Due to COVID-19, HCA’s lobby is closed. Your deductibles are fixed dollar amounts you must pay each calendar year for health care and/or prescription drug expenses before the plan starts paying for covered services. UMP Achieve 2 uses Regence BlueShield’s largest network of providers, but has a lower deductible than UMP Achieve 1 and UMP High Deductible. 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. For most services, you can see a specialist without a referral. With UMP Achieve 1, you pay $0 for covered preventive care when you see a network provider. Plus, have the peace of mind that comes from emergency coverage wherever you’re traveling. The UMP Plus – UW Medicine Accountable Care Network is an innovative healthcare option available to PEBB-eligible employees. UMP Plus—UW Medicine ACN is only available in certain counties: King, Kitsap, Pierce, Skagit, Snohomish, Spokane, and Thurston. 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) 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. UMP Plus–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. Administered by Regence BlueShield) applies to all UMP plans. 24 hours a day, 7 days a week . Regence. 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