regence uniform medical plan sebb

It is a network of providers offering high quality, coordinated care at a lower cost. (HTCC) decision or a Regence BlueShield medical policy. Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. Note: To make sure you pay the right amount for your prescription, always show your UMP ID. 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. 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 <>/Metadata 226 0 R/ViewerPreferences 227 0 R>> This plan uses a provider network. If you have a favorite dentist, it's best to double-check that yours is included in our network. UMP Plus—PSHVN is only available in certain counties: King, Kitsap, Pierce, Snohomish, Thurston, and Yakima. 24 hours a day, 7 days a week . UMP Achieve 2 uses Regence BlueShield’s largest network of providers, but has a lower deductible and lower coinsurance than UMP Achieve 1. (HTCC) decision or a Regence BlueShield medical policy. %�� 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 . SEBB Continuation Coverage:Submit your form, Phone: 1-800-628-3481TRS: 711 About Uniform Medical Plan (UMP), administered by Regence BlueShield. Monday through Friday For most services, you can see the specialist you choose without a referral. <>/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>> Rehn & Associates . Find a doctor makes it easy to: Member. The UMP Select medical deductible is $750 per member and $2,250 per family. To enroll in this plan, you must live in Chelan, Douglas, King, Kitsap, Pierce, Snohomish, Thurston, or Yakima county. The table below does not include every limit or exclusion under this benefit. Try Alex, our interactive, virtual guide. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. UMP is ready to meet your health care needs with several affordable plan options. Willamette Dental Group of Washington, Inc. 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Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. All times are listed in Pacific Time. For the Spanish version of the above video, watch on YouTube. Postal Prescription Services (network mail-order pharmacy) 1-800-552-6694 ppsrx.com <> stream ��C�i :b!#��_JA�=VO��wRTxa��˱��d�A/#�{q�}�wï��1��Xbtו�_Ҥ��ȳ3R�}��{��#�w�H�}i��1�}��@��v�q,��~O�*N�5cKyO��d��>gh!��Ҹd�(��Vؕ��s��*þX�USQ,��$w�z �5U�^�w �n�ag�!2;�j��9�F]�)aI�Y�\��a��J��+Zp��;�w2\�}��-0"Q[. Certificate of Coverage. 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. <> Additionally, you get covered preventive care at no cost to you when you see a network provider. • 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 You will also have 24/7 access to on-demand virtual care. 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. The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. Visit the UMP Plus—UW Medicine ACN website to learn more about the network. Find out more about this opportunity to access great healthcare while saving money. 7:30 a.m. to 5:30 p.m. (Pacific) (HTCC) decision or a Regence BlueShield medical policy. Members. Welcome to the health plan that has been supporting school employees for nearly 60 years. The Puget Sound High Value Network (PSHVN) is a network comprised of the highest quality health care organizations. Most primary care office visits with primary care providers, including naturopaths from the support network, are covered at no cost to you. 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. 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) 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. {�}�?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 '� Most primary care office visits with primary care providers, including naturopaths from the support network, are covered at no cost to you. Uniform Medical Plan Pre-authorization List The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that UMP Plus—UW Medicine ACN is a network of providers offering high quality, coordinated care at a lower cost. 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 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. Phone: 1-888-361-1611TRS: 711 Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS ... SEBB Continuation Coverage spousal plan questionnaire 2020. Uniform Medical Plan Contact us with any questions . Certificate of Coverage. To make sure you pay the right amount for your prescription, always show your UMP ID. 2020 Changes to Uniform Medical Plan (UMP) Prescription Drug Formulary. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. You will also have 24/7 access to on-demand virtual care. With UMP Achieve 1, you pay $0 for covered preventive care when you see a network provider. The UMP Plus–PSHVN network is a limited network compared to UMP Achieve 1, UMP Achieve 2, and UMP High Deductible. 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. 5 a.m. to 8 p.m. (Pacific) ump.regence.com/sebb or call 1-800-628-3481 (TRS: 711) for a list of network providers (preferred providers). 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. Monday through Friday You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. For prescription drugs, the deductible is $250 per member, $750 per family. With UMP Achieve 2, you pay $0 for covered preventive care when you see a network provider. UMP is administered by Regence BlueShield and Washington State Rx Services. endobj UMP Achieve 1 also covers the full cost of certain programs to quit smoking or manage diabetes. 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. Use our Find a doctor tool to quickly verify the information about your practice and the networks you participate in. Washington State Rx Services is the pharmacy benefit manager for UMP Plus. regence uniform medical plan uhc military west regence ump geha ppo high. Learn more about your customer service options. UMP Achieve 1 also covers the full cost of certain programs to quit using tobacco or manage diabetes. Certificate of Coverage. 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 […] 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. Members. UMP Achieve 1 uses Regence BlueShield’s largest network of providers. Washington State Rx Services (WSRxS) (prescription drug benefits) 1-888-361-1611 (TRS: 711) regence.com/ ump/sebb/ benefits/ prescriptions . Uniform Medical Plan (SEBB) Web TPA. ASC First MI DME Supplier NPI Phone Number Confidential Voice MailFax Number YesNo endobj For most services, you can see a specialist without a referral. endobj The State of Washington contributes annually to the account on an individual or family basis. 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. by Carol Dotlich, RPEC Executive Board Member. There are slight variations in the language and benefits pertaining specifically to Massage Therapy depending on your client’s specific plan. UMP Plus–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. The state’s self-insured plan (Uniform Medical Plan/ UMP) is administered by Regence. UMP Achieve 2 also covers the full cost of certain programs to quit smoking or manage diabetes. If you choose DeltaCare, you must choose a primary care dentist from within the DeltaCare network when you enroll for coverage. 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For more details, refer to your plan’s . Once the money is in your account, it’s yours, and there is no deadline to use it. Premera and Kaiser are the two private insurance companies offering plans through SEBB. Uniform Medical Plan Pre-authorization List The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that 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. 3 0 obj 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.. For most services, you can see a specialist without a referral. With UMP Achieve 1, you get covered preventive care at no cost to you when you see a preferred or participating provider. Visit the UMP Plus–PSHVN website to learn more about the network. %PDF-1.7 For most services, you can see a specialist without a referral. 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. 2 0 obj Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS. To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county. ��)��S�>��훯=��o��x��V\�p��e>k��C�� ߮I��(v7�p#�g2l��|��1��(�u��Jd��? Saturday 8 a.m. to 4:30 p.m. (Pacific). who takes my insurance? It is a network of providers providing high quality, coordinated care at a lower cost. 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��?} 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. Additionally, you get covered preventive care at no cost to you when you see a network provider. UMP Achieve 2 also covers the full cost of certain programs to quit using tobacco or manage diabetes. Most health plans cover many … 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. With UMP Achieve 2, you get covered preventive care at no cost to you when you see a preferred or participating provider. Find and compare treatment options, facilities and providers. 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. The UMP Plus network is a limited network, compared to UMP Achieve 1 and UMP Achieve 2. The UMP Plus – PSHVN participating organizations include: CHI Franciscan and independent providers as part of … 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. UMP Plus has a lower deductible and monthly premium than UMP Achieve 2 while offering most of the same benefits. A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. 1 0 obj Uniform Medical Plans can be found online. The Public Employees Benefit Board (PEBB) passed the following resolution at their April 24th meeting: The UMP Plus – UW Medicine Accountable Care Network is an innovative healthcare option available to PEBB-eligible employees. Regence. The UMP Plus—UW Medicine ACN network is a limited network compared to UMP Achieve 1,UMP Achieve 2, and UMP High Deductible. Trusteed. Most read as follows: Massage Therapy The plan pays the standard rate for up to 16 massage therapy visits per UMP High deductible uses Regence BlueShield’s largest network of providers. Tricare. Once the money is in your account, it’s yours, and there is no deadline to use it. UMP is administered by Regence BlueShield and Washington State Rx Services. 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. Due to COVID-19, HCA’s lobby is closed. 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. This allows you to set aside pretax money to pay for qualified medical expenses, including prescription drugs and more. UMP Achieve 2 uses Regence BlueShield’s largest network of providers, but has a lower deductible than UMP Achieve 1 and UMP High Deductible. 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. Plus, have the peace of mind that comes from emergency coverage wherever you’re traveling. 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 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. Available outside these hours with limited services.Extended hours: November 4, 11, and 18 until 8 p.m. to help answer open enrollment questions. With UMP High Deductible, you pay $0 for covered preventive care services when you see a network provider. 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. Uniform Medical Plan Pre-authorization List The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that 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. UMP Plus—UW Medicine ACN is only available in certain counties: King, Kitsap, Pierce, Skagit, Snohomish, Spokane, and Thurston. Administered by Regence BlueShield) applies to all UMP plans. 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 table below does not include every limit or exclusion under this benefit. UMP Achieve 1 uses Regence BlueShield’s largest provider network. #z�s2�Vg&%ul�1lwycKv�(��xOpxO�X�&��&�Iϒ]4�t�n�Q�"�_�bd�;�g�]Q�2�U�Y��au#mp9N�I�DWd��˵�8D�8�. Each plan has a different state wide network. Cancel Proceed. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. To browse each plan’s network or to find a s… Premera cards with prefix PBQ (Reading/Writing/Speech services) ** Providence Hospital/Medical Network outsourced their mental health benefits to Providence Behavioral Health, aka … UMP High Deductible covers the same services as UMP Achieve 2, but has a lower monthly premium and a higher deductible. You also get covered preventive care at no cost to you when you see a preferred or participating provider. If you have questions or need more information, contact Washington State Rx Services at 1-888-361-1611 (TRS: 711). 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. For most services, you can see the specialist you choose without a referral. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. For more details, refer to your plan’s . UMP Plus has a lower deductible and monthly premium than UMP Achieve 2 while offering most of the same benefits. 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. Title: UMP (SEBB) (Regence) What’s new for 2021 Author: Regence BlueShield Created Date: 9/25/2020 2:12:53 PM 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. 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. 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