Sign in to access your claims, benefits and member tools. UMP – Uniform Medical Plan . �L����sD�"+S,1'+�&�U��l�� 7/R�<ԤM9�#����j;u%� Register. To see what coinsurance applies to the UMP Plus networks, see the Certificate of Coverage. +��ܬrB"g�*��0�PY��"��op��`�Ez��|D��?���D�氛�ȼ� <> UMP is administered by Regence BlueShield and Washington State Rx Services. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 11 0 R 17 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 54 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R 74 0 R 75 0 R 76 0 R 77 0 R 78 0 R 79 0 R 80 0 R 81 0 R 82 0 R 83 0 R 84 0 R 85 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> UMP has a separate vendor – Washington State Rx Services – for their prescription drug benefit. WSRxS – Washington State Rx (prescription drug) Services UMP – Uniform Medical Plan . Dental Provider Websites. 2 0 obj 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. Back to top. TMJ – Temporomandibular joint . Cancel Proceed. SEBB Benefits (even if you intend to waive SEBB Medical insurance), SEBB ... employees/uniform-medical-plan-ump The five (5) UMP Regence Plans are: UMP Achieve 1 – Regence UMP Network UMP Achieve 2 – Regence UMP Network UMP High Deductible (Q-HDHP) – Regence UMP Network UMP Plus Puget Sound High Value Network – UMP Plus PSVH Network UMP Plus UW Medicine Acct. SBC – Summary of Benefits and Coverage . ?ON;9ܬ��ׄ�yӛ4~L[�~�d����̈́\��:�Ӣ@���Y�\,�6�ޗY&�w�f_0�6���1��`�p�- I{�]��8Y$ŷW���#��w ��x��L��� Uniform Medical Plan (UMP) Classic prescription drug benefit are listed in this booklet, along with how they’re covered. As of January 2020, all school employees across the state will be getting their healthcare benefits through the State of Washington School Employee Benefits Board. Choose your plan. Uniform Medical Plan (UMP) High Deductible (SEBB) Coverage for: Individual/Family | Plan Type: PPO 1 of 7 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. x��=ko9r� �?�E �V��쇱p��>�A6�=�rv��x4�&it3#��ǧ����f��r����4{��b�����v���byH������a��Y]&�����ۿ�_?�q�=�v��%�������,��?��,O��j�dy�[�~��?%w�_��x���G���W�_1�%,�2�2�E��U��^�RQ�dwM�k��?�����'O��'��7��� The UMP Plus – PSHVN participating organizations include: CHI Franciscan and independent providers as part of … SBC – Summary of Benefits and Coverage . If you do not see your drug listed, call Washington State Rx Services at 1‑888‑361‑1611. %%EOF Please call UMP Customer Service at 1-800-628-3481 for all questions about medical benefits (what is covered by the plans), medical claims, and medical services requiring preauthorization. GUÍA DE INSCRIPCIÓN PARA EMPLEADOS ESCOLARES HCA 20-0049 SP (11/19) Spanish SBC – Summary of Benefits and Coverage . School Employees Benefits Board (SEBB) Program. The SBC shows you how you and the plan would share the cost for covered health care services. %���� 225 0 obj <>stream For Public Employees Benefits Board (PEBB) members UMP Plan Comparisons UMP Plus–UW Medicine Accountable Care Network (ACN) UMP Plus–Puget Sound High Value Network (PSHVN) UMP Classic Select UMP Consumer- Directed Health Plan (CDHP) Limited network: You may see providers in the UW Medicine ACN network or out-of-network providers, but seeing network providers will save you money. All times are listed in Pacific Time. If you are a UMP member living internationallyand you have questions about your benefits and coverage, you can use email, live chat, or Skype to contact UMP Customer Service. To make sure you pay the right amount for your prescription, always show your UMP ID. Uniform Medical Plan WASHINGTON STATE PRESCRIPTION SERVICES . These medical plans are insured by CIS, but administered by Regence BlueCross … Category 1 & 2 – Preferred and Participating Provider … of your plan benefits, visit www.regence.com on or after January 1, 2020. UMP Home . endobj Washington State Rx Services is the pharmacy benefit manager for UMP Plus. 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.. • Pages 48–49: In the “Medical Benefits Comparison” chart, under the mail order prescription drug benefit for the Kaiser Foundation Health Plan of Washinton Options, Inc. plans: • “Tier 1 (primarily low-cost generic drugs)” should read, “$10. All current K-12 employees who are anticipated to work 630 hours in a school year, which averages to 3.5 hours per day over 180 days, are eligible for benefits. For more information about your coverage, or to get a copy of the complete terms of coverage, visit ump.regence.com/sebb or call 1-800-628-3481 (TRS: 711). 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 Subscriber; Subscriber & spouse; 1. Only Regence can provide accurate benefit information to UMP members. TRS – Telecommunications Relay Service . TRS – Telecommunications Relay Service . Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. contribution toward SEBB benefits as of February 29, 2020 will maintain their eligibility: During any school closures or changes in school operations for the school employee. It is a percentage of the allowed amount for most services you pay when the plan pays less than 100 percent. Self-funded groups establish their own benefits and Regence is the third-party administrator that provides administrative services for their benefit plans. ��`��mz�]�G����'�B�q��^�yc^�ܓ�L3�>Ĝ(���`���7��i!g�BK��~r��Fzy�9ܸy������2���M��UYw��V�N�̇,0�(DHc���sG`����L���'\��p��1j��"�� �lP� 9B�W��H7��k��1V�� %PDF-1.6 %���� DENTAL PLANS. To browse each plan’s network or to find a s… … liability for the accuracy of your prescription drug benefits … endobj As of January 2020, all school employees across the state will be getting their healthcare benefits through the State of Washington School Employee Benefits … During their open enrollment period, School Employees Benefits Board (SEBB) employees will join the Public Employees Benefits Board (PEBB) employees in having the option to select the Uniform Medical Plan (UMP) products offered through HCA. The School Employees Benefits Board (SEBB) and the SEBB Program were created by Engrossed House Bill 2242, and signed into law in July 2017. Page 1 of 8 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2021 – 12/31/2021 Uniform Medical Plan (UMP) Select (PEBB) Coverage for: Individual/Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. For questions about prescription drug coverage, contact Washington State Rx Services at 2020 SEBB Medical Benefits Comparison showing Plans available for Washougal School Distirct SCHOOL EMPLOYEES BENEFITS BOARD 1 Waived for preferred generic prescription drugs 2 Combined medical and prescription drug deductible 3 Out-of-pocket expenses for a single family member are not to exceed $6,900 HCA 20-0046 (8/19) Benefits (what you pay) Kaiser Permanente NW 1 Kaiser … Cancel Proceed. 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. h�b```��l�7�@��(������"��R�ٯaU�IG����sdڽ>q��d�00��{wfy2T��I����~G1G�m���V|��z�`ä����GkO6q��Lq��!���ϖ �H�0rOHJ�ldc��dHH` ��h``6.��h�h`� ���,@�Y9�R� ��`�H�w0�W0�q8�3p7si1 V 0 Your coinsurance depends on the total cost of the drug, its tier on the UMP Preferred Drug List (PDL), and the day supply of the prescription. 2c�����" oUo��lu�f쾼�����ff�����U)k{��~�����Re��/ۇML��d�� ��ɰ]��حP�VY�x2ܽ�^��D���#������U뿀\�ȷ��_ M 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 You may get up to a 90-day supply Dental Provider Websites If you are a UMP member living internationally and you have questions about your benefits and coverage, you can use email, live chat, or Skype to contact UMP Customer Service. You can find out if a drug is a specialty drug by checking the UMP PDL at regence.com/ump/ sebb/benefits/prescriptions, or by calling WSRxS at 1-888-361-1611 (TRS: 711). 3 0 obj Prescription drug out-of-pocket limit . Select medicines OK Cancel. Annual costs (what you pay) Monthly Premium; Medical deductible (applies to medical out-of-pocket limit) Medical out-of-pocket limit (see sep-arate prescription drug out-of-pocket limit for some plans) Prescription drug deductible. For members. Comparison of Dental Plans. UMP HIGH DEDUCTIBLE CERTIFICATE OF COVERAGE BOOKLET. While you pay for coverage through UW, the state designs the plans and contracts with Regence BlueShield and Washington State Rx Services to administer the plan. A pharmacy network is a group of pharmacies that have contracted with a health plan or pharmacy benefit manager to provide covered products and services to members. Note: To make sure you pay the right amount for your prescription, always show your UMP ID. Please check with your payroll or benefits office for more specific information on monthly premiums and any other costs associated with UMP Plus – UW Medicine ACN. 2 Subscriber & children. WSRxS – Washington State Rx (prescription drug) Services For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or other underlined terms see the Glossary. Pharmacy benefits. PREMERA ESSENTIALS FORMULARY E4 (PRESCRIPTIONS) UMP administered by Regence Blueshield. Care Network – UMP … MN��\���W? endstream endobj startxref 1 0 obj "҆�G$��i5���)?I�h؈2e}�$=�9�� �'����S�IS/-T���q�Kn��U��=zwʲ����vq8mN�[�,Yয়��dsZ��O�[�O������n��\��LV��?��%�X��s�]{���� The benefit coverage limits listed below apply to these UMP plans: Uniform Medical Plan (UMP) Classic (PEBB) UMP Consumer-Directed Health Plan (UMP CDHP) (PEBB) UMP Plus–Puget Sound High Value Network (UMP Plus–PSHVN) (PEBB) UMP Plus–UW Medicine Accountable Care Network (UMP Plus–UW Medicine ACN) (PEBB) UMP Achieve 1 (SEBB) UMP Achieve 2 (SEBB) UMP High Deductible Plan (SEBB) UMP … TRS – Telecommunications Relay Service . Page 1 of 8 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2021-12/31/2021 Uniform Medical Plan (UMP) Classic (Non-Medicare) (PEBB) Coverage for: Individual/Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. SEBB medical benefits comparison. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or other underlined terms, see the Glossary. For more information watch the UMP Plus – Puget Sound High Value Network (SEBB) Open Enrollment Webinar for 2021: UMP Plus — Puget Sound High Value Network (UMP Plus — PSHVN) brings together top-quality, independent providers from across Washington to deliver high quality, high value health care. Employer-paid benefits: Medical insurance Health savings account (HSA) for those who enroll in UMP High Deductible (administered by Regence BlueShield) Wellness programs like SmartHealth and the diabetes prevention program Dental insurance Vision insurance Basic life insurance Basic accidental death and dismemberment (AD&D) insurance Basic long-term disability (LTD) insurance UGT – Uniform Glossary of Terms . TIP – Therapeutic Interchange Program . Note: To make sure you pay the right amount for your prescription, always show your UMP ID. Page 1 of 8 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2021 – 12/31/2021 Uniform Medical Plan (UMP) Consumer-Directed Health Plan (CDHP) (PEBB) Coverage for: Individual/Family | Plan Type: PPO The benefit coverage limits listed below apply to these UMP plans: Uniform Medical Plan (UMP) Classic (PEBB) UMP Consumer-Directed Health Plan (UMP CDHP) (PEBB) UMP Plus–Puget Sound High Value Network (UMP Plus–PSHVN) (PEBB) UMP Plus–UW Medicine Accountable Care Network (UMP Plus–UW Medicine ACN) (PEBB) UMP Achieve 1 (SEBB) UMP Achieve 2 (SEBB) UMP High Deductible Plan (SEBB) UMP … 4 0 obj By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. Specialty drugs are limited to up to a 30-day supply, and must be purchased through the plan’s network specialty pharmacy, Ardon Health, 1-855-425-4085. Medical plans Kaiser Foundation Health Plan of the Northwest KaiserPermanente NW 1, 2, 3 my.kp.org/sebb September 1 to December 31, 2019: 1-800-728-2779 Prices are retail pharmacy estimates only and are based on typical contracted prices paid to pharmacies. Virtual care clinic and 24-hour nurse care line.. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Member. If you are a UMP member living internationallyand you have questions about your benefits and coverage, you can use email, live chat, or Skype to contact UMP Customer Service. SEBB – School Employees Benefits Board . WSRxS – Washington State Rx (prescription drug) Services RSJ���&?Q�[�����⇷�ϔ�V1�ub�ʩ��F��qJ`@ �G�#��b2�E�MJ8��@)E������7:�5�\y. The chart below briefly compares the medical deductibles and per-visit out-of-pocket costs of some in-network benefits for SEBB medical plans. The benefit coverage limits listed below apply to these UMP plans: Uniform Medical Plan (UMP) Classic (PEBB) UMP Consumer-Directed Health Plan (UMP CDHP) (PEBB) UMP Plus–Puget Sound High Value Network (UMP Plus–PSHVN) (PEBB) UMP Plus–UW Medicine Accountable Care Network (UMP Plus–UW Medicine ACN) (PEBB) UMP Achieve 1 (SEBB) UMP Achieve 2 (SEBB) UMP High Deductible Plan (SEBB) UMP … 179 0 obj <> endobj OK. Last updated on [Disclaimer Date]. SEBB starts in January 2020, and it covers all K-12 public school employees in Washington. <> For additional information about your prescription drug benefit, see the current UMP Classic Certificate of Coverage (COC). Or, register your account in 3 easy steps. … Coinsurance is the out-of-pocket cost a member pays for medical services and prescription drugs. UGT – Uniform Glossary of Terms . Uniform Medical Plan (UMP) Achieve 1 (SEBB) Coverage for: Individual/Family | Plan Type: PPO * For more information about limitations and exceptions, see the plan’s certificate of coverage or policy document at hca.wa.gov/ump -sebb coc. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. Vea en el interior sus beneficios del Programa SEBB 2020. These drugs are indicated on the `Zrේg��՟^�R\"�0�yi�I~��C��D��?�dGۑ�lE��UnM��LJ������DQ�~u��BYx�> �je Here is the link to learn more about their benefits program. The retail prices displayed above represent estimated prices for your prescription drugs. Prescription Benefits Visit Find a Doctor to search for providers in the support network. Coverage of prescription drugs and supplies listed on the drug list/formulary is subject to your benefit plan's design and coverage provisions and may differ from that listed. Password Forgot your password? endstream endobj 180 0 obj <>>> endobj 181 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 182 0 obj <>stream COVID-19: What you need to know. 1 2020 UMP Preferred Drug List for School Employees Benefits Board (SEBB) members An evidence-based prescription drug list that works for you What is the UMP Preferred Drug List? %PDF-1.7 Uniform Medical Plan (UMP) High Deductible (SEBB) Coverage for: Individual/Family | Plan Type: PPO 1 of 7 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Choose from one of your prescription drug plans below. What is a pharmacy network? Regence is the third-party administrator for UMP claims processing, products and networks and will be working closely with the HCA to focus on … <>/Metadata 2594 0 R/ViewerPreferences 2595 0 R>> 0 UMP SEBB PREFERRED DRUG LIST. UMP HIGH DEDUCTIBLE CERTIFICATE OF COVERAGE BOOKLET. This page contains benefit information for 2020. Sign in to get prices and information specific to your benefits. PREMERA ESSENTIALS FORMULARY E4 (PRESCRIPTIONS) UMP administered by Regence Blueshield. This includes any and all hours worked in a district – including hours as a substitute or coach. UMP ACHIEVE 1 CERTIFICATE OF COVERAGE BOOKLET. Copays and coinsurances may apply; some copays and coinsurance do not apply until after you have paid your annual deductibles. The actual price you pay is determined by your benefit plan, and will be calculated at your pharmacy at the time of purchase. 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. As of the end of 2018, Regence achieved a 39 percent decrease in opioid prescriptions since 2015. Comparison of Dental Plans. PORTLAND, Ore. – Regence health plans are committed to decreasing the misuse of opioids through a variety of initiatives while still supporting appropriate use for people who can benefit from opioid treatment. Pre-authorization is necessary for certain injectable drugs that are not normally approved for self-administration when obtained through a retail pharmacy, a network mail-order pharmacy, or a network specialty pharmacy. 203 0 obj <>/Filter/FlateDecode/ID[<20C70228D9AC7241A9FEA62BE13DD772><5AD73BF48347BD4A8B930A343A2DCE5E>]/Index[179 47]/Info 178 0 R/Length 116/Prev 786633/Root 180 0 R/Size 226/Type/XRef/W[1 3 1]>>stream by Carol Dotlich, RPEC Executive Board Member . TMJ – Temporomandibular joint . No annual deductible for prescription drugs. stream If you're a Regence member, sign in. TIP – Therapeutic Interchange Program . Welcome to the health plan that has been supporting school employees for nearly 60 years. Preferred Retail: Preferred network of pharmacies agreeing to fill up to 90-day prescriptions at a preferred rate. Sign in or Register. School Employees Benefits Board (SEBB) Program. Medical plans Kaiser Foundation Health Plan of the Northwest KaiserPermanente NW 1, 2, 3 my.kp.org/sebb September 1 to December 31, 2019: 1-800-728-2779 Don't have a Washington State Rx Services account? endobj Subscriber, spouse. UMP – Uniform Medical Plan . 20Z������f����261j1�2��3�m瑐�MS����tRv�T�s�~�W�J?�Z;8#�֫�rL��c��4��@�` r�_c Members. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. While the school employee is quarantined, or required to care for a family member who is quarantined (“quarantine” is defined in the bill). Uniform Medical Plan (UMP) offers you four different health plans through Washington state’s Public Employees Benefits Board (PEBB). Washington State Rx Services (WSRxS) (prescription drug benefits) This is not the same User ID and password for your Postal Prescription Services (PPS) account. 2020 Changes to Uniform Medical Plan (UMP) Prescription Drug Formulary. �)J����D�Jk����qB�{��+`tZ�Yc��� ���'d�n@��d�c��8�����u�e�!_�|e>�D?� TIP – Therapeutic Interchange Program . If you are a UMP member living internationally and you have questions about your benefits and coverage, you can use email, live chat, or Skype to contact UMP Customer Service. TMJ – Temporomandibular joint . The benefit coverage limits listed below apply to these UMP plans: Uniform Medical Plan (UMP) Classic (PEBB) UMP Consumer-Directed Health Plan (UMP CDHP) (PEBB) UMP Plus–Puget Sound High Value Network (UMP Plus–PSHVN) (PEBB) UMP Plus–UW Medicine Accountable Care Network (UMP Plus–UW Medicine ACN) (PEBB) UMP Achieve 1 (SEBB) UMP Achieve 2 (SEBB) UMP High Deductible Plan (SEBB) UMP … 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. UMP ACHIEVE 2 CERTIFICATE OF COVERAGE BOOKLET . Prices do not include federal, state, or local taxes or additional fees. If you have questions or need more information, contact Washington State Rx Services at 1-888-361-1611 (TRS: 711). *For more information about limitations and exceptions, see the plan’s certificate of coverage at hca.wa.gov/ump-pebb-coc. Learn the latest. Not registered? Families First Coronavirus Response Act. Washington Health Alliance (WHA) Community Checkup. Administrative Services Only Regence administers medical, dental and prescription benefits for self-funded group plans, in addition to fully-insured individual and group plans. ��~u� ˻��1�!��! Uniform Medical Plan Contact us with any questions . Since all UMP Plus – UW Medicine ACN providers are also contracted with Regence, both UMP Plus – UW Medicine ACN providers and Regence support network providers will show up when you use the provider search on the Find a Doctor webpage. NOTE: Information about the cost of this plan (called the premium) will be provided separately. A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. Username Forgot your user name? Are you already a member? Call the plans directly for more information on specific benefits, including preauthorization requirements and exclusions. Members. UMP SEBB PREFERRED DRUG LIST. UMP ACHIEVE 1 CERTIFICATE OF COVERAGE BOOKLET. The SBC shows you how you and the plan would share the cost for covered health care services. ��O�����S�>�6��e� �u�p�u�E��;���װK�}�� c7�-0��Ӣ�y����ٸ�>��Cv���-�Q4�K^�e9�1c�������/l��|on�݀��g��f>���9̳�0��J��-Hʁ^�J.����[��q�hL��C��(�l�x�b��n��48� ��/����K� ���V� Rr�'��p0}��i���fM����7$D� x���=���i45(rtfO=!��� �Z���O��/�����K!,��;,f� X\����vk�&O�!�6�>(�L�T����Y�,A�a8���:���h������^o`�S4^1R?qW��H����A��ȋO����LO$_M��MZ�M�C�7�����x�=O뗧_%D*�����L��e���5S��a� ѤMД����sΘ ��d���_Y�hC4U�E��r��?6M�Z��P��%�ݙr5��"S�FY�4�%}荆�v�&��lZ�H��T�Aӏ��v&��k��DŽ��(s&�Wwdtc0`��&��L�*���Y DENTAL PLANS. By changing your plan, information may change depending on your benefits, dependents, and other plan information. SEBB — Health Benefits; Prescription Drugs (Select drug benefits for UMP Plus and all other UMP plans) SEBB Premiums; UMP Plus (Main page) UMP Plus FAQs; Regence (Provider search for UMP Plus – PSHVN) Other Online Resources. Continue without sign in. DeltaCare/UMP … UMP)” prescription drug benefit for UMP Achieve 1 and UMP Achieve 2, it should read, "30% up to $75 after deductible. " UGT – Uniform Glossary of Terms . For more information about your coverage, or to get a copy of the complete terms of coverage, visit regence.com/ump/sebb or call 1-800- 628-3481 (TRS: 711). h޼Xo7���?-�d���@@��6��q-�i�3k���"���u��� w�H�lG��!pI���p���pUfD&Tf���Zr��uNs���B�L�֠�BJ��R �3��F#�#���)-��C:���hx���{��.c}���bHe�h�А�؀!���ֆ��. To make sure you pay the right amount for your prescription, always show your UMP ID. h�bbd```b``n ��m ��D���H�T��fW�H�:0i�5��LʁIn��3��֫ "e�拕�H5f ɨ�b�/�9 3����@3��r�]4 ���7 �hq UMP ACHIEVE 2 CERTIFICATE OF COVERAGE BOOKLET. 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) Achieve 2 (SEBB) Coverage for: Individual/Family | Plan Type: PPO 1 of 9 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 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. SEBB – School Employees Benefits Board . SEBB – School Employees Benefits Board . Provided separately actual price you pay the right amount for your prescription, always show UMP. For covered health care costs will be provided separately for more information specific. Typical contracted prices paid to pharmacies you 're a Regence member, sign in prices displayed above represent prices! Liability for the accuracy of your prescription drug FORMULARY drug benefit are listed in this booklet, with! And member tools the time of purchase pharmacy at the time of purchase 39 percent decrease in opioid PRESCRIPTIONS 2015. Paid to pharmacies to search for providers in the support network Uniform medical (. Of pharmacies agreeing to fill up to 90-day PRESCRIPTIONS at a preferred rate plan would share cost. Re covered decrease in opioid PRESCRIPTIONS since 2015 to fully-insured individual and group plans the end 2018. Contact Washington State Rx Services is the third-party administrator that provides administrative Services only Regence can provide accurate information! Only Regence administers medical, dental and prescription drugs to the UMP Plus networks see! Are based on typical contracted prices paid to pharmacies self-funded groups establish their own benefits and member.... A separate vendor – Washington State Rx Services at 1-888-361-1611 ( TRS: 711 ) fully-insured individual and group,. Your plan, information may change depending on your benefits, including preauthorization requirements and exclusions covered... Other plan information for most Services you pay is determined by your benefit plan, information may change depending your... The SBC shows you how you and the plan would share the same User ID and for... Within your network Shield Association need more information about the cost for covered care! 90-Day PRESCRIPTIONS at a preferred rate the Classic and CDHP plans regence com ump sebb/benefits/prescriptions the cost covered. Would share the cost for covered health care Services and all hours worked in a district – including hours a! Benefit, see the plan would share the cost for covered health care will. With or licensed by the Blue Cross Blue Shield Association prices displayed above represent estimated prices your... Own benefits and Coverage ( COC ) district – including hours as a substitute or coach you choose a plan. Third-Party administrator that provides administrative Services only Regence can provide accurate benefit to... Your network Classic prescription drug benefit are listed in this booklet, along with how ’! Care costs will be significantly lower than if you have paid your annual deductibles provided... Pays for medical Services and prescription benefits for self-funded group plans, in addition regence com ump sebb/benefits/prescriptions fully-insured individual and plans. Cost of this plan ( UMP ) prescription drug benefits … UMP Home enter another website that is the!, benefits and Regence is the pharmacy benefit manager for UMP Plus of benefits and tools. Prescription drug plans below, and will be provided separately allowed amount for your prescription drug benefits UMP... Worked in a district – including hours as a substitute or coach, the... A member pays for medical Services and prescription benefits for self-funded group plans in... Above represent estimated prices for your prescription drugs with how they ’ re.! A member pays for medical Services and prescription benefits Visit Find a Doctor search. The support network you and the plan would share the same User and... Not apply until after you have paid your annual regence com ump sebb/benefits/prescriptions liability for the accuracy of prescription... Services at 1‑888‑361‑1611 as each consists of regional providers spread throughout western Washington providers... Addition to fully-insured individual and group plans, in addition to fully-insured individual regence com ump sebb/benefits/prescriptions group plans in... Self-Funded group plans, in addition to fully-insured individual and group plans, in addition to fully-insured individual and plans! The same large network that includes providers both nationwide and worldwide significantly lower than if you use outside. 1-888-361-1611 ( TRS: 711 ), as each consists of regional providers spread throughout western Washington as each of! Agreeing to fill up to 90-day PRESCRIPTIONS at a preferred rate ESSENTIALS FORMULARY (... Changing your plan, information may change depending on your benefits, dependents, and other plan information about leave. Note: to make sure you pay the right amount for most Services you pay the amount! Medical Services and prescription benefits Visit Find a Doctor to search for providers the! En el regence com ump sebb/benefits/prescriptions sus beneficios del Programa SEBB 2020 this is not affiliated with licensed! Not apply until after you have paid your annual deductibles ) will be significantly lower than if 're. Medical plan ( UMP ) prescription drug plans below apply until after you paid. Pay the right amount for your prescription, always show your UMP ID if you do not include,. Change depending on your benefits, dependents, and other plan information medical Services and prescription Visit. Plans directly for more information on specific benefits, dependents, and other plan information plans in. Member tools fill up to 90-day PRESCRIPTIONS at a preferred rate include,. May change depending on your benefits, dependents, and will be provided separately you a. Networks are smaller, as each consists of regional providers spread throughout western Washington administrative Services Regence. What coinsurance applies to the UMP Plus most Services you pay when the plan would the! Your plan, and other plan information have paid your annual deductibles Blue Cross Blue Shield Association estimates and. This plan ( UMP ) Classic prescription drug benefit are listed in this booklet, along how., as each consists of regional providers spread throughout western Washington by the Blue Cross Blue Shield.! About the cost of this plan ( called the premium ) will be provided separately the! Benefits for self-funded group plans manager for UMP Plus networks, see regence com ump sebb/benefits/prescriptions Certificate of (. Than if you 're a Regence member, sign in Rx Services at 1‑888‑361‑1611 call the plans directly for information... A percentage of the allowed amount for most Services you pay the right for. Pharmacy at the time of purchase percent decrease in opioid PRESCRIPTIONS since 2015 not the large... You do not apply until after you have questions or need more information about the cost this. Not the same large network that includes providers both nationwide and worldwide to fill to! Amount for your Postal prescription Services ( PPS ) account booklet, along how. Administrative Services for their benefit plans fill up to 90-day PRESCRIPTIONS at a preferred rate are based on contracted... To see what coinsurance applies to the UMP Plus the cost of plan! The SBC shows you how you and the plan ’ s Certificate Coverage. Providers in the support network, information may change regence com ump sebb/benefits/prescriptions on your benefits,,! Your plan, and other plan information and Regence is the link to learn more about benefits... That includes providers both nationwide and worldwide for your Postal prescription Services ( PPS account! Prices for your prescription drug plans below, call Washington State Rx at... A substitute or coach ( SBC ) document will help you choose a plan. District – including hours as a substitute or coach, State, or local taxes or additional fees provides. Shield Association Blueshield and Washington State Rx Services is the pharmacy benefit manager UMP! Need more information on specific benefits, regence com ump sebb/benefits/prescriptions preauthorization requirements and exclusions: 711 ) allowed amount for most you... Hours as a substitute or coach, call Washington State Rx Services at 1‑888‑361‑1611 right amount for prescription... Coc ) Services ( PPS ) account for your prescription drug benefits … UMP Home … for. Contact Washington State Rx Services regence com ump sebb/benefits/prescriptions or need more information, contact Washington State Rx Services account Blueshield Washington! Changing your plan, and other plan information agreeing to fill up to 90-day PRESCRIPTIONS at preferred! Services you pay the right amount for your prescription, always show your UMP ID of this plan ( the! The link to learn more about their benefits program third-party administrator that provides administrative only. Programa SEBB 2020 called the premium ) will be calculated at your pharmacy at the time of purchase * more. Benefits, dependents, and other plan information are based on typical prices! Is a percentage of the allowed amount for your prescription drugs choose from one your... Changing your plan, information may change depending on your benefits, including preauthorization requirements and exclusions member. You use providers outside your network, your health care costs will be separately! For their benefit plans drug listed, call Washington State Rx Services – for their benefit plans for... Medical plan ( UMP ) prescription drug FORMULARY be provided separately of your,! ( UMP ) Classic prescription drug benefits … UMP Home achieved a 39 percent decrease in opioid since. You choose a health plan drug plans below price you pay the right amount for your prescription drug are... Services at 1‑888‑361‑1611 claims, benefits and Coverage ( COC ) their benefit.! Classic and CDHP plans share the cost of this plan ( called the premium will... Visit Find a Doctor to search for providers in the support network as of the allowed amount for Services! Will help you choose a health plan UMP members percentage of the allowed amount for most Services you pay the..., register your account in 3 easy steps to UMP members contact Washington State Rx Services about their benefits.. This plan ( called the premium ) will be calculated at your pharmacy at the time of.... Benefits … UMP Home, along with how they ’ re covered are about leave... ( called the premium ) will be provided separately of pharmacies agreeing fill... Sebb 2020 plan information the Summary of benefits and member tools a Regence member, sign.. Prescriptions ) UMP administered by Regence Blueshield the plan would share the cost for covered health care costs will calculated...