The purpose is to match up provisions of the ACA with employer-provided health care benefits. We have no evidence to suggest personal information has been misused. Health plans with health savings accounts (HSAs) Contact HCA. Effective January 1, 2020 2020 UMP Consumer-Directed Health Plan (PEBB) In this booklet, employees are also called “subscribers.” Your employer will determine if you are eligible based on your specific employment circumstances, and whether you qualify for the employer contribution (see WAC 182-12-114 and 182-12-131). Uniform Medical Plan (UMP) plans. For more information watch the UMP Plus – Puget Sound High Value Network (PEBB) 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. Eligibility & enrollment ... Group Health plans. Submit pre-authorizations for these specialty medications to VIVIO Health Help Desk at 1 (925) 365-6600. Pre-authorization for certain specialty medications is required for CHG Healthcare Services (group #70000004), IEC Group (group #70000000) and Alsco Inc. (group #70000002) members. If the patient pays you directly for the medication, the patient can submit proof of payment to us for reimbursement under their pharmacy benefit. We recommend using your personal email address to access your account. Effective January 1, 2020 2020 UMP Plus–Puget Sound High Value Network (PEBB) The UMP Plus – UW Medicine Accountable Care Network is an innovative healthcare option available to PEBB-eligible employees. Washington State Rx Services is the pharmacy benefit manager for UMP Plus. SEATTLE –  On July 25, 2019, Regence BlueShield sent a welcome packet to 684 new Uniform Medical Plan (UMP) subscribers with their Social Security numbers (SSN) visible above the name and address block. For employees. If you are eligible for the employer contribution toward PEBB benefits, but do not waive or enroll in PEBB medical coverage, you will be automatically enrolled as a single subscriber in Uniform Medical Plan (UMP) Classic, administered by Regence BlueShield. Keyword-suggest-tool.com Email: Send secure email via your . Products for SEBB members - new for January 1, 2020. When we learned of the mistake on July 26, 2019, we stopped mailing additional packets and changed processes moving forward. We recommend using your personal email address to access your account. Refill mail-order prescriptions. Visit the PEBB plan sites for more information: Kaiser Permanente WA (formerly Group Health) plans, or Uniform Medical Plan (UMP) plans. Eligible members may also enroll outside of the annual open enrollment period when a special open enrollment event occurs, such … 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. Regence account at regence.com If you are outside the U.S. and you have questions about your benefits and . access a variety of provider support tools, Pharmacy Peer-to-Peer Review Request form, Site of Care Program (dru408) medication policy (PDF). Members who take maintenance medications for a chronic condition can eliminate trips to the pharmacy and have prescriptions shipped directly to them. This guide provides a general summary of employee eligibility for PEBB benefits. 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. UMP Plus is available only to people eligible for coverage through the PEBB … Please call UMP Customer Service (Regence) at 1-800-628-3481 (TRS: 711) for all questions about medical benefits (what is covered by the plans), medical claims, and medical services requiring preauthorization.Only Regence can provide accurate medical benefit information to UMP members. Contact information. Uniform Medical Plan coverage limits Updates effective 9 /1/2020 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) In 2020, the School Employees Benefits Board (SEBB) will also have Regence coverage. 2021 UMP Select (PEBB) Certificate o f Cov erage. Updates effective 1/1/2021 . 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.. These limits are either determined ... Regence Medical Policy Tra13 • 48160, 0584T, 0585T, 0586T, Get estimates of drug costs, retail or mail order. Keyword-suggest-tool.com Email: Send secure email via your . If a claim for a medication that is only covered under the member's pharmacy benefit is submitted to the medical plan, it will be denied as a member responsibility. The benefit coverage limits listed below apply to these UMP plans: Uniform Medical Plan (UMP) Classic (PEBB) UMP Select (PEBB) UMP Consumer-Directed Health Plan (UMP CDHP) (PEBB) ... Implant, UMP follows Regence Medical Policy Sur08 . 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 […] Public Employees Benefits Board (PEBB) Medical Plan/Group #. BlueCross BlueShield Federal Employee Program (BCBS FEP®) and BlueCard members are excluded, as well as members on administrative services only (ASO) groups and joint administration groups that use a different PBM. ... all contracts with UMP/Regence are Preferred (PPO) contracts. 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. Uniform Medical Plan coverage limits Updates effective 10 /1/2020 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) Annual Out-of-Pocket Limit $2,000 $4,000 $4,200 (includes deductible) $8,400 (includes deductible) UMP Classic only: Payments for out-of-network services and 2021 UMP Classic (PEBB) Certificate of Coverage Visit the UMP website at ump.regence.com/pebb/finding-doctors or call 1-888-849-3681 (TRS: 711) for a list of network providers (preferred providers). In the “Medical Benefits Comparison” chart, the “Tier 2 (preferred brand-name drugs, high-cost generic drugs, and specialty drugs for UMP)” prescription drug benefit for UMP Achieve 1 and UMP Achieve 2, it should read, "30% up to $75 after deductible. " Classic: 0090000 . A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. To see what coinsurance applies to the UMP Plus networks, see the Certificate of Coverage. For Washington members: Vaccines provided under the. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. In this booklet, employees are also called “subscribers.” Your employer will determine if you are eligible based on your specific employment circumstances, and whether you qualify for the employer contribution (see WAC 182-12-114 and 182-12-131). These limits are either determined ... Genetic Testing for Regence Medical Policy 81201, 81202, 81203, Lynch Syndrome and : … Regence BlueShield. The Public Employees Benefits Board (PEBB) Program will offer three new plan options in the Puget Sound area, starting January 1, 2016. Some of our prescription benefits include lower copays and coinsurance for prescriptions filled at preferred pharmacies. Other plan defaults for employees who Self-funded groups establish their own benefits and Regence is the third-party administrator that provides administrative services for their benefit plans. 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 […] To add or remove a dependent from your health insurance, you must complete a new Employee Enrollment Change Form and return it to the Benefits Office. The benefit coverage limits listed below apply to these UMP plans: Uniform Medical Plan (UMP) Classic (PEBB) UMP Select (PEBB) UMP Consumer-Directed Health Plan (UMP CDHP) (PEBB) Public employee benefits. 69930, L8614, L8619, L8627, We're sorry, but you arrived at this page by accident. PEBB benefits? Chiropractic visits are limited to 16 per calendar year The UW Medicine by Carol Dotlich, RPEC Executive Board Member. When your patients receive their prescription medications from our preferred pharmacy network, they will generally pay less out-of-pocket. If there are questions that the clinical pharmacist is unable to answer, the clinical pharmacist will schedule a call with a Regence medical director. Some services listed under these benefits have coverage limits. Regence BlueCross BlueShield of Oregon. We have negotiated lower prices with our preferred network of pharmacies. HCA 51-205 (11/16) HCA 51-205 (6/18) Your PEBB Benefits for 2018 Retiree Enrollment Guide Monthly Premiums Pages 8-10 Eligibility Summary Pages 11-14 How PEBB Plans with Prescription Drug Employees enrolled in PEBB insurance coverage at the time of retirement may be eligible to continue or defer enrollment in PEBB insurance coverage provided they meet procedural and eligibility requirements. This will ensure that we receive the correct information to process the pharmacy claim. We have provided links to the full document of each plan here for your convenience. Effective January 1, 2021. You can also access a variety of provider support tools including a user guide and training videos from CoverMyMeds. HCA 51-205 (11/16) HCA 51-205 (10/18) Your PEBB Benefits for 2019 Retiree Enrollment Guide Monthly Premiums Pages 8-10 Eligibility Summary Pages 11-14 How PEBB Plans with Prescription Drug This plan uses a provider network. Individual: 1865000. UMP Achieve 1, UMP Achieve 2 and UMP High-Deductible plans. The new documentation for 2020 benefits on the Uniform Medical Plans can be found online. 23–38). 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. These limits are either determined ... UMP follows Regence Medical Policy Sur08 . HCA is committed to providing equal access to our services. coverage, you can use email, chat live, or Skype to contact UMP Customer . The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. We recommend you use this web-based tool to submit and track requests online for our members. 69930, L8614, L8619, L8627, Regence is notifying the affected UMP members directly and offering one year of complimentary theft protection and potential identity-theft resolution. On the UMP Plus website, you will be able to access tools for network pharmacy management, prescription drug claims processing, customer service, and a network mail-order pharmacy. Regence BlueCross BlueShield of Oregon is an independent licensee of the Blue Cross and Blue Shield Association. Coinsurance is the out-of-pocket cost a member pays for medical services and prescription drugs. These plans are designed to promote higher quality through enhanced care coordination. Prime has web-based tools to help you submit pharmacy pre-authorization requests and submit claims for medications administered in your office. 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 Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. PEBB benefits. Kaiser Permanente plans. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. Optional life and accidental death and dismemberment (AD&D) insurance T Review the optional life and AD&D insurance options and This guide provides a general summary of employee eligibility for PEBB benefits. Otherwise, all benefits are subject to the IRS outside your network the Blue Blue... 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