Uniform Medical Plan (UMP) plans

A one-stop-shop for Uniform Medical Plan information for PEBB Continuation Coverage.

UMP Plus – Puget Sound High Value Network (PSHVN) does not have primary care network providers for adults in Thurston County. This means that you and any adult dependents will need to travel to another county served by UMP Plus – PSHVN for primary care services from a network provider. Telehealth services through PSHVN may also be an appropriate option for some primary care needs.

On this page

What are my plan options?

In general, PEBB Program retirees may choose from the plans listed below. Your options are limited to the plans available in your county and whether you are enrolled in Medicare Part A and Part B. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan (with some exceptions, based on eligibility for Medicare Part A and Part B).

Medicare (COBRA only)

  • UMP Classic (Medicare)

Non-Medicare

  • UMP Classic
  • UMP Consumer-Directed Health Plan (CDHP)
  • UMP Plus–Puget Sound High Value Network
  • UMP Plus–UW Medicine Accountable Care Network

Learn more about the plans.

How do I find a provider?

Visit one of Uniform Medical Plan's online provider directories:

What are the full benefits of each plan?

The following documents—called a Certificate of Coverage—provide in-depth descriptions of the health care benefits for each plan. For a summary of benefits and costs, see Is there a quick way to see benefits and costs?

Certificates of Coverage: Medicare (COBRA only)

2018

2019

Certificates of Coverage: non-Medicare

2018

2019

Is there a quick way to see benefits and costs?

The following documents—called a Summary of Benefits and Coverage—provide summaries of what each plan covers and what it costs. For in-depth descriptions of benefits and coverage, see What are the full benefits of each plan?

Summaries of Benefits and Coverage: Medicare retiree plan (COBRA only)

2018

2019

Summaries of Benefits and Coverage: non-Medicare

2018

2019

What are the monthly plan costs?

Medicare (COBRA only)

2019

Members enrolled in Medicare Part A and Part B

UMP Classic

Subscriber only

$481.09

Subscriber and spouse*
(1 Medicare eligible)

$1,149.96

Subscriber and spouse*
(2 Medicare eligible)

$956.20

Subscriber and child(ren)
(1 Medicare eligible)

$982.74

Subscriber and child(ren)
(2 Medicare eligible)

$956.20
Subscriber, spouse,*and child(ren)
(1 Medicare eligible)		 $1,651.62
Subscriber, spouse,*and child(ren)
(2 Medicare eligible)		 $1,457.86
Subscriber, spouse,*and child(ren)
(3 Medicare eligible)		 $1,431.32

*or state-registered domestic partner 

2018

Members enrolled in Medicare Part A and Part B: UMP Classic
Subscriber only $483.64
Subscriber and spouse*
(1 Medicare eligible)		 $1,136.48
Subscriber and spouse*
(2 Medicare eligible)		 $962.26
Subscriber and child(ren)
(1 Medicare eligible)		 $973.27
Subscriber and child(ren)
(2 Medicare eligible)		 $962.26
Full family
(1 Medicare eligible)		 $1,626.11
Full family
(2 Medicare eligible)		 $1,451.89
Full family
(3 Medicare eligible)		 $1,451.89

*or state-registered domestic partner

Non-Medicare

2019

Members not eligible for Medicare (or enrolled in Part A only)

Subscriber only

Subscriber and spouse*

Subscriber and child(ren)

Subscriber, spouse,* and child(ren)

UMP Classic

$674.85

 $1,343.72

$1,176.50

 $1,845.38

UMP CDHP

$600.54

$1,189.65

 $1,056.96

$1,587.74

UMP Plus–Puget Sound High Value Network

$618.07

 $1,230.18 $1,077.15 $1,689.25

UMP Plus–UW Medicine Accountable Care Network

$618.07

 $1,230.18 $1,077.15 $1,689.25

*or state-registered domestic partner 

2018

Members not eligible for Medicare (or enrolled in Part A only) Subscriber only Subscriber and spouse* Subscriber and child(ren) Full family
UMP Classic $657.86 $1,310.70 $1,147.49 $1,800.33
UMP CDHP $588.91 $1,166.83 $1,036.93 $1,556.52
UMP Plus–Puget Sound High Value Network $600.56 $1,196.10 $1,047.22 $1,642.76
UMP Plus–UW Medicine Accountable Care Network $600.56 $1,196.10 $1,047.22 $1,642.76

*or state-registered domestic partner

Do I live in the medical plan's service area?

In most cases, you must live in a medical plan’s service area to join the plan. Use the tables below to make sure you live in the plan's service area. If you move out of your plan's service area, you may need to change plans. You must report your new address to the PEBB Program no later than 60 days after your move.

Washington

Plan County A-Z
UMP Classic (Non-Medicare)
UMP Classic (Medicare)
UMP CDHP		 All Counties
UMP Plus - Puget Sound High Value Network
This plan not available to Medicare members.		 Grays Harbor, King, Kitsap, Pierce, Snohomish, Spokane, Thurston, Yakima
UMP Plus - UW Medicine Accountable Care Network
This plan not available to Medicare members.		 Grays Harbor, King, Kitsap, Pierce, Skagit, Snohomish, Thurston

Oregon and Idaho

Plan County A-Z
UMP Classic (Non-Medicare)
UMP Classic (Medicare)
UMP CDHP		 All Counties

UMP Plus - Puget Sound High Value Network
This plan not available to Medicare members.

 Not available
UMP Plus - UW Medicine Accountable Care Network
This plan not available to Medicare members.		 Not available

Contact

Uniform Medical Plan
Online: UMP website
Phone: 1-888-849-3681
TRS: 711
Business hours: Monday–Friday 7 a.m. to 5 p.m. Pacific Time

Forms and publications

PDF icon COBRA and Continuation Coverage monthly premiums 2018

Related links

Visit the Uniform Medical Plan website
Change your coverage
Compare medical plans