Forms & publications

UMP Notice of Privacy Practices effective November 1, 2023

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. The law requires Uniform Medical Plan (UMP) to maintain the privacy of information about you and to provide this notice to all UMP subscribers. This notice is effective November 1, 2023.

UMP Plus–Puget Sound High Value Network (PSHVN) (PEBB) (Regence) Summary of Benefits and Coverage (SBC) 2022

This is a summary of popular benefits covered under UMP Plus–Puget Sound High Value Network (PSHVN) (PEBB). It tells you how much you'll pay for these services, as well as specific related limits and exclusions. UMP is administered by Regence BlueShield and Washington State Rx Services under contract with the Washington State Health Care Authority.

UMP Plus–Puget Sound High Value Network (PSHVN) (PEBB) (Regence) Summary of Benefits and Coverage (SBC) 2023

This document puts your health plan benefits for UMP Plus–Puget Sound High Value Network (PSHVN) (PEBB) in a standardized format to help you compare different plans. It includes common services, deductibles, and normal cost shares such as coinsurance and out-of-pocket limits. It also tells you about limits to specific benefits, like a visit or dollar limit for certain services. UMP medical benefits are administered by Regence BlueShield and prescription drug benefits are administered by Washington State Rx Services.

UMP Plus–Puget Sound High Value Network (PSHVN) (PEBB) Certificate of Coverage (COC) 2022

This book describes what is covered under UMP Plus–Puget Sound High Value Network (PSHVN) (PEBB), including medical services and prescription drugs. It describes how to find providers and how much you'll pay to see them (including your deductible, coinsurance, and out-of-pocket limit). Your COC also describes how to request an appeal and how to submit a claim. UMP is administered by Regence BlueShield and Washington State Rx Services under contract with the Washington State Health Care Authority.

UMP Plus–Puget Sound High Value Network (PSHVN) (PEBB) Certificate of Coverage (COC) 2023

This book describes what is covered under UMP Plus–Puget Sound High Value Network (PSHVN) (PEBB), including medical services and prescription drugs. It describes how to find providers and how much you'll pay to see them (including your deductible, coinsurance, and out-of-pocket limit). Your COC also describes how to request an appeal and how to submit a claim. UMP is administered by Regence BlueShield and Washington State Rx Services under contract with the Washington State Health Care Authority.

UMP Plus–Puget Sound High Value Network (PSHVN) (PEBB) Certificate of Coverage (COC) 2024

This book describes what is covered under UMP Plus–Puget Sound High Value Network (PSHVN) (PEBB), including medical services and prescription drugs. It describes how to find providers and how much you'll pay to see them (including your deductible, coinsurance, and out-of-pocket limit). Your COC also describes how to request an appeal and how to submit a claim. UMP is administered by Regence BlueShield and Washington State Rx Services under contract with the Washington State Health Care Authority.

UMP Plus–UW Medicine Accountable Care Network (ACN) (PEBB) (Regence) Summary of Benefits and Coverage (SBC) 2022

This is a summary of popular benefits covered under UMP Plus–UW Medicine Accountable Care Network (PEBB). It tells you how much you'll pay for these services, as well as specific related limits and exclusions. UMP is administered by Regence BlueShield and Washington State Rx Services under contract with the Washington State Health Care Authority.

UMP Plus–UW Medicine Accountable Care Network (ACN) (PEBB) (Regence) Summary of Benefits and Coverage (SBC) 2023

This document puts your health plan benefits for UMP Plus–UW Medicine Accountable Care Network (PEBB) in a standardized format to help you compare different plans. It includes common services, deductibles, and normal cost shares such as coinsurance and out-of-pocket limits. It also tells you about limits to specific benefits, like a visit or dollar limit for certain services. UMP medical benefits are administered by Regence BlueShield and prescription drug benefits are administered by Washington State Rx Services.

UMP Plus–UW Medicine Accountable Care Network (ACN) (PEBB) Certificate of Coverage (COC) 2022

This book describes what is covered under UMP Plus–UW Medicine Accountable Care Network (ACN) (PEBB), including medical services and prescription drugs. It describes how to find providers and how much you'll pay to see them (including your deductible, coinsurance, and out-of-pocket limit). Your COC also describes how to request an appeal and how to submit a claim. UMP is administered by Regence BlueShield and Washington State Rx Services (WSRxS) under contract with the Washington State Health Care Authority.