Forms & publications

UMP Achieve 1 (SEBB) Certificate of Coverage (COC) 2022

This book describes what is covered under UMP Achieve 1 (SEBB), 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.

UMP Achieve 2 (SEBB) Certificate of Coverage (COC) 2022

This book describes what is covered under UMP Achieve 2 (SEBB), 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.

UMP Classic (PEBB) Certificate of Coverage (COC) 2022

This book describes what is covered under UMP Classic (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.

UMP Consumer-Directed Health Plan (CDHP) (PEBB) Certificate of Coverage (COC) 2022

This book describes what is covered under UMP CDHP (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.

UMP High Deductible (SEBB) Certificate of Coverage (COC) 2022

This book describes what is covered under UMP High Deductible (SEBB), 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.

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) (SEBB) Certificate of Coverage (COC) 2022

This book describes what is covered under UMP Plus–Puget Sound High Value Network (PSHVN) (SEBB), 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) 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.

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

This book describes what is covered under UMP Plus–UW Medicine Accountable Care Network (ACN) (SEBB), 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.