UMP (SEBB) (Regence) What’s new for 2022

This is an overview of new Uniform Medical Plan (UMP) benefits and changes to benefits for plan year 2022 for School Employees Benefits Board (SEBB) members. UMP medical benefits are administered by Regence BlueShield and prescription drug benefits are administered by Washington State Rx Services.

Publication

UMP (SEBB) (WSRxS) Prescription drug benefits comparison for 2022

This is a summary of how prescription drug benefits work for UMP Achieve 1, UMP Achieve 2, UMP High Deductible, and UMP Plus for benefit year 2022, including what you'll pay for drugs and a partial list of network pharmacies. UMP prescription drug benefits are administered by Washington State Rx Services (WSRxS).

Publication

UMP (SEBB) monthly premiums comparison 2021-2022

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This document lists the 2021 and 2022 monthly premiums for Uniform Medical Plan (UMP) for School Employees Benefits Board (SEBB) Program members. UMP is administered by Regence BlueShield and Washington State Rx Services under contract with the Washington State Health Care Authority.

Publication

UMP (SEBB) newsletter 2022

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This newsletter contains important information for Uniform Medical Plan (UMP) members (SEBB) about benefit changes and new resources for 2022.

Newsletter

UMP (WSRxS) Authorization for release of information

This form directs Washington State Rx Services (WSRxS) to communicate with you about your personal health information at the address you select. This form does not apply to your health care provider. You must give your provider separate, specific instruction about what health information they may share and with whom.

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UMP (WSRxS) Chronic opioid attestation form

This Uniform Medical Plan (UMP) form is for provider use. Use of opioids for more than 42 days may be authorized in 12 month intervals when the prescriber signs this attestation form. If a prescriber wants an attestation to be authorized for less than 12 months, the prescriber can include a specific end date on the form. Washington State Rx Services (WSRxS) created this form.

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UMP (WSRxS) disclosure directive form

This form directs Washington State RX Services (WSRxS) to communicate with you about your personal health information at the address you select.

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UMP (WSRxS) Multiple prescription drug coverage inquiry form (coordination of benefits [COB])

This form is for notifying Washington State Rx Services (WSRxS) that you have prescription drug coverage in addition to Uniform Medical Plan (UMP).

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UMP (WSRxS) over the counter COVID-19 at home test claim form

This claim form can be used to request reimbursement for over the counter COVID-19 at home tests.

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UMP (WSRxS) Over-the-Counter (OTC) at-home COVID-19 test kit instructions

These instructions outline how UMP members can access COVID-19 at home test kits from Costco pharmacy.

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