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UMP Applied Behavior Analysis (ABA) services authorization form 2021
This form is for requesting preauthorization of Applied Behavior Analysis (ABA) Therapy services. This document is not for benefit year 2022.
FormUMP CDHP (PEBB) Quick start guide 2022
54-0029This guide gives a brief overview of the UMP Consumer-Directed Health Plan (CDHP) (PEBB) medical and prescription drug benefits for 2022.
PublicationUMP Centers of Excellence (COE) Program (Premera) brochure 2022
This flyer gives an overview of the Centers of Excellence Program in 2022 for knee and hip replacement and spine care (Premera).
PublicationUMP Certificate of Coverage Summary of changes
This is a summary of changes to the UMP medical plans because of the COVID-19 pandemic.
Criteria of coverageUMP Classic (Medicare) (PEBB) (Regence) Summary of Benefits and Coverage (SBC) 2021
This document puts your health plan benefits for UMP Classic (Medicare) in a standardized format to help you compare different plans. It includes common services, deductibles, normal cost shares such as copays, 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 is administered by Regence BlueShield and Washington State Rx Services under contract with the Washington State Health Care Authority.
PublicationUMP Classic (Medicare) (PEBB) (Regence) Summary of Benefits and Coverage (SBC) 2022
This document puts your health plan benefits for UMP Classic (Medicare) in a standardized format to help you compare different plans. It includes common services, deductibles, normal cost shares such as copays, 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 is administered by Regence BlueShield and Washington State Rx Services under contract with the Washington State Health Care Authority.
PublicationUMP Classic (non-Medicare) (PEBB) (Regence) Summary of Benefits and Coverage (SBC) 2021
This document puts your health plan benefits for UMP Classic (Non-Medicare) in a standardized format to help you compare different plans. It includes common services, deductibles, normal cost shares such as copays, 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 is administered by Regence BlueShield and Washington State Rx Services under contract with the Washington State Health Care Authority.
PublicationUMP Classic (non-Medicare) (PEBB) (Regence) Summary of Benefits and Coverage (SBC) 2022
This document puts your health plan benefits for UMP Classic (Non-Medicare) in a standardized format to help you compare different plans. It includes common services, deductibles, normal cost shares such as copays, 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 is administered by Regence BlueShield and Washington State Rx Services under contract with the Washington State Health Care Authority.
PublicationUMP Classic (PEBB) Certificate of Coverage (COC) 2020
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.
PublicationUMP Classic (PEBB) Certificate of Coverage (COC) 2021
54-0015This 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.
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