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.

Form

UMP CDHP (PEBB) Quick start guide 2022

54-0029

This guide gives a brief overview of the UMP Consumer-Directed Health Plan (CDHP) (PEBB) medical and prescription drug benefits for 2022.

Publication

UMP 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).

Publication

UMP 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 coverage

UMP 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.

Publication

UMP 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.

Publication

UMP 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.

Publication

UMP 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.

Publication

UMP 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.

Publication

UMP Classic (PEBB) Certificate of Coverage (COC) 2021

54-0015

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.

Publication

Pages