UMP Achieve 2 (SEBB) (Regence) Summary of Benefits and Coverage (SBC) 2021

This is a 2021 summary of popular benefits covered under Uniform Medical Plan (UMP) Achieve 2. It tells you how much you'll pay for these services, as well as specific related limits and exclusions. A Regence document.

Publication

UMP Achieve 2 (SEBB) (Regence) Summary of Benefits and Coverage (SBC) 2022

This is a 2022 summary of popular benefits covered under Uniform Medical Plan (UMP) Achieve 2. It tells you how much you'll pay for these services, as well as specific related limits and exclusions. A Regence document.

Publication

UMP Achieve 2 (SEBB) Certificate of Coverage (COC) 2020

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.

Publication

UMP Achieve 2 (SEBB) Certificate of Coverage (COC) 2021

54-0019

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.

Publication

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

54-0019

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.

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UMP Achieve 2 (SEBB) Quick start guide 2021

54-0011

This guide gives a brief overview of the UMP Achieve 2 medical and prescription drug benefits for 2021.

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UMP Applied Behavior Analysis (ABA) services authorization form

This form is for requesting preauthorization of Applied Behavior Analysis (ABA) Therapy services.

Form

UMP CDHP (PEBB) Quick start guide 2021

54-029

This guide gives a brief overview of the UMP Consumer-Directed Health Plan (CDHP) (PEBB) medical and prescription drug benefits for 2021.

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UMP Centers of Excellence (COE) Program (Premera) brochure

This flyer gives an overview of the Centers of Excellence Program in 2022 for knee and hip replacement and spine care (Premera).

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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

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