Forms & publications

This is a summary of how prescription drug benefits work for Uniform Medical Plan (UMP) Classic (non-Medicare), UMP Select, UMP CDHP, and UMP Plus (PEBB) for benefit year 2025, including what you'll pay for drugs. UMP prescription drug benefits are administered by ArrayRx.

Teladoc Health Mental Health is a self-guided health and resiliency online tool for UMP members age 13 and older. This Regence brochure explains how to sign up for the Teladoc Health Mental Health tool.

This is an overview of new Uniform Medical Plan (UMP) benefits and changes to benefits for plan year 2025 for Public Employees Benefits Board (PEBB) Program members. UMP medical benefits are administered by Regence BlueShield and prescription drug benefits are administered by ArrayRx.

This document lists the 2024 and 2025 monthly premiums for Uniform Medical Plan (UMP) PEBB members who are employees and retirees. UMP is administered by Regence BlueShield and ArrayRx under contract with the Washington State Health Care Authority.

Preauthorization requirements for UMP plans (administered by Regence). This document includes: Guidelines, inpatient admissions, radiology, sleep, physical medicine, lab, maternity medicine, and genetic testing. Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. These criteria do not imply or guarantee approval. Please check with your plan to ensure coverage. Preauthorization requirements are only valid for the month published. They may have changed from previous months and may change in future months.

Preauthorization requirements for UMP plans (administered by Regence). This document includes: Substance use disorder, mental health, DME, surgery and transplants. Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. These criteria do not imply or guarantee approval. Please check with your plan to ensure coverage. Preauthorization requirements are only valid for the month published. They may have changed from previous months and may change in future months.

Preauthorization requirements for UMP plans (administered by Regence). Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. These criteria do not imply or guarantee approval. Please check with your plan to ensure coverage. Preauthorization requirements are only valid for the month published. They may have changed from previous months and may change in future months.

Preauthorization for UMP plans pharmacy benefits (administered by ArrayRx). Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. These criteria do not imply or guarantee approval. Please check with your plan to ensure coverage. Preauthorization requirements are only valid for the month published. They may have changed from previous months and may change in future months.

Preauthorization for UMP plans pharmacy benefits (administered by ArrayRx). Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. These criteria do not imply or guarantee approval. Please check with your plan to ensure coverage. Preauthorization requirements are only valid for the month published. They may have changed from previous months and may change in future months.

This is the Vision Service Plan's (VSP reimbursement form for UMP (PEBB) members. UMP (PEBB) stands for Uniform Medical Plan (Public Employees Benefits Board)