Uniform Medical Plan

Learn more about Uniform Medical Plan (UMP) Classic Medicare with Part D (PDP), administered by Regence BlueShield and ArrayRx.

On this page: Full benefits | Summary of benefits | Costs | Find providers | Plan option | About UMP
Return to Medical plans and benefits: Retirees | PEBB Continuation Coverage

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Full benefits

The following document — called a Certificate of Coverage (COC) — provide in-depth descriptions of the health care benefits for the plan.

2026

• UMP Classic Medicare with Part D (PDP) COC (2026)

2025

• UMP Classic Medicare with Part D (PDP) COC (2025)

Summary of benefits

The following document—called a Summary of Benefits and Coverage (SBC)—provide summaries of what the plan covers and what it costs.

2026

• UMP Classic Medicare with Part D (PDP) SBC (2026)
• Prescription drug benefits (2026)

2025

• UMP Classic Medicare with Part D (PDP) SBC (2025)
• Prescription drug benefits (2025)

Costs

2026

• Retiree monthly premiums (2026)
• PEBB Continuation Coverage monthly premiums (2026)

2025

• Retiree monthly premiums (2025)
• PEBB Continuation Coverage monthly premiums
  • COBRA and Unpaid Leave (2025)
  • Employer Group Ended Participation (2025)

Find providers

Use Regence's provider directory for UMP Classic Medicare.

When services are covered by Medicare, you must see providers who accept Medicare for the services to be covered by both Medicare and UMP. If your provider is not contracted with Medicare or has opted out of participating, UMP will not cover services by that provider. To locate a Medicare covered provider visit Medicare's website.

Plan option 2026

See what's new for 2026 or watch the video: English | español.

UMP Classic Medicare with Part D (PDP)

Knowing you’re enrolled in the right plan is reassuring when it comes to your well-being. UMP Classic Medicare with Part D (PDP) is UMP’s Medicare plan. It gives you access to a wide range of benefits designed to support your health care needs. UMP Classic Medicare with Part D (PDP) and Medicare are two separate health plans that work together to pay for covered services and supplies. Visit the UMP Classic Medicare with Part D (PDP) webpage.

Annual costs

• Medical deductible: $250 individual | $750 family
• Medical out-of-pocket limit: $2,500 individual | $5,000 family
• Prescription drug deductible: $100 individual
• Prescription drug out-of-pocket limit: $2,100 individual

Key features

• Large preferred-provider organization (PPO) network.
• Acupuncture, chiropractic, and massage therapy benefits.
• Vision coverage included. Vision benefits brochure.
• Once the prescription drug deductible is met, you will pay a copay amount at a network pharmacy, which is determined by the drug’s tier. Prescription drug benefit information.

Available counties

UMP Classic Medicare with Part D (PDP) is available in all Washington counties and nationwide. Visit plans available by county.

You must live in the UMP Classic Medicare with Part D (PDP) plan’s service area to join or remain enrolled in the plan. If you move out of the plan's service area, you must report your new address to the PEBB Program no later than 60 days after your move. If you are a retiree or a survivor who moves outside of the United States, you may defer PEBB retiree insurance coverage.

Plan option 2025

UMP Classic Medicare with Part D (PDP)

Knowing you’re enrolled in the right plan is reassuring when it comes to your well-being. UMP Classic Medicare with Part D (PDP) is UMP’s Medicare plan. It gives you access to a wide range of benefits, plus health and wellness programs designed to support your health care needs. UMP Classic Medicare with Part D (PDP) and Medicare are two separate health plans that work together to pay for covered services and supplies. Visit the UMP Classic Medicare with Part D (PDP) webpage.

Annual costs

• Medical deductible: $250 individual | $750 family
• Medical out-of-pocket limit: $2,500 individual | $5,000 family
• Prescription drug deductible: $100 individual
• Prescription drug out-of-pocket limit: $2,000 individual

Key features

• Large preferred-provider organization (PPO) network.
• Acupuncture, chiropractic, and massage therapy benefits.
• Vision coverage included. Vision benefits brochure.
• Once the prescription drug deductible is met, you will pay a copay amount at a network pharmacy, which is determined by the drug’s tier. Prescription drug benefit information.

Available counties

UMP Classic Medicare with Part D (PDP) is available in all Washington counties and nationwide. Visit plans available by county.

In most cases, you must live in a medical plan’s service area to join the plan. If you move out of your plan's service area, and your medical plan is no longer available, you must select a new plan. If you do not, the PEBB Program will enroll you in a plan. You must report your new address to the PEBB Program no later than 60 days after your move.

About Uniform Medical Plan (UMP)

Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans offered through Washington State’s Public Employees Benefits Board (PEBB) Program. UMP Classic is UMP’s Medicare plan. UMP is administered by Regence BlueShield and ArrayRx.

UMP is ready to meet your health care needs. When you choose UMP, you get an active partner in your health care and a dedicated service team available to answer your questions quickly and help you make the most of your benefits.