Uniform Medical Plan

2023 information2022 information 

 

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About Uniform Medical Plan

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

UMP is ready to meet your health care needs with several affordable plan options. All plans pay for covered preventive services like annual checkups, and certain screenings and vaccines at no cost to you when you see a network provider.  

When you choose a UMP plan, 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. 

2023 information

Webinars

Upcoming webinars

UMP is hosting several webinars (through Zoom) during open enrollment. Live close captioning is available for UMP Plus webinars, on demand*. 

Registration is required.

How do I register? 

Click the registration link for the webinar you wish to attend. After registering, you will receive a confirmation email containing information about joining the webinar.

Dates and times

If you need a transcript of the UMP webinar, you will need to request this by Friday, October 21. Please email UMP Customer Service at UMPCustomerService@regence.com. In the subject line, include “PEBB OE webinar transcript request.” Transcripts will be emailed by Wednesday, November 2.

UMP Plus–Puget Sound High Value Network (PSHVN)
UMP Plus–UW Medicine ACN

*Live captioning available: Communication Access Real-time Transcription (CART) services, or live closed captioning, are available for these events, on demand. Scheduling CART services requires a two to three week lead-time. To request this accommodation, please submit a request to Janice Knutz as soon as possible. If you make your request less than a week in advance of the event, our language access manager cannot guarantee that a CART writer will be available.

Recorded webinars and presentations

UMP Plus webinars will be recorded and made available a few days after the event on each plan's website.

Plan details

UMP Classic

UMP Classic uses Regence BlueShield’s largest network of providers, but has a lower deductible than UMP Select and UMP Consumer-Directed Health Plan (CDHP). 

Key features of the plan

For most services, you can see a specialist without a referral. With UMP Classic, you pay $0 for covered preventive care when you see a network provider. The plan also covers the full cost of programs like tobacco cessation, and if you qualify, diabetes prevention. You will also have 24/7 access to on-demand virtual care.

For prescription drugs, once the prescription drug deductible is met, you will pay a coinsurance amount at a network pharmacy, which is determined by the drug’s tier. For Value Tier and Tier 1 prescription drugs, the deductible is waived. 

Available counties

UMP Classic is available in all Washington counties and nationwide.

Coverage documentation

UMP Select

UMP Select uses Regence BlueShield’s largest network of providers. The plan offers a lower monthly premium than UMP Classic and UMP Plus, but has a higher coinsurance (the amount you pay your provider) than other UMP plans.

Key features of the plan

For most services, you can see a specialist without a referral. With UMP Select, you pay $0 for covered preventive care when you see a network provider. The plan also covers the full cost of programs like tobacco cessation, and if you qualify, diabetes prevention. You will also have 24/7 access to on-demand virtual care.

For prescription drugs, once the prescription drug deductible is met, you will pay a coinsurance amount at a network pharmacy, which is determined by the drug’s tier. For Value Tier and Tier 1 prescription drugs, the deductible is waived. 

Available counties

UMP Select is available in all Washington counties and nationwide.

Coverage documentation

UMP CDHP

UMP CDHP uses Regence BlueShield’s largest network of providers. UMP CDHP covers the same services as UMP Classic, but has a lower monthly premium and a higher deductible.

Key features of the plan

When you enroll in UMP CDHP, you are automatically enrolled in a health savings account (HSA) through our HSA partner HealthEquity who manages the account. This allows you to set aside pre-tax money to pay for qualified medical expenses, including prescription drugs and more. Visit HealthEquity or watch their on-demand webinar to discover the many uses for your HSA. The State of Washington contributes annually to the account on an individual or family basis. Once the money is in your account, it’s yours, and there is no deadline to use it.

For most services, you can see a specialist without a referral. With UMP CDHP, you pay $0 for covered preventive care services when you see a network provider. The plan also covers the full cost of programs like tobacco cessation and, if you qualify, diabetes prevention. You will also have 24/7 access to on-demand virtual care. For most prescription drugs, you will pay 15% coinsurance at a network pharmacy after you have met your deductible. 

Available counties

UMP CDHP is available in all Washington counties and nationwide.

Coverage documentation

UMP Plus–Puget Sound High Value Network

UMP Plus–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. You pay $0 for office visits with network primary care providers, including pediatricians. The UMP Plus–PSHVN network is a limited network compared to UMP Classic, UMP Select, and UMP CDHP. Visit the UMP Plus–PSHVN website to learn more about the network.

Key features of the plan

UMP Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. For most services, you can see a specialist without a referral, and you pay $0 for covered preventive care services when you see a network provider. The plan also covers the full cost of programs like tobacco cessation and, if you qualify, diabetes prevention. For prescription drugs, there is no prescription drug deductible. You will pay a coinsurance amount at a network pharmacy, which is determined by the drug’s tier. 

Available counties

To enroll in this plan, you must live in Chelan, Douglas, King, Kitsap, Pierce, Snohomish, or Yakima county.

Coverage documentation

UMP Plus–UW Medicine Accountable Care Network

UMP Plus–UW Medicine ACN is a network of providers offering high quality, coordinated care at a lower cost. You pay $0 for office visits with network primary care providers, including pediatricians. The UMP Plus–UW Medicine ACN network is a limited network compared to UMP Classic, UMP Select, and UMP CDHP. Visit the UMP Plus–UW Medicine ACN website to learn more about the network.

Key features of the plan

UMP Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. For most services, you can see a specialist without a referral, and you pay $0 for covered preventive care services when you see a network provider. The plan also covers the full cost of programs like tobacco cessation and, if you qualify, diabetes prevention. For prescription drugs, there is no prescription drug deductible. You will pay a coinsurance amount at a network pharmacy, which is determined by the drug’s tier. 

Available counties

To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county.

Coverage documentation

2022 information

Webinars

Recorded webinars and presentations

UMP Plus webinars will be recorded and made available a few days after the event on each plan's website.

Plan details

UMP Classic

UMP Classic uses Regence BlueShield’s largest network of providers, but has a lower deductible than UMP Select and UMP Consumer-Directed Health Plan (CDHP). For most services, you can see a specialist without a referral. With UMP Classic, you pay $0 for covered preventive care when you see a network provider. UMP Classic also covers the full cost of certain programs to quit smoking or manage diabetes. You will also have 24/7 access to on-demand virtual care.

For prescription drugs, once the prescription drug deductible is met, you will pay a coinsurance amount at a network pharmacy, which is determined by the drug’s tier. For Value Tier and Tier 1 prescription drugs, the deductible is waived.

Coverage documentation

UMP Select

UMP Select uses Regence BlueShield’s largest network of providers. The plan offers a lower monthly premium than UMP Classic and UMP Plus, but has a higher coinsurance (the amount you pay your provider) than other UMP plans. For most services, you can see a specialist without a referral. With UMP Select, you pay $0 for covered preventive care when you see a network provider. UMP Select also covers the full cost of certain programs to quit smoking or manage diabetes. You will also have 24/7 access to on-demand virtual care. 

For prescription drugs, once the prescription drug deductible is met, you will pay a coinsurance amount at a network pharmacy, which is determined by the drug’s tier. For Value Tier and Tier 1 prescription drugs, the deductible is waived.

Coverage documentation

UMP CDHP

UMP CDHP uses Regence BlueShield’s largest network of providers. UMP CDHP covers the same services as UMP Classic, but has a lower monthly premium and a higher deductible.

When you enroll in UMP CDHP, you are automatically enrolled in a health savings account (HSA) through our HSA partner HealthEquity who manages the account.  This allows you to set aside pretax money to pay for qualified medical expenses, including prescription drugs and more. Visit HealthEquity or watch their on-demand webinar to discover the many uses for your HSA. The State of Washington contributes annually to the account on an individual or family basis. Once the money is in your account, it’s yours, and there is no deadline to use it.

With UMP CDHP, you pay $0 for covered preventive care services when you see a network provider. For most services, you can see a specialist without a referral. You will also have 24/7 access to on-demand virtual care. For most prescription drugs, you will pay 15% coinsurance at a network pharmacy after you have met your deductible.

Coverage documentation

UMP Plus–Puget Sound High Value Network

UMP Plus–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. The UMP Plus–PSHVN network is a limited network compared to UMP Classic, UMP Select, and UMP CDHP.

To enroll in this plan, you must live in Chelan, Douglas, King, Kitsap, Pierce, Snohomish, or Yakima county.

UMP Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. For most services, you can see a specialist without a referral, and you pay $0 for covered preventive care services when you see a network provider. Visit the UMP Plus-PSHVN website to learn more about the network. For prescription drugs, you will pay a coinsurance amount at a network pharmacy, which is determined by the drug’s tier.

Coverage documentation

UMP Plus–UW Medicine Accountable Care Network

UMP Plus–UW Medicine ACN is a network of providers offering high quality, coordinated care at a lower cost. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. The UMP Plus–UW Medicine ACN network is a limited network compared to UMP Classic, UMP Select, and UMP CDHP.

To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county.

UMP Plus has a lower deductible and monthly premium than UMP Classic while offering most of the same benefits. For most services, you can see a specialist without a referral, and you pay $0 for covered preventive care services when you see a network provider. Visit the UMP Plus-UW Medicine ACN website to learn more about the network. For prescription drugs, you will pay a coinsurance amount at a network pharmacy, which is determined by the drug’s tier.

Coverage documentation