Medical (with vision)
The Public Employees Benefits Board (PEBB) Program provides a variety of medical plans for all PEBB employers. All PEBB medical plans include vision coverage.
Medical plan availability
Medical plans offered by the PEBB Program are available to all benefits eligible employees. To enroll in a:
- Kaiser Foundation Health Plan of the Northwest, employees must either live or work in one of the counties or ZIP codes where the plan is offered.
- Kaiser Foundation Health Plan of Washington, employees must either live or work in one of the counties where the plan is offered.
- UMP plan (except UMP plus), employees can live anywhere in the United States.
- UMP Plus plan, employees must live in one of the counties where the plan is offered.
Learn more about Medical plans available by county.
Learn about vision benefits: See each medical plan's Certificate of Coverage or Evidence of Coverage listed in the section below.
PEBB Program medical plans
Before selecting a plan or provider, employees should compare medical plans to find out what services are covered, which providers are in-network, and the costs for care.
Kaiser Foundation Health Plan of the Northwest
Kaiser Permanente NW plans are offered in Clark and Cowlitz counties in Washington and select counties and ZIP codes in Oregon.
- Classic
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Plan documents
- KP NW Classic Certificate of Coverage (COC)
- Summary of Benefits and Coverage (SBC)
- Urgent and emergent care while out of state
Preauthorization criteria
- Kaiser Permanente NW preauthorization requirements
These criteria do not imply or guarantee approval. Please check with the 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.
Find a provider
Visit Kaiser Permanente NW's online provider directory.
Contact information
Online: Kaiser Permanente NW
Phone: 1-800-813-2000
TRS: 711
Language interpretation services: 1-800-324-8010 - CDHP
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Plan documents
- KP NW CDHP Certificate of Coverage (COC)
- Summary of Benefits and Coverage (SBC)
- Urgent and emergent care while out of state
Learn about medical plans with health savings accounts (HSAs).
Preauthorization criteria
-
Kaiser Permanente NW preauthorization requirements
These criteria do not imply or guarantee approval. Please check with the 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.
Find a provider
Visit Kaiser Permanente NW's online provider directory.
Contact information
Online: Kaiser Permanente NW
Phone: 1-800-813-2000
TRS: 711
Language interpretation services: 1-800-324-8010
Kaiser Foundation Health Plan of Washington
Kaiser Permanente WA plans are offered in select counties in Washington.
- Classic
-
Plan documents
Preauthorization criteria
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Kaiser Permanente WA preauthorization requirements
These criteria do not imply or guarantee approval. Please check with the 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.
Find a provider
Visit Kaiser Permanente WA's online provider directory for the Classic, Value, and CDHP plans.
Contact information
Online: Kaiser Permanente WA
Phone: 1-866-648-1928
TTY: 1-800-833-6388
TRS: 711 -
- Value
-
Plan documents
Preauthorization criteria
- Kaiser Permanente WA preauthorization requirements
These criteria do not imply or guarantee approval. Please check with the 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.
Find a provider
Visit Kaiser Permanente WA's online provider directory for the Classic, Value, and CDHP plans.
Contact information
Online: Kaiser Permanente WA
Phone: 1-866-648-1928
TTY: 1-800-833-6388
TRS: 711 - Kaiser Permanente WA preauthorization requirements
- CDHP
-
Plan documents
Learn about medical plans with health savings accounts (HSAs).
Preauthorization criteria
-
Kaiser Permanente WA preauthorization requirements
These criteria do not imply or guarantee approval. Please check with the 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.
Find a provider
Visit Kaiser Permanente WA's online provider directory for the Classic, Value, and CDHP plans.
Contact information
Online: Kaiser Permanente WA
Phone: 1-866-648-1928
TTY: 1-800-833-6388
TRS: 711 -
- SoundChoice
-
Plan documents
Preauthorization criteria
- Kaiser Permanente WA preauthorization requirements
These criteria do not imply or guarantee approval. Please check with the 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.
Find a provider
Visit Kaiser Permanente WA's online provider directory for the SoundChoice plan.
Contact information
Online: Kaiser Permanente WA
Phone: 1-866-648-1928
TTY: 1-800-833-6388
TRS: 711 - Kaiser Permanente WA preauthorization requirements
Uniform Medical Plan (UMP)
UMP plans are offered nationwide and UMP Plus plans are offered in select counties in Washington.
UMP is administered by Regence BlueShield and Washington State Rx Services.
- Classic
-
Plan documents
- UMP Classic Certificate of Coverage (COC)
- Summary of Benefits and Coverage (SBC)
- UMP Vision Service Plan (VSP) Brochure
- UMP nondiscrimination and language access notice
Preauthorization criteria
- Regence preauthorization requirements (for UMP plans)
- Document 1: Guidelines, inpatient admissions, radiology, sleep, physical medicine, lab, maternity medicine, and genetic testing
- Document 2: Substance use disorder, mental health, DME, surgery and transplants
- Medications covered under medical
- Washington State Rx Services preauthorization requirements (for pharmacy)
These criteria do not imply or guarantee approval. Please check with the 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.
Find a provider
Visit Regence's online provider directory for the Classic plan.
UMP plans are administered by Regence BlueShield.Contact information
Online: Uniform Medical Plan
Phone: 1-888-849-3681
TRS: 711UMP Prescription Drug Benefits (Washington Rx Services)
Phone: 1-888-402-4237
TRS: 711
Mail order pharmacy: 1-800-552-6694 (toll-free) - Select
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Plan documents
- UMP Select Certificate of Coverage (COC)
- Summary of Benefits and Coverage (SBC)
- UMP Vision Service Plan (VSP) Brochure
- UMP nondiscrimination and language access notice
Preauthorization criteria
- Regence preauthorization requirements (for UMP plans)
- Document 1: Guidelines, inpatient admissions, radiology, sleep, physical medicine, lab, maternity medicine, and genetic testing
- Document 2: Substance use disorder, mental health, DME, surgery and transplants
- Medications covered under medical
- Washington State Rx Services preauthorization requirements (for pharmacy)
These criteria do not imply or guarantee approval. Please check with the 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.
Find a provider
Visit Regence's online provider directory for the Select plan.
UMP plans are administered by Regence BlueShieldContact information
Online: Uniform Medical Plan
Phone: 1-888-849-3681
TRS: 711UMP Prescription Drug Benefits (Washington Rx Services)
Phone: 1-888-402-4237
TRS: 711
Mail order pharmacy: 1-800-552-6694 (toll-free) - CDHP
-
Plan documents
- UMP CDHP Certificate of Coverage (COC)
- Summary of Benefits and Coverage (SBC)
- UMP Vision Service Plan (VSP) Brochure
- UMP nondiscrimination and language access notice
Learn about medical plans with health savings accounts (HSAs).
Preauthorization criteria
- Regence preauthorization requirements (for UMP plans)
- Document 1: Guidelines, inpatient admissions, radiology, sleep, physical medicine, lab, maternity medicine, and genetic testing
- Document 2: Substance use disorder, mental health, DME, surgery and transplants
- Medications covered under medical
- Washington State Rx Services preauthorization requirements (for pharmacy)
These criteria do not imply or guarantee approval. Please check with the 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.
Find a provider
Visit Regence's online provider directory for the CDHP.
UMP plans are administered by Regence BlueShieldContact information
Online: Uniform Medical Plan
Phone: 1-888-849-3681
TRS: 711UMP Prescription Drug Benefits (Washington Rx Services)
Phone: 1-888-402-4237
TRS: 711
Mail order pharmacy: 1-800-552-6694 (toll-free) - UMP Plus PSHVN
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Plan documents
- UMP Plus PSHVN Certificate of Coverage (COC)
- Summary of Benefits and Coverage (SBC)
- UMP Vision Service Plan (VSP) Brochure
- UMP nondiscrimination and language access notice
Preauthorization criteria
- Regence preauthorization requirements (for UMP plans)
- Document 1: Guidelines, inpatient admissions, radiology, sleep, physical medicine, lab, maternity medicine, and genetic testing
- Document 2: Substance use disorder, mental health, DME, surgery and transplants
- Medications covered under medical
- Washington State Rx Services preauthorization requirements (for pharmacy)
These criteria do not imply or guarantee approval. Please check with the 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.
Find a provider
Visit Regence's online provider directory for the UMP Plus-PSHVN plan.
UMP plans are administered by Regence BlueShieldContact information
Online: UMP Plus–Puget Sound High Value Network
Phone: 1-855-776-9503
TRS: 711UMP Prescription Drug Benefits (Washington Rx Services)
Phone: 1-888-402-4237
TRS: 711
Mail order pharmacy: 1-800-552-6694 (toll-free) - UMP Plus-UW Medicine ACN
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Plan documents
- UMP Plus UW ACN Certificate of Coverage (COC)
- Summary of Benefits and Coverage (SBC)
- UMP Vision Service Plan (VSP) Brochure
- UMP nondiscrimination and language access notice
Preauthorization criteria
- Regence preauthorization requirements (for UMP plans)
- Document 1: Guidelines, inpatient admissions, radiology, sleep, physical medicine, lab, maternity medicine, and genetic testing
- Document 2: Substance use disorder, mental health, DME, surgery and transplants
- Medications covered under medical
- Washington State Rx Services preauthorization requirements (for pharmacy)
These criteria do not imply or guarantee approval. Please check with the 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.
Find a provider
Visit Regence's online provider directory for the UMP Plus-UW ACN plan.
UMP plans are administered by Regence BlueShieldContact information
Online: UW Medicine Accountable Care Network
Phone: 1-855-520-9500
TRS: 711UMP Prescription Drug Benefits (Washington Rx Services)
Phone: 1-888-402-4237
TRS: 711
Mail order pharmacy: 1-800-552-6694 (toll-free)
Looking for rates?
See the associated monthly rates and premiums on the Rates webpage.
Member ID cards
Once an employee is enrolled, a welcome packet or letter is mailed to the employee by the plan. The plan will also mail a member ID card for each individual covered under the plan.
Direct employees to contact their medical plan for questions about member ID cards.