Forms & publications

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UMP Classic 2019 Certificate of Coverage (COC)

54-550 10-18

This book describes what is covered under UMP Classic, 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.

Publication

UMP Consumer-Directed Health Plan (UMP CDHP) 2019 Certificate of Coverage (COC)

54-549 10-18

This book describes your benefits under UMP CDHP, including medical services and prescription drugs. It describes how to find preferred providers and how much you'll pay to see them (including your deductible, coinsurance, and out-of-pocket limit). It also explains how your Health Savings Account (HSA) works, how to request an appeal, and how to submit a claim.

Publication

UMP Plus Puget Sound High Value Network (PSHVN) 2019 Certificate of Coverage (COC)

57-232 10-18

This book describes what is covered under UMP Plus PSHVN, 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.

Publication

UMP Plus UW Medicine Accountable Care Network (ACN) 2019 Certificate of Coverage (COC)

57-231 10-18

This book describes what is covered under UMP Plus UW Medicine ACN, 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.

Publication