Uniform Medical Plan (UMP)

Glossary

Term Plan
Allowed amount, medical services UMP CDHP, UMP Classic, UMP Plus
Allowed amount, prescription drugs UMP CDHP, UMP Classic, UMP Plus
Ambulatory surgery center (ASC) UMP CDHP, UMP Classic, UMP Plus
Ancillary providers and services UMP Plus
Appeal UMP CDHP, UMP Classic, UMP Plus
Authorized representative UMP CDHP, UMP Classic, UMP Plus
Balance billing UMP CDHP, UMP Classic, UMP Plus
Brand-name drug UMP CDHP, UMP Classic, UMP Plus
Calendar year UMP CDHP, UMP Classic, UMP Plus
Chemical dependency UMP CDHP, UMP Classic, UMP Plus
Clinical review UMP CDHP, UMP Classic, UMP Plus
Coinsurance UMP CDHP, UMP Classic, UMP Plus
Complications of pregnancy UMP CDHP, UMP Classic, UMP Plus
Coordination of benefits UMP CDHP, UMP Classic, UMP Plus
Copayment UMP Classic, UMP Plus
Cost share UMP CDHP, UMP Classic, UMP Plus
Custodial care UMP CDHP, UMP Classic, UMP Plus
Deductible UMP CDHP
Dependent UMP CDHP, UMP Classic, UMP Plus
Developmental delay UMP CDHP, UMP Classic, UMP Plus
Domestic partner UMP CDHP, UMP Classic, UMP Plus
Durable medical equipment UMP CDHP, UMP Classic, UMP Plus
Efficacy UMP CDHP, UMP Classic, UMP Plus
Emergency fill UMP CDHP, UMP Classic, UMP Plus
Endorsing prescriber UMP CDHP, UMP Classic, UMP Plus
Enrollee UMP CDHP, UMP Classic, UMP Plus
Experimental or investigational UMP CDHP, UMP Classic, UMP Plus
Explanation of Benefits UMP CDHP, UMP Classic, UMP Plus
Family UMP CDHP, UMP Classic, UMP Plus
Fee schedule UMP CDHP, UMP Classic, UMP Plus
Formulary UMP CDHP, UMP Classic, UMP Plus
Generic drug UMP CDHP, UMP Classic, UMP Plus
Generic equivalent UMP CDHP, UMP Classic, UMP Plus
Grievance UMP CDHP, UMP Classic, UMP Plus
Health Care Authority UMP CDHP, UMP Classic, UMP Plus
Health intervention UMP CDHP, UMP Classic, UMP Plus
Health Savings Account (HSA) UMP CDHP
High-cost generic drugs UMP Classic, UMP Plus
High-deductible health plan UMP CDHP
Home health agency UMP CDHP, UMP Classic, UMP Plus
Hospice UMP CDHP, UMP Classic, UMP Plus
Hospital UMP CDHP, UMP Classic, UMP Plus
Inpatient copay UMP Classic
Inpatient copay UMP Plus
Inpatient stay UMP CDHP, UMP Classic, UMP Plus
Limited benefit UMP CDHP, UMP Classic, UMP Plus
Maintenance care UMP CDHP, UMP Classic, UMP Plus
Medical UMP CDHP, UMP Classic, UMP Plus
Medical benefit UMP Classic, UMP Plus
Medical benefit UMP CDHP
Medical deductible UMP Classic
Medical deductible UMP Plus
Medical emergency UMP CDHP, UMP Classic, UMP Plus
Medical out-of-pocket limit UMP Classic, UMP Plus
Medically necessary services, supplies, drugs, or interventions UMP CDHP, UMP Classic, UMP Plus
Member UMP CDHP, UMP Classic, UMP Plus
Network UMP CDHP, UMP Classic, UMP Plus
Network pharmacy UMP CDHP, UMP Classic, UMP Plus
Network provider(s) UMP Plus
Network vaccination pharmacy UMP CDHP, UMP Classic, UMP Plus
Non-network pharmacy UMP CDHP, UMP Classic, UMP Plus
Non-network provider(s) UMP Plus
Noncovered services UMP CDHP, UMP Classic, UMP Plus
Nonduplication of benefits UMP Classic, UMP Plus
Nonduplication of benefits UMP CDHP
Nonpreferred drug UMP CDHP, UMP Classic, UMP Plus
Nonprescription alternative UMP CDHP, UMP Classic, UMP Plus
Nonprescription drug UMP CDHP, UMP Classic, UMP Plus
Normal benefit UMP CDHP, UMP Classic, UMP Plus
Occupational injury or illness UMP CDHP, UMP Classic, UMP Plus
Open enrollment UMP CDHP, UMP Classic, UMP Plus
Orthognathic surgery UMP CDHP, UMP Classic, UMP Plus
Out-of-network provider(s) UMP CDHP, UMP Classic, UMP Plus
Out-of-pocket limit UMP CDHP
Out-of-pocket limit, medical UMP Classic, UMP Plus
Out-of-pocket limit, prescription drugs UMP Classic, UMP Plus
Over-the-counter alternative UMP CDHP, UMP Classic, UMP Plus
Over-the-counter drugs UMP CDHP, UMP Classic, UMP Plus
Over-the-counter equivalent UMP CDHP, UMP Classic, UMP Plus
Participating provider UMP CDHP, UMP Classic
PEBB UMP CDHP, UMP Classic, UMP Plus
PEBB Plan UMP CDHP, UMP Classic, UMP Plus
PEBB Program UMP CDHP, UMP Classic, UMP Plus
Peer-reviewed medical literature UMP CDHP, UMP Classic, UMP Plus
Pharmacy & therapeutics (P&T) committee UMP CDHP, UMP Classic, UMP Plus
Physician services UMP CDHP, UMP Classic, UMP Plus
Plan UMP CDHP, UMP Classic, UMP Plus
PPO UMP CDHP, UMP Classic, UMP Plus
Preauthorization UMP CDHP, UMP Classic, UMP Plus
Preferred drug UMP Classic, UMP Plus
Preferred drug UMP CDHP
Preferred Drug List UMP CDHP
Preferred Drug List UMP Classic, UMP Plus
Preferred provider UMP CDHP, UMP Classic
Prenatal UMP CDHP, UMP Classic, UMP Plus
Prescription cost-limit UMP Classic, UMP Plus
Prescription drug deductible UMP Classic
Preventive care UMP CDHP, UMP Classic, UMP Plus
Primary care network provider UMP Plus
Primary care provider UMP CDHP, UMP Classic, UMP Plus
Primary payer UMP CDHP, UMP Classic, UMP Plus
Professional services UMP CDHP, UMP Classic, UMP Plus
Proof of continuous coverage UMP CDHP, UMP Classic, UMP Plus
Provider UMP CDHP, UMP Classic, UMP Plus
Provider network(s) UMP CDHP, UMP Classic
Provider network(s) UMP Plus
Qualified medical expense UMP CDHP
Quantity limit UMP CDHP, UMP Classic, UMP Plus
Reconstructive surgery UMP CDHP, UMP Classic, UMP Plus
Regence Service Area UMP CDHP, UMP Classic, UMP Plus
Residential Treatment Facility UMP CDHP, UMP Classic, UMP Plus
Respite care UMP CDHP, UMP Classic, UMP Plus
Routine UMP CDHP, UMP Classic, UMP Plus
Scientific evidence UMP CDHP, UMP Classic, UMP Plus
Scope of Practice UMP CDHP, UMP Classic, UMP Plus
Screening UMP CDHP, UMP Classic, UMP Plus
Secondary coverage UMP CDHP, UMP Classic, UMP Plus
Skilled nursing care UMP CDHP, UMP Classic, UMP Plus
Skilled nursing facility UMP CDHP, UMP Classic, UMP Plus
SmartHealth UMP CDHP, UMP Classic, UMP Plus
Specialty drugs UMP CDHP, UMP Classic, UMP Plus
Specialty network provider(s) UMP Plus
Standard reference compendium UMP CDHP, UMP Classic, UMP Plus
Subscriber UMP CDHP, UMP Classic, UMP Plus
Substance abuse treatment facility UMP CDHP, UMP Classic, UMP Plus
Therapeutic alternative UMP CDHP, UMP Classic, UMP Plus
Therapeutic equivalent UMP CDHP, UMP Classic, UMP Plus
Therapeutic interchange UMP CDHP, UMP Classic, UMP Plus
Tier UMP Classic, UMP Plus
Tobacco cessation services UMP CDHP, UMP Classic, UMP Plus
UMP Consumer-Directed Health Plan (UMP CDHP) UMP CDHP
UMP Plus UMP Plus
UMP Plus–Puget Sound High Value Network (PSHVN) UMP Plus
UMP Plus–Puget Sound High Value Network (PSHVN) Service Area UMP Plus
UMP Plus–UW Medicine Accountable Care Network (UW Medicine ACN) UMP Plus
UMP Plus–UW Medicine ACN Service Area UMP Plus
Uniform Medical Plan Classic (UMP Classic) UMP Classic
Value Tier UMP Classic, UMP Plus