Glossary

UMP Classic
UMP CDHP
UMP Plus

The UMP website is moving. This website contains 2019 UMP information for PEBB members only (through the end of 2019). If you are a PEBB member and/or you will be a new School Employees Benefits Board (SEBB) member and you need 2020 UMP benefits information, visit our new UMP website.

Balance billing

Balance billing is a provider billing you for the difference between the billed amount and the allowed amount. Allowed amount is the most the plan pays for a specific covered service or supply.

For example, if the provider’s charge is $100 and the allowed amount is $70, the provider may bill you for the remaining $30.

  • For UMP Achieve 1, UMP Achieve 2, UMP Classic, UMP CDHP, and UMP High Deductible: Preferred and participating providers may not balance bill you for covered services above the allowed amount.
  • For UMP Plus (PEBB and SEBB): ACP network and other Blue Cross and/or Blue Shield providers may not balance bill you for covered services above the allowed amount.

See an example of how this works in your certificate of coverage.