Glossary

UMP Classic
UMP CDHP

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.

Out-of-pocket limit, medical

Note: This definition is for UMP Classic and UMP Plus only. See the definition for UMP CDHP.

The medical out-of-pocket limit is the most you pay during a calendar year before the plan pays 100 percent of the allowed amount to preferred providers (network providers for UMP Plus). This limit does not include your premium, balance-billed charges, or services the plan does not cover. See "What doesn't count toward this limit?" for UMP Classic or UMP Plus.

Learn more about this limit in the "Medical out-of-pocket limit" section of your certificate of coverage.