Note: This definition is for UMP Plus. Read the definition for UMP Classic and UMP CDHP.
A preferred provider is a provider:
- In the Regence service area and contracted as part of Regence BlueShield’s preferred provider organization network (most services are paid at 85%. Preferred providers may not balance bill you); or
- Outside the Regence service area and contracted with another Blue Cross or Blue Shield organization in the BlueCard® program (designated as a Provider in the “Preferred Provider Organization (“PPO”) Network”) to provide services and supplies to plan members.
Note: If a preferred provider is not in the core or support network, they will be considered out-of-network and services will be paid at the out-of-network rate.