Glossary

UMP Classic
UMP CDHP
UMP Plus

Preferred provider

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.