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.

PEBB open enrollment

This page offers information for UMP members that may be helpful during open enrollment: November 1-30, 2019. Find out what's new for 2020, learn about your options, and compare the UMP plans to find the one that best fits your needs. 

Have questions? Call UMP Customer Service at 1-888-849-3681 (TRS: 711) for questions about medical benefits, or Washington State Rx Services at 1-888-361-1611 (TRS: 711) for questions about prescription drugs.

ALERT: This page does include 2020 information for open enrollment that you cannot find on the new UMP (PEBB) webpage. We apologize for the confusion.

For a summary of the most important information about open enrollment and 2020 coverage, read the UMP open enrollment newsletter, which will be mailed or emailed (depending on the delivery  method you chose) on October 17, 2019.

What's new for 2020

UMP has a new website

We are excited to announce the launch of UMP’s new website. For 2020 information, this is your best resource.  Here are some tools to get you started:

  • Visit Find a doctor to find a new provider or see if your provider is in your plan's network.
  • For an overview of prescription drug coverage, costs, and policies check out Prescription drugs.
  • Learn about deductibles, coinsurance, and out-of-pocket limits as well as benefit limits and exclusions on the Understanding your coverage webpage.
  • Access your Regence account by selecting “Sign in” at the top-right corner of any page to find information specific to you and your plan.

Note: Our current website will continue to host 2019 benefit information through December. After December 31, 2019, you will need to visit the new website for UMP information.

2020 monthly premiums

To compare 2019 and 2020 premiums for UMP members, read the UMP 2020 premiums flyer. For the complete list of 2020 premiums, visit the PEBB website (employees, retirees, PEBB Continuation Coverage) or read the PEBB Program’s October For Your Benefit newsletter, which will be mailed or emailed (depending on the delivery  method you chose)  starting on October 11, 2019.

Note: Non-represented ESD employees and employees who work for a city, county, port, etc., need to contact their personnel, payroll, or benefits office to find their monthly premiums.

New benefits for 2020 (some new programs are not included in all UMP plans)

  • 24/7 medical advice through Advice24 nurse line (UMP Plus–UW Medicine Accountable Care Network uses its own nurse line)
  • BabyWise, a program that supports expectant parents
  • Doctor On Demand, a virtual care service that offers 24/7 access to providers through a smartphone, tablet, or computer. This benefit is not included in the UMP Plus plans.
  • Infusion drug site of care, a program that directs members to more convenient, cost effective locations to receive infused drugs covered under the medical benefit. This benefit is not included in the UMP Plus plans.  
  • Expert Second Opinion, a program that provides second medical opinions for certain complex services to help members learn more about their medical conditions and make informed decisions. This benefit is not included in the UMP Plus plans.

Changes to existing benefits

  • Nutritional visits increased from 3 to 12 per lifetime
  • Preauthorization requirements for some services:
    • Physical, occupational, and speech therapy, after six treatments for a single injury or episode of care
    • Sleep therapy
    • Radiology
    • Pain management
    • Spine surgery (not performed as part of the Centers of Excellence program)
    • Joint replacement (not performed as part of the of Centers of Excellence program)
  • For UMP CDHP members, out-of-pocket expenses for a single member under a family plan will not exceed $6,900. This is an increase from $6,850.
  • UMP Classic and UMP Plus prescription drug coverage changes
    • New prescription drug annual out-of-pocket limit for families is $4,000. The individual out-of- pocket limit will remain $2,000.
    • Tier 3 (nonpreferred) drugs are no longer covered. Review the 2020 UMP Preferred Drug List for Tier 2 covered drug options with your prescribing provider or contact Washington State Rx Services (WSRxS). If you are taking a Tier 3 drug, or are prescribed a noncovered drug in the future, you or your provider may request an exception to have the drug covered at the Tier 2 price.
  • UMP CDHP prescription drug coverage changes
    • Nonpreferred (noncovered) drugs are no longer covered. Review the 2020 UMP Preferred Drug List for covered drug options with your prescribing provider or contact WSRxS. If you are taking a noncovered drug, or are prescribed a noncovered drug in the future, you or your provider may request an exception to have the drug covered.

UMP Plus service area and provider changes

UMP Plus–Puget Sound High Value Network

  • Adding network providers:
    • Rainier Health Network: Includes CHI Franciscan, City MD, The Doctors Clinic, Franciscan Medical Group, Highline Medical Services Organization, Northwest Physicians Network, Pediatrics Northwest, and Primary Care Northwest
    • The Polyclinic
  • Service area for 2020 will include King, Kitsap, Pierce, Snohomish, Thurston, and Yakima counties
  • Exiting Spokane County
  • Providers leaving the network:
    • Evergreen Health
    • MultiCare Connected Care and MultiCare Health System
    • Overlake Medical Center and Clinics

UMP Plus–UW Medicine Accountable Care Network

  • Service area for 2020 will include: King, Kitsap, Pierce, Skagit, Snohomish, Spokane, and Thurston counties.
  • Expanding to Spokane County through its MultiCare providers.
  • Providers leaving the network:
    • Island Hospital and Health Clinics
    • Overlake Medical Center and Clinics

HealthEquity updates

HealthEquity is the administrator of UMP CDHP’s health savings account (HSA)

  • New Customer Service telephone number: 1-844-351-6853.
  • New debit cards for existing HSA accounts that have reenrolled in UMP CDHP for plan year 2020. While HealthEquity is sending out the new cards, there will be a two-week period during which neither the existing card nor the new card will work.

UMP is updating its privacy practices

UMP is updating the UMP Notice of Privacy Practices (effective November 1, 2019). It will be posted on the UMP notice of privacy practices webpage. Read it to learn how UMP and the Health Care Authority are protecting your personal information.

Compare UMP's plans

UMP offers UMP ClassicUMP CDHP, and UMP Plus. UMP Plus has two network options: Puget Sound High Value Network (PSHVN) and UW Medicine Accountable Care Network (ACN). To quickly compare 2020 plan information:

Learn more about UMP Plus

Visit the UMP Plus–Puget Sound High Value Network and UMP Plus–UW Medicine Accountable Care Network home pages or use the resources below.

Webinars

Attend each network's webinar to hear them describe their services and answer questions:

Note: You will need to register for these webinars to watch the live presentations.

UMP Plus video

Watch the video below to learn more about the benefits of UMP Plus, including information on monthly premiums and coordinated care.

 

Contact

Medical benefits: UMP Customer Service
Online: Your Regence account
Phone: 1-888-849-3681
TRS: 711
Business hours: Monday through Friday 5 a.m. to 8 p.m. and Saturday 8 a.m. to 4:30 p.m. Pacific time

Prescription drug benefits: Washington State Rx Services
Online: Your pharmacy account
Phone: 1-888-361-1611
TRS: 711
Business hours: 24 hours a day, 7 days a week