Find providers

Find UMP Classic and UMP CDHP preferred providers

If you aren’t sure whether a provider is preferred, call UMP Customer Service at 1-888-849-3681 (TRS:711) or call the provider directly. For urgent care facilities, make sure you ask whether a provider contracted with Regence is available. These facilities may have a rotating staff that changes frequently.

Note: UMP does not cover most dental services. Search for dental providers through the PEBB Program.

Alert! Because UMP is actively recruiting ABA Therapy agencies and providers, please call 1-888-849-3681 for help finding an ABA Therapy provider. They can also help you find providers who can diagnose autism or confirm an autism diagnosis. If a preferred provider is not available in your area, you may request that a case manager contact you to assist with the next steps in seeking coverage.

Why use preferred providers?

When you see a preferred provider...

  • You pay less: 15 percent of the allowed amount for most services after you pay your deductible, compared to 40 percent of the allowed amount with participating providers.
  • Preventive care services, including immunizations, are covered in full.
  • You won't have to file a claim if UMP is your primary coverage.
  • The provider won't bill you for more than the plan allowed amount (called balance billing).

Alert! Some providers are considered preferred at one practice location but not another. If you see a provider at an out-of-network location, services will be covered as out-of-network even if he or she is preferred somewhere else. If you see a provider at a new or different location, make sure he or she is a preferred provider there as well.

What is a covered provider type?

The plan pays for covered services only when performed by covered provider types working within the scope of their licenses. When a facility charges facility fees, the fees will only be covered when the services you receive are covered services and within the scope of the facility’s license.

All preferred providers are covered provider types. Click on "Covered provider types" below for a full list.

If you see an out-of-network provider that is not a covered provider type, the plan will not pay for any of the services you receive. You will be responsible for all charges. As with all noncovered services, payments you make to a noncovered provider type will not count toward your medical deductible or medical out-of-pocket limit.

Provider specialty type code Provider specialty type name
ARNP Advanced Registered Nurse Practitioner
AUD Audiologist
CCCA Cert of Clinical Competence/Audiology
CGC Certified Genetics Counselor
CN Certified Nutritionist
CNFA Certified Nurse First Assist
CNM Certified Nurse Midwife
CRNA Certified Registered Nurse Anesthetist
CRNFA Certified Registered Nurse First Assist
DC Doctor of Chiropractic
DDS Doctor of Dental Surgery
DMD Doctor of Dental Medicine
DO Doctor of Osteopathy
DPM Doctor of Podiatric Medicine
EAMP East Asian Medicine Practitioner
LAC Licensed Acupuncturist
LCPC Licensed Clinical Professional Counselor
LCSW Licensed Clinical Social Worker
LICSW Licensed Independent Clinical Social Worker
LM Licensed Midwife
LMFT Licensed Marriage/Family Therapist
LMHC Licensed Mental Health Counselor
LMT Licensed Massage Therapist
LMSW Licensed Master Social Worker
MD Doctor of Medicine
MSW Masters in Social Work
ND Doctor of Naturopathy
NP Nurse Practitioner
OD Optometrist
OTR Registered Occupational Therapist
PA Physician Assistant
PAC Physician Assistant Certified
PHD Psychologist
PMHNP Psych. Mental Health Nurse Practitioner
PSYD Doctorate in Psychology
RD Registered Dietician
RNFA Registered Nurse First Assist
RNSA Registered Nurse Surgical Assistant
RPT Registered Physical Therapist
SLP Speech Language Pathologist

What is a primary care provider, and why should I choose one?

A primary care provider (PCP) is a physician, nurse practitioner, or physician assistant who specializes in one of the following:

  • Adult medicine
  • Family or general practice
  • Geriatrics
  • Internal medicine
  • Obstetrics, gynecology, or women's health
  • Pediatrics
  • Preventive medicine

You are not required to choose a PCP, but doing so may be helpful. A PCP offers and coordinates a range of health care services for you. Think of a PCP as the person who knows the most about your health history and can provide or recommend services based on your needs. To find a PCP in your area, use the provider search.

Do I need a referral to see specialists?

No, you don’t need a referral to see a specialist for most services. However, you will save money by seeing preferred providers, especially for preventive services. See "Why use preferred providers?" above for details.

Contact

UMP Customer Service (for help finding a provider)
Phone: 1-888-849-3681
TRS: 711
Business hours: Monday–Friday 5 a.m. to 8 p.m. and Saturday 8 a.m. to 4:30 p.m. Pacific Time