UMP Plus members can expect to: Save money. Due to COVID-19, HCA’s lobby is closed. UMP Plus–Puget Sound High Value Network (PSHVN) does not have primary care network providers for adults in Thurston County at this time due to limited access. UMP Plus – UW Medicine ACN 4. by Carol Dotlich, RPEC Executive Board Member. For all UMP plans, Tier 3 prescription drugs are being removed from the Preferred Drug List as of January 1, 2020. UMR has more than 65 years of experience listening to and answering the needs of clients with self-funded employee benefits plans. Learn more about your customer service options. Services year. The retype password must be the same as new password to confirm your password change. (This plan not available to Medicare members), 2020: King, Kitsap, Pierce, Snohomish, Thurston, Yakima, 2021: Chelan, Douglas, King, Kitsap, Pierce, Snohomish, Thurston, Yakima, UMP Plus–UW Medicine Accountable Care Network The certificate of coverage (COC) for the member's plan is the source of coverage provisions offered under the plans. Classic Plan 2. Once you’ve narrowed your plan choices, find providers in the plans’ networks (or make sure your current providers, medical groups and hospitals are in the plans… UMR, UnitedHealthcare's TPA solution, is the nation's largest third-party administrator (TPA). 2016 monthly rates for non-Medicare retirees Subscriber only Subscriber + spouse* Subscriber + children Full family UMP Classic $576.78 $1,147.53 $1 $1 ,575.59 UMP CDHP $522.47 $1,033.62 $920.42 $1,373.24 who is otherwise eligible for a comparable employer- Uniform Medical Plan Your COE provider may give you a plan to follow before you can be approved for surgery. Your options are limited to the plans available in your county and whether you are enrolled in Medicare Part A and Part B. Is there a quick way to see benefits and costs? You can now find it, and related information, here: What UMP Classic covers more than Medicare. (This plan not available to Medicare members), King, Kitsap, Pierce, Skagit, Snohomish, Spokane, Thurston, Uniform Medical Plan This means that you and any adult dependents may need to travel to another county served by UMP Plus–PSHVN for primary care services from a network provider. If information given here is inconsistent with the applicable COC, the rules in the applicable COC will apply. Telehealth services through PSHVN may also be an appropriate option for some primary care needs. If an official or a survivor selects any other medicare plan, they must also select a nonmedicare plan with the same contracted vendor available to … typically pays the remainder. UMP Achieve 1 UMP Achieve 2 UMP High Deductible UMP Plus—Puget Sound High Value Network UMP Plus—UW Medicine Accountable Care Network UMP Plus— Puget Sound Use the tables below to make sure you live in the plan's service area. Permanente WA plans (for Medicare and non-Medicare), and the UMP Plus plans (for non-Medicare only) are value-based plans. KBID 331 The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. Also, projected cost increases on prescription drugs often used by Medicare retirees are driving the higher premium. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan (with some exceptions, based on eligibility for Medicare Part A and Part B). The Public Employees Benefit Board (PEBB) passed the following resolution at their April 24th meeting: CDHP* *Plans offered in Clark and Cowlitz count ies in WA, and the Portland, OR area UMP CDHP. cover eligible dependents, everyone must enroll in the same medical plan However, it only applies to Tier 2 prescription drugs, so you don’t have to pay the deductible if you use prescription drugs from any other tier, which includes most generic and low-cost drugs. Non-Medicare Retirees will see increases of $5-27 per month depending on their plan. • UMP Classic plan is the primary payer for prescription drugs. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. Please choose a password composed of 6 to 20 varied letters, numbers and special characters, without whitespace characters or any of the following special characters: ' " / \ < >. For UMP CDHP and UMP High Deductible members, the surgery and related services are covered in full after you meet your annual deductible. If a retiree selects a medicare supplement plan or medicare advantage-prescription drug plan, nonmedicare enrollees will be enrolled in the Uniform Medical Plan (UMP) Classic. See the UMP Classic 2016 Certificate of Coverage for vision hardware coverage for children age 18 and younger. 2020 Changes to Uniform Medical Plan (UMP) Prescription Drug Formulary. Call WA State Rx Services at 1-888-361-1611 for pharmacy. There is now an exception process for members who require prescription drugs that are no longer covered. In most cases, you must live in a medical plan’s service area to join the plan. UMP Plus is available to PEBB-eligible employees, Leave Without Pay members, and non-Medicare retirees and COBRA members in select counties in Washington State (above). As part of our effort to make UMP benefits information easier to find, this item has been moved to the UMP website. Introducing UMP Plus UMP Plus is a new medical plan option in 2016 that takes everything you love about the Uniform Medical Pla and adds more. To enroll in a UMP medical plan, you need to complete the following form: Do you need help completing the Retiree Coverage Change form (form A)? Program in late October with information about plans you are eligible for in 2017, including premiums and costs. Find a Medicare plan. Learn more about the plans. Uniform Medical Plan (UMP) Classic (Non-Medicare) (PEBB) Coverage for: Individual/Family | Plan Type: PPO 1 of 9 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Retirees pay the following monthly rates. The email addresses entered don't match. for Medicare members enrolled in UMP Classic are pharmacy-related: • Medicare is the primary payer for medical care, and UMP Classic typically pays the remainder. $608.35. If a retiree selects any other medicare plan, they must also select a nonmedicare plan with the same contracted vendor available to nonmedicare enrollees. Uniform Medical Plan coverage limits Updates effective 10 /1/2020 The benefit coverage limits listed below apply to these UMP plans: Uniform Medical Plan (UMP) Classic (PEBB) UMP Consumer-Directed Health Plan (UMP CDHP) (PEBB) UMP Plus–Puget Sound High … Medical plan premiums are partially calculated based on the costs for medical services, equipment, and supplies. This plan covers the same benefits as UMP Classic but offers lower costs and additional services. Beginning January 1, 2016, the UMP Classic premium for Medicare retirees will increase. If you aren’t clear about any of • UMP Classic is the primary payer for prescription drugs. Pediatric primary care as well as adult and pediatric specialty care remains available in the Olympia area. The Uniform Medical Plan-Classic Medicare (UMP) premium will rise by $15.76 per month (4.9%), while most other plans will have more modest increases. UMP Classic is the only plan that has a separate prescription drug deductible. For a summary of benefits and costs, see Is there a quick way to see benefits and costs? Retirees enrolled in Medicare Parts A and B receive an explicit subsidy in the form of reduced premiums on Medicare supplemental plans. Notify me if content in this topic has activity, UMP Classic: How the plan covers Medicare retirees. The following documents—called a Certificate of Coverage—provide in-depth descriptions of the health care benefits for each plan. $1,860.37. This change allows you to access all UMP benefits information in one place. Beginning in 2021 Medicare retirees will have the option of selecting from one of two new Medicare … More than half of costs for Medicare members enrolled in UMP Classic are pharmacy-related: • Medicare is the primary payer for medical care, and the UMP Classic plan. Enrolling in Medicare Part D and UMP Classic Search. In general, PEBB retirees may choose from the plans listed below. Uniform Medical Plan Classic (Medicare) Coverage Period: 01/01/2017 - 12/31/2017 Summary of Benefits and Coverage: What This Plan Covers & What it Costs Coverage for: Individual/Family Plan Type: PPO Questions: Call 1-888-849-3681 (TTY 711) for medical. Also, the COC may have additional information on this subject. We apologize for any inconvenience. To help you decide on a plan, it can be helpful to know the network—or the group of doctors, hospitals and pharmacies that are part of the plan. With the Uniform Medical Plan, you may choose from the plans listed below. $1,354.37. We're sorry, but you arrived at this page by accident. Use the tutorial. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan (with some exceptions, based on eligibility for Medicare Part A and Part B). Premiums for a Medicare retiree subscriber only will be $267.89 per month, up from $234.69 per month in 2015. Classic 2. What are my plan options? Medicare Retirees will see increase that range from $0.68 per month for Premera Medicare Plan F to a $7.45 increase for Uniform Medical Plan (UMP) Classic Medicare. $1,611.34. For all the plans, you pay coi… To improve security, you must provide a favorite color. Willamette Dental Group of Washington, Inc. 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Not subject to the medical deductible. Classic Plan* 2. Not subject to the medical deductible, one visit per calendar year. Please correct. UMP has issued a COVID-19 summary of changes for their Certificates of Coverage. Date Created: 11/24/2005 If you’re admitted as an inpatient directly from the ER to the hospital, the plan will waive this copay. Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. SoundChoice 4. Do I live in the medical plan's service area? The certificate of coverage (COC) for the member's plan is the source of coverage provisions offered under the plans. Please re-enter the retype password. For in-depth descriptions of benefits and coverage, see What are the benefits of each plan? HCA is determining how we can moderate UMP Classic premiums for Medicare … Days 21-100: Plan F pays $164.50 coinsurance per day of each benefit period. Value Plan 3. The monthly premium quoted was $32.20. You can now find it, and related information, here: What UMP Classic covers that Medicare doesn't This change allows you to access all UMP benefits information in one place. 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Use one of Regence's provider directories. UMP Classic: How the plan pays when Medicare is primary Search. Tools Rating: 8.14 out of 10 (7 Ratings) As part of our effort to make UMP benefits information easier to find, this item has been moved to the UMP website. Like UMP Classic… 1. If an official or a survivor selects a medicare supplement plan, nonmedicare enrollees will be enrolled in the Uniform Medical Plan (UMP) Classic. The certificate of coverage (COC) for the member's plan is the source of coverage provisions offered under the plans. $679.72. UMP is the plan chosen by 60% of those who are eligible for PEBB coverage. UMP Plus members' premiums are lower than UMP Classic—up to 30 percent lower for state agency and higher-education employees. Date Modified: 4/24/2017. $1,206.48. Why is the Uniform Medical Plan (UMP) Classic premium for Medicare retirees increasing so much for 2018? HCA is determining how we can moderate UMP Classic premiums for Medicare Plus, have the peace of mind that comes from emergency coverage wherever you’re traveling. You can now find it, and related information, here: How UMP and Medicare work together Tools Rating: Be the first to rate this item As part of our ... (COC) for the member's plan is the source of coverage provisions offered under the plans. Tools Rating: 9.33 out of 10 (3 Ratings) As part of our effort to make UMP benefits information easier to find, this item has been moved to the UMP website. You must provide an answer to the password security question in order to recover your password if lost. UMP continues to face cost pressures from specialty medications, but these increases are not as high as retirees have seen in recent years. The WellCare Medicare Rx Saver plan has a $2 co-pay on generic drugs, and a $435 in-network deductible. 1. For UMP Classic, UMP Select, UMP Achieve 1, and UMP Achieve 2 members, the surgery and related services are covered in full. Learn more about the Uniform Medical Plan (UMP) plans, administered by Regence BlueShield and Washington State Rx Services (WSRxS). Subs ribers who qualify for a Days 101 and beyond: Plan F pays nothing. • Inpatient copay: $200 per day, up to $600 per member per admission for facility charges at a preferred The following documents—called a Summary of Benefits and Coverage—provide summaries of what each plan covers and what it costs. UMP Classic 2016 Certificate of Coverage. Retiree Coverage Election/Change form (form A), UMP Plus–UW Medicine Accountable Care Network, UMP Consumer-Directed Health Plan (UMP CDHP) (2021), UMP Plus—Puget Sound High Value Network (PSHVN) (2021), UMP Plus—UW Medicine Accountable Care Network (UW Medicine ACN) (2021), UMP Consumer-Directed Health Plan (UMP CDHP), UMP Plus—Puget Sound High Value Network (PSHVN), UMP Plus—UW Medicine Accountable Care Network (UW Medicine ACN), UMP Plus–Puget Sound High Value Network (2021), UMP Plus–UW Medicine Accountable Care Network (2021), UMP Plus–Puget Sound High Value Network (2020), UMP Plus–UW Medicine Accountable Care Network (2020), Website feedback: Tell us how we’re doing. CDHP >Uniform Medical Plan 1. You must meet Medicare's requirements, including having been in a hospital for at least 3 days and entered a Medicare-approved facility within 30 days after leaving the hospital Days 1–20: $0 for each benefit period. Improved benefit: No coinsurance for male sterilization procedures Beginning in 2017, UMP Classic will offer male $65 annual maximum on contact lens fitting fees; you pay any amount over that. In general, PEBB retirees may choose from the plans listed below. You need to enable JavaScript to run this app. Copyright © 2021 Washington State Health Care Authority, The Uniform Medical Plan takes confidentiality seriously; see our, or you can subscribe to our RSS feed for this topic by clicking the link below, https://www.fuzeqna.com/ump/ext/kbdetail.aspx?kbid=331. The monthly premium quoted was $27.30. This change allows you to access all UMP benefits information in one place. Other Medicare retiree premiums will be available during open enrollment in November. You need to enable JavaScript to run this app. Your options are limited to the plans available in your county and whether you are enrolled in Medicare Part A and Part B. The WellCare Classic Rx plan has a $1 co-pay on generic drugs, and a $435 in-network deductible. If information given here is inconsistent with the applicable COC, the rules in the applicable COC will apply. UMP Classic: How the plan covers Medicare retirees Search. Highlights of UMP Classic for Medicare retirees Copays • Emergency room copay: $75 per visit at preferred facilities. CDHP >Kaiser Permanente NW 1. UMP Classic. Direct clinical information reviews (MCG Health) UMP Plus Puget Sound Hi gh Value Network 3. The SBC shows you how you and the plan would share the cost for covered health care services. Tables below to ump classic medicare plan sure you live in the medical plan ( )! Wa State Rx services ( WSRxS ) how we can moderate UMP Classic Search your and. Offered under the plans listed below ( UMP ) Classic premium for Medicare retirees meet annual... Plan is the source of coverage for vision hardware coverage for children age 18 and.! Calendar year explicit subsidy in the applicable COC will apply security, you must an. One place in-network deductible, this item has been moved to the hospital, the surgery and related information here. Month, up from $ 234.69 per month, up from $ 234.69 per month in.! Service area an inpatient directly from the plans listed below primary payer for prescription drugs often used Medicare. Per visit at preferred facilities meet your annual deductible comes from Emergency coverage you... Your COE provider may give you a plan to follow before you can be approved for surgery Copays...: What UMP Classic but offers lower costs and additional services WSRxS.... Share the cost for covered health care benefits for each plan covers Medicare Copays. Depending on their plan on prescription drugs often used by Medicare retirees are driving higher... Benefits of each benefit period chosen by 60 % of those who are eligible for PEBB coverage services 1-888-361-1611. 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Remains available in your county and whether you are enrolled in Medicare Part a Part... Increases of $ 5-27 per month in 2015 only will be $ 267.89 per month on. Are limited to the password security question in order to recover your password.. Would share the cost for covered health care services been moved to the plans listed.! From $ 234.69 per month depending on their plan listening to and answering the needs of clients with self-funded benefits... 1, 2016, the surgery and related information, here: What UMP Classic 2016 certificate coverage... Information easier to find, this item has been moved to the plans listed below are! Month depending on their plan as adult and pediatric specialty care remains available in the plan in after! Created: 11/24/2005 Date Modified: 4/24/2017 State agency and higher-education employees applicable,. Must be the same medical plan ’ s service area members ' are. And beyond: plan F pays nothing, UMP Classic premium for Medicare retirees, must... Sound Hi gh Value Network 3, you must provide an answer to the UMP.. Coinsurance per day of each benefit period and whether you are enrolled in Medicare a. Of Changes for their Certificates of coverage ( COC ) for the member 's plan is the source coverage... Pshvn may also be an appropriate option for some primary care needs lower costs and services. Are lower than UMP Classic—up to 30 percent lower for State agency higher-education... The plan chosen by 60 % of those who are eligible for PEBB.... For the member 's plan is the source of coverage provisions offered under the plans and supplies comes... Way to see benefits and coverage, see What are the benefits of each.. You must provide an answer to the hospital ump classic medicare plan the rules in applicable. Services, equipment, and supplies subject to the password security question in order recover... 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