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$608.35. KBID 331 The certificate of coverage (COC) for the member's plan is the source of coverage provisions offered under the plans. Pediatric primary care as well as adult and pediatric specialty care remains available in the Olympia area. UMR, UnitedHealthcare's TPA solution, is the nation's largest third-party administrator (TPA). You need to enable JavaScript to run this app. As part of our effort to make UMP benefits information easier to find, this item has been moved to the UMP website. With the Uniform Medical Plan, you may choose from the plans listed below. CDHP* *Plans offered in Clark and Cowlitz count ies in WA, and the Portland, OR area See the UMP Classic 2016 Certificate of Coverage for vision hardware coverage for children age 18 and younger. Is there a quick way to see benefits and costs? Find a Medicare plan. You can now find it, and related information, here: What UMP Classic covers more than Medicare. UMP is the plan chosen by 60% of those who are eligible for PEBB coverage. by Carol Dotlich, RPEC Executive Board Member. HCA is determining how we can moderate UMP Classic premiums for Medicare 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. CDHP >Uniform Medical Plan 1. Telehealth services through PSHVN may also be an appropriate option for some primary care needs. UMP Plus members can expect to: Save money. Classic Plan 2. $1,354.37. Use the tables below to make sure you live in the plan's service area. 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. The WellCare Medicare Rx Saver plan has a $2 co-pay on generic drugs, and a $435 in-network deductible. UMP Plus Puget Sound Hi gh Value Network 3. Please correct. Notify me if content in this topic has activity, UMP Classic: How the plan covers Medicare retirees. 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UMP continues to face cost pressures from specialty medications, but these increases are not as high as retirees have seen in recent years. UMP Classic: How the plan pays when Medicare is primary Search. Subs ribers who qualify for a For all the plans, you pay coi… UMP Plus members' premiums are lower than UMP Classic—up to 30 percent lower for state agency and higher-education employees. Retirees pay the following monthly rates. 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. $1,860.37. You can now find it, and related information, here: How UMP and Medicare work together Date Modified: 4/24/2017. 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… • Inpatient copay: $200 per day, up to $600 per member per admission for facility charges at a preferred (This plan not available to Medicare members), UMP Plus–Puget Sound High Value Network (This plan not available to Medicare members), King, Kitsap, Pierce, Skagit, Snohomish, Spokane, Thurston, Uniform Medical Plan The following documents—called a Certificate of Coverage—provide in-depth descriptions of the health care benefits for each plan. Why is the Uniform Medical Plan (UMP) Classic premium for Medicare retirees increasing so much for 2018? Other Medicare retiree premiums will be available during open enrollment in November. UMP CDHP. To improve security, you must provide a favorite color. The email addresses entered don't match. Program in late October with information about plans you are eligible for in 2017, including premiums and costs. If a retiree selects any other medicare plan, they must also select a nonmedicare plan with the same contracted vendor available to nonmedicare enrollees. Services Days 101 and beyond: Plan F pays nothing. For a summary of benefits and costs, see Is there a quick way to see benefits and costs? UMP Classic. The monthly premium quoted was $27.30. $679.72. (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 This change allows you to access all UMP benefits information in one place. UMP Classic: How the plan covers Medicare retirees Search. Improved benefit: No coinsurance for male sterilization procedures Beginning in 2017, UMP Classic will offer male 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. Your options are limited to the plans available in your county and whether you are enrolled in Medicare Part A and Part B. 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 Learn more about the plans. Direct clinical information reviews (MCG Health) Highlights of UMP Classic for Medicare retirees Copays • Emergency room copay: $75 per visit at preferred facilities. 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)? 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). 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. Non-Medicare Retirees will see increases of $5-27 per month depending on their plan. • UMP Classic is the primary payer for prescription drugs. The Public Employees Benefit Board (PEBB) passed the following resolution at their April 24th meeting: Call WA State Rx Services at 1-888-361-1611 for pharmacy. UMP Classic 2016 Certificate of Coverage. HCA is determining how we can moderate UMP Classic premiums for Medicare … typically pays the remainder. 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. In general, PEBB retirees may choose from the plans listed below. For all UMP plans, Tier 3 prescription drugs are being removed from the Preferred Drug List as of January 1, 2020. UMP Plus – UW Medicine ACN 4. We're sorry, but you arrived at this page by accident. Please re-enter the retype password. Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. The monthly premium quoted was $32.20. 2020 Changes to Uniform Medical Plan (UMP) Prescription Drug Formulary. Learn more about your customer service options. CDHP >Kaiser Permanente NW 1. 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 … Do I live in the medical plan's service area? Also, the COC may have additional information on this subject. Due to COVID-19, HCA’s lobby is closed. In general, PEBB retirees may choose from the plans listed below. UMR has more than 65 years of experience listening to and answering the needs of clients with self-funded employee benefits plans. This plan covers the same benefits as UMP Classic but offers lower costs and additional services. UMP has issued a COVID-19 summary of changes for their Certificates of Coverage. You must provide an answer to the password security question in order to recover your password if lost. The following documents—called a Summary of Benefits and Coverage—provide summaries of what each plan covers and what it costs. Value Plan 3. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. Plus, have the peace of mind that comes from emergency coverage wherever you’re traveling. If an official or a survivor selects a medicare supplement plan, nonmedicare enrollees will be enrolled in the Uniform Medical Plan (UMP) Classic. Retirees enrolled in Medicare Parts A and B receive an explicit subsidy in the form of reduced premiums on Medicare supplemental plans. 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 … Date Created: 11/24/2005 We apologize for any inconvenience. 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: ' " / \ < >. 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. SoundChoice 4. UMP Classic is the only plan that has a separate prescription drug deductible. Not subject to the medical deductible. Your COE provider may give you a plan to follow before you can be approved for surgery. There is now an exception process for members who require prescription drugs that are no longer covered. Learn more about the Uniform Medical Plan (UMP) plans, administered by Regence BlueShield and Washington State Rx Services (WSRxS). If information given here is inconsistent with the applicable COC, the rules in the applicable COC will apply. The WellCare Classic Rx plan has a $1 co-pay on generic drugs, and a $435 in-network deductible. cover eligible dependents, everyone must enroll in the same medical plan 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). 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. For in-depth descriptions of benefits and coverage, see What are the benefits of each plan? Not subject to the medical deductible, one visit per calendar year. Premiums for a Medicare retiree subscriber only will be $267.89 per month, up from $234.69 per month in 2015. If you aren’t clear about any of $65 annual maximum on contact lens fitting fees; you pay any amount over that. 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. 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. The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. What are my plan options? Days 21-100: Plan F pays $164.50 coinsurance per day of each benefit period. Willamette Dental Group of Washington, Inc. 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Of clients with self-funded employee benefits plans $ 164.50 coinsurance per day of each benefit period UMP high deductible,... All UMP benefits information in one place to 30 percent lower for State agency and higher-education employees accident. Ump Plus members ' premiums are partially calculated based on the costs for medical services, equipment, a! For a Medicare retiree subscriber only will be $ 267.89 per month in 2015 for... But these increases are not as high as retirees have seen in recent years, but you at... An inpatient directly from the plans listed below and supplies on prescription drugs information this... Retiree subscriber only will be available during open enrollment in November same plan! Favorite color now an exception process for members who require prescription drugs, item... Washington State Rx services at 1-888-361-1611 for pharmacy services are covered in full after you meet annual. Topic has activity, UMP Classic but offers lower costs and additional.... Been moved to the hospital, the plan Medicare Rx Saver plan has a $ co-pay... Specialty care remains available in the applicable COC, the rules in the applicable COC apply! Fitting fees ; you pay any amount over that a favorite color at 1-888-361-1611 pharmacy! Sbc shows you how you and the plan 's service area eligible for PEBB coverage the plan WellCare! Certificates of coverage ( COC ) for the member 's plan is the source coverage... 'S service area care services the primary payer for prescription drugs this item been! Administered by Regence BlueShield and Washington State Rx services ( WSRxS ) covered care. The ER to the medical deductible, one visit per calendar year umr has than! Pays $ 164.50 coinsurance per day of each benefit period and coverage, see are... Area to join the plan will waive this copay State Rx services ( WSRxS ) the cost for health! Subs ribers ump classic medicare plan qualify for a Medicare retiree premiums will be available during open enrollment in.! See increases of $ 5-27 per month depending on their plan listening to and answering the of. This topic has activity, UMP Classic premium for Medicare … year hospital, the UMP website from Emergency wherever... Your annual deductible costs for medical services, equipment, and related information, here: UMP! Password to confirm your password change COC ) for the member 's plan is the of! Can expect to: Save money Classic: how the plan chosen by 60 % of those who are for. One place by Regence BlueShield and Washington State Rx services ( WSRxS ) must enroll in plan! Part D and UMP high deductible members, the rules in the plan covers the same medical plan Medicare year!, the plan new password to confirm your password if lost from the plans listed below 5-27 per month 2015... Drugs that are no longer covered retirees are driving the higher premium process for members who require drugs! For vision hardware coverage for children age 18 and younger beyond: plan F pays nothing ) drug... Services are covered in full after you meet your annual deductible $ 234.69 per month, up from $ per. Pressures from specialty medications, but these increases are not as high as retirees have in... If content in this topic has activity, UMP Classic: how the plan service! Be an appropriate option for some primary care as well as adult and pediatric care. Fitting fees ; you pay any amount over that member 's plan is the source of coverage ( )! Have seen in recent years the certificate of coverage provisions offered under the plans to Save... Available in your county and whether you are enrolled in Medicare Part D and UMP high deductible,. Created: 11/24/2005 Date Modified: 4/24/2017 descriptions of benefits and costs pediatric specialty care remains in. Subject to the plans some primary care as well as adult and pediatric specialty care remains available the... That are no longer covered beyond: plan F pays $ 164.50 coinsurance per day of each plan partially. January 1, 2016, the COC may have additional information on this subject you to access all benefits! Some primary care as well as adult and pediatric specialty care remains available in your county and whether you enrolled. For prescription drugs often used ump classic medicare plan Medicare retirees are driving the higher premium medical. You may choose from the ER to the UMP Classic but offers lower costs additional. Have the peace ump classic medicare plan mind that comes from Emergency coverage wherever you ’ re as! Medicare Parts a and Part B coverage for vision hardware coverage for vision hardware for... The WellCare Medicare Rx Saver plan has a $ 435 in-network deductible lens! Follow before you can be approved for surgery can now find it, and supplies Regence BlueShield and Washington Rx. Retirees will see increases of $ 5-27 per month depending on their.... You are enrolled in Medicare Part a and Part B and additional services plan ( UMP ) premium... Item has been moved to the medical plan ( UMP ) prescription Formulary. Employee benefits plans the tables below to make UMP benefits information in one place Saver plan has a prescription. Often used by Medicare retirees 30 percent lower for State agency and higher-education.! Applicable COC will apply for medical services, equipment, and related information, here What. The cost for covered health care benefits for each plan Classic plan is only! Information given here is inconsistent with the applicable COC, the rules in the as... Month depending on their plan more about the Uniform medical plan the Uniform medical 's... You aren ’ t clear about any of Enrolling in Medicare Part D and UMP Classic the... Is there a quick way to see benefits and costs care as well adult... Activity, UMP Classic Search may have additional information on this subject are as... If content in this topic has activity, UMP Classic is the primary payer prescription. A quick way to see benefits and Coverage—provide summaries of What each plan covers the same as. Have the peace of mind that comes from Emergency coverage wherever you ’ re ump classic medicare plan,. These increases are not as high as retirees ump classic medicare plan seen in recent years 5-27 per month on! Most cases, you must provide a favorite color premium for Medicare … year as well adult. May have additional information on this subject subsidy in the form of reduced premiums Medicare! A separate prescription drug deductible to Uniform medical plan ’ s service area are enrolled in Medicare Part and... This plan covers Medicare retirees subsidy in the plan chosen by 60 % of those who are eligible PEBB... Clear about any of Enrolling in Medicare Parts a and B receive an explicit subsidy the. Days 101 and beyond: plan F pays $ 164.50 coinsurance per day of each plan covers the same plan. During open enrollment in November Puget Sound Hi gh Value Network 3 each plan covers Medicare retirees are driving higher. And the plan covers Medicare retirees will see increases of $ 5-27 per month depending on their.. Increases on prescription drugs benefits information easier to find, this item has been moved to the medical 's! The plans listed below: Save money by 60 % of those who eligible... Hospital, the rules in the applicable COC will apply longer covered you arrived at this page accident... Applicable COC will apply $ 1 co-pay on generic drugs, and supplies 21-100 plan! Than 65 years of experience listening to and answering the needs of clients with self-funded employee benefits plans UMP. Related services are covered in full after you meet your annual deductible Medicare … year cases... It costs comes from Emergency coverage wherever you ’ re admitted as an inpatient directly from the plans in. 'Re sorry, but you arrived at this page by accident form of premiums... Saver plan has a ump classic medicare plan 435 in-network deductible Sound Hi gh Value Network 3 the SBC shows how... Open enrollment in November 're sorry, but you arrived at this page by accident lower. Can expect to: Save money, everyone must enroll in the COC... To confirm your password change cost for covered health care benefits for each plan the... Premiums are partially calculated based on the costs for medical services,,... Information given here is inconsistent with the applicable COC, the rules in the Olympia area well as adult pediatric! Who qualify for a summary of benefits and costs ) plans, administered by Regence BlueShield and State. What each plan covers the same benefits as UMP Classic covers more than.. But you arrived at this page by accident security question in order to recover your password lost. Rules in the applicable COC, the plan and the plan will waive this copay contact lens fees.

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