regence uniform medical plan sebb

Tricare. Visit the UMP Plus–PSHVN website to learn more about the network. The UMP Plus—UW Medicine ACN network is a limited network compared to UMP Achieve 1,UMP Achieve 2, and UMP High Deductible. For Uniform Medical Plan (UMP) Members: Fax to: 1 (877) 663-7526 or Mail to: PO Box 2998, Tacoma, WA 98401-2998 If this is an expedited request and meets the definition indicated below, please check the expedited request box AND fax this form to 1 (855) 240-6498. ���C�i :b!#����_JA�=VO�����wRTxa���˱���d�A/#�{q�}�wï��1��Xbtו�_Ҥ��ȳ3R�}��{��#�w�H�}i��1�}��@��v�q,��~O�*N�5cKyO�����d��>gh!��Ҹd�(��Vؕ��s��*þX�USQ,���$w�z �5U�^�w �n�ag�!2;�j��9�F]�)aI�Y�\��a��J���+Zp���;�w2\�}���-0"Q[. 7:30 a.m. to 5:30 p.m. (Pacific) Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS ... SEBB Continuation Coverage spousal plan questionnaire 2020. 4 0 obj endobj Direct clinical information reviews (MCG Health) For select CPT codes, Availity's electronic authorization tool automatically routes you to MCG Health's website where you can document specific clinical criteria for your patient. 1 of 9 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2020 – 12/31/2020 Uniform Medical Plan (UMP) Plus—UW Medicine Accountable Care Network (ACN) (SEBB) Coverage for: Individual/Family | Plan Type: ACP The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Monday through Friday UMP Achieve 1 also covers the full cost of certain programs to quit using tobacco or manage diabetes. UMP Achieve 2 also covers the full cost of certain programs to quit smoking or manage diabetes. It is a network of providers providing high quality, coordinated care at a lower cost. Uniform Medical Plan (SEBB) Web TPA. 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(HTCC) decision or a Regence BlueShield medical policy. UMP Plus—PSHVN is only available in certain counties: King, Kitsap, Pierce, Snohomish, Thurston, and Yakima. endobj 30% of costs until the plan has paid $500 (for PPO, out of state, and non-PPO providers); then any amount over $500 in the member's lifetime (maximum lifetime benefit) This is a summary of UDP plan benefits. Once the money is in your account, it’s yours, and there is no deadline to use it. <>/Metadata 226 0 R/ViewerPreferences 227 0 R>> For more details, refer to your plan’s . With UMP High Deductible, you pay $0 for covered preventive care services when you see a network provider. You will also have 24/7 access to on-demand virtual care. Uniform Medical Plan Pre-authorization List The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that Certificate of Coverage. 24 hours a day, 7 days a week . The Public Employees Benefit Board (PEBB) passed the following resolution at their April 24th meeting: The State of Washington contributes annually to the account on an individual or family basis. For most services, you can see the specialist you choose without a referral. UMP High deductible uses Regence BlueShield’s largest network of providers. Member. Additionally, you get covered preventive care at no cost to you when you see a network provider. Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans and accountable care plans offered through Washington State’s School Employees Benefits Board (SEBB) Program. The UMP Plus – UW Medicine ACN includes many of the finest healthcare organizations in the region, and provides high-quality, excellent service and affordable healthcare. A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. • Page 43: In the “Medical Benefits Comparison” chart: • Under “Hearing hardware” for the Kaiser Foundation Plan of the Northwest, Kaiser Foundation Plan of Washington, and Kaiser Foundation Plan of Washington Options, Inc. plans it should read, “$400 max per ear The UMP Plus–PSHVN network is a limited network compared to UMP Achieve 1, UMP Achieve 2, and UMP High Deductible. Have questions or need more information, contact Washington State Rx services services and supplies that Pre-authorization... 1-800-552-6694 ppsrx.com Uniform Medical plan ( Uniform Medical plans can be found.... Regional providers spread throughout western Washington the UMP Plus—UW Medicine ACN website to learn more about the network,... Coverage wherever you ’ re traveling include every limit or exclusion under this.! To Massage Therapy depending on your client ’ s network or to a... 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