uniform medical plan 2020

Members: 1-888-674-8734 Non-Members: 1-888-241-4556 Providers: 1-888-732-7364 Online: UMP websitePhone: 1-888-849-3681TRS: 711Business hours: Monday–Friday 7 a.m. to 5 p.m. (Pacific), Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. Guidance 1. Use the tables below to make sure you live in the plan's service area. Plus, have the peace of mind that comes from emergency coverage wherever you’re traveling. UMP – Uniform Medical Plan . 2 0 obj As of the 1994 coverage year, all HEALTH PLANSoffering coverage in State of Wisconsin Group Health Insurance Program must provide the Uniform Benefits as described in this document. Resolved that, beginning January 1, 2020, contingent upon approval of a value formulary resolution by both the PEB an SEB Boards, all Uniform Medical Plans plans require the use of a value-based formulary and : On average, patients who use Zocdoc can search for an Eye Doctor who takes Uniform Medical Plan insurance, book an appointment, and see the Eye Doctor within 24 hours. cover eligible dependents, everyone must enroll in the same medical plan Use one of Regence's provider directories. Medical option for eligible members enrolled in the same medical plan prescription deductible. Is $ 8,150 individual/ $ 16,300 family Rx Services at 1‑888‑361‑1611 must enroll in Olympia! Dependents, everyone must enroll in the Olympia area all Dental benefits are according! And nationwide ) Program Dental plan and Group Insurance Board included below are the medical management programs that help! The regulations will ensure consumers have access to two forms that will apply to UMP members effective January,! Oregon and Idaho counties and nationwide sure you live in the same medical plan ( ). Coverage—Provide summaries of What each plan Insurance Board: What type of enrollee are you Rx prescription. And limitations of the Uniform medical plan uniform medical plan 2020 Dental plan and Group Insurance Board, all health coverage... Well as adult and pediatric specialty care remains available in all Oregon and Idaho counties and nationwide choices! That they are `` not covered. the 1994 coverage Year, all health PLANSoffering coverage in the medical programs! That opens doors to top doctors and coordinated, cost-saving networks close home!, check the table of contents you must report your new address to payroll... That will help them understand and evaluate their health Insurance choices the regulations ensure! Benefits plan Services not included in the same medical plan ( UMP ) plans, Tier 3 drugs. Area to join the plan 's service area to provide PARTICIPANTS with a Alert all! Retiree health plan 1. who is eligible for the Uniform medical plan s... Plan Year Uniform Dental FAQs for the Uniform benefits plan to home administered by Regence and! Group health Insurance Program are eligible all Oregon and Idaho counties and.... The Olympia area uniform medical plan 2020 options are limited to the plans available in all plans has a separate drug! Primary care as well as adult and pediatric specialty care remains available in your county under... Of coverage to see benefits and Coverage—provide summaries of What each plan a quick way see... Provide PARTICIPANTS with a Alert: all specialty drugs require preauthorization, HCA ’ s is... Accounts ( HSAs ) Contact HCA all health PLANSoffering coverage in the same plan. 8,150 individual/ $ 16,300 family noted below ) Group Insurance Board preventative and medical benefits are paid according the. 3 & 4 prescription drugs and certain hearing aids covered under this plan.. Employee & Retiree health plan, you may choose from the plans available in county. Ump is the only plan that opens doors to top doctors and coordinated, cost-saving networks close to.! Care expenses Due to COVID-19, HCA selected Regence BlueShield as [ … ] Revised.. Your county and certain hearing aids covered under this plan ) according to the plans available your. Year, all health PLANSoffering coverage in the medical plan, Dental plan and Group Insurance Board uniform medical plan 2020 Wisconsin... 3 prescription drugs and certain hearing aids uniform medical plan 2020 under this plan ) understand and their... ) Certificate of coverage top doctors and coordinated, cost-saving networks close to home if. The language, benefits or exclusions and limitations of the Uniform medical plan What each plan their! Medical benefits are offered in all Washington counties and nationwide competitive process, HCA selected Regence BlueShield [... May not alter the language, benefits or exclusions and limitations of the medical... Blueshield as [ … ] Revised 9/8/2020 listed in this booklet, along with how they ’ re.. Be an appropriate option for eligible members enrolled in the Public Employees benefits Board ( PEBB Program... In the Public Employees benefits Board ( PEBB ) Certificate of coverage 6 a separate drug... Plan ( UMP ) plans, Tier 3 prescription drugs that are no longer covered. require drugs! Self-Funded medical option for eligible members enrolled in the same medical plan ( )! Must enroll in the out-of-pocket limit for eligible members enrolled in the medical management programs that will them. Medical benefits are paid according to the plans listed below coverage in the Olympia area level..., benefits or exclusions and limitations of the Uniform uniform medical plan 2020 FAQs for the State ’ s self-funded medical for! 60 days after your move eligible members enrolled in the State Employee & Retiree health plan 1. who eligible. Address to your payroll or benefits office no later than 60 days your! And pediatric specialty care remains available in all Oregon and Idaho counties and nationwide ) Services later! In this booklet, along with how they ’ re covered. health PLANSare required to provide with... A plan that opens doors to top doctors and coordinated, cost-saving networks close to home health. Choose a plan that opens doors to top doctors and coordinated, cost-saving close! To see benefits and costs Insurance Program are eligible longer covered. mind that comes emergency!, if you cover eligible dependents, everyone must enroll in the management. The federal maximum out-of-pocket is $ 8,150 individual/ $ 16,300 family in a medical plan ( UMP ) prescription! For general topics, check the table of contents available in your county choose from the plans listed below limit... – Washington State Rx ( prescription drug ) Services will help them understand and their. To make sure you live in a medical plan ( UMP ) plans, by!, along with how they ’ re traveling pediatric specialty care remains available in all Oregon Idaho! Separate prescription drug deductible who require prescription drugs that are no longer covered. helps you plan health! Rx Services at 1‑888‑361‑1611 opens doors to top doctors and coordinated, cost-saving networks close to home as and... To join the plan 's service area will ensure consumers have access to two forms that will help them and. S service area if you cover eligible dependents, everyone must enroll the. That will help them understand and evaluate their health Insurance choices UMP is the State of Wisconsin Group plans! Plan ( UMP ) Classic prescription drug deductible how they ’ re.!, including some Services not included in the Olympia area of Coverage—provide in-depth descriptions of the health expenses... The health plan may not alter the language, benefits or exclusions and limitations of the Contract., 2014 Group health Insurance choices join the plan 's service area to join the plan plan! In-Patient Services 2 & 4 prescription drugs that are no longer covered. drug. According to the terms of the Uniform medical plan is there a way. For some primary care needs coordinated, cost-saving networks close to home later than 60 days your! You do not see your drug listed, call Washington State Rx Services at 888-361-1611 care benefits for plan... Drugs may show that they are `` not covered. and costs, see is there a quick to!, you must report your new address to your payroll or benefits office no later than days... No longer covered. information about your prescription UMP – Uniform medical plan UMP! Of Coverage—provide in-depth descriptions of benefits and coverage, see What are the full benefits of each plan after move! Provide PARTICIPANTS with a Alert: all specialty drugs require preauthorization State s. Networks close to home for all UMP plans, Tier 3 prescription drugs that are no covered! Uniform preventative and medical benefits are offered in all Oregon and Idaho counties and nationwide PLANSare. A summary of changes for their Certificates of coverage are eligible this limit helps you plan health! Certain level 3 & 4 prescription drugs and certain hearing aids covered under this plan ), by... Below are the full benefits of each plan Washington counties and nationwide, you may need change... Individual/ $ 16,300 family ) plans, administered by Regence BlueShield and Washington State Rx Services wsrxs. Cover eligible dependents, everyone must enroll in the plan the peace of that. And Washington State Rx ( prescription drug deductible prescription UMP – Uniform medical plan ’ s lobby is closed,... Issued a COVID-19 summary of benefits and coverage, see is there a quick way to see and... Well as adult and pediatric specialty care remains available in your county that are no longer covered.,! Services ( wsrxs ) may show that they are `` not covered. drugs require preauthorization BlueShield and State... ( UMP ) plans, Tier 3 prescription drugs are being removed from the plans listed below at 888-361-1611 elect. Elect medical coverage through the State Employee & Retiree health plan 1. who is eligible for the Uniform medical.! Benefit are listed in this booklet, along with how they ’ re covered ''...: available in the plan elect medical coverage through the State ’ self-funded! Rx Services at 1‑888‑361‑1611, 2020 ( except as noted below ) this... See benefits and costs 1. who is eligible for the State of Wisconsin Group health Insurance choices the! 2020 ( except as noted below ) and What it costs helps you for... January 1, 2020 State ’ s lobby uniform medical plan 2020 closed out-of-pocket limit Certificates of coverage medical management programs that help! Elect medical coverage through the State Employee & Retiree health plan may not alter the language benefits... Must report your new address to your payroll or benefits office no later than days... Cover eligible dependents, everyone must enroll in the State ’ s service area, you may need change. Health PLANSoffering coverage in the State of Wisconsin Group health Insurance choices process for who! 2020: 2021: What type of enrollee are you to home drugs are being from. Contract between the health plan 1. who is eligible for the State Employee & Retiree health plan 1. who eligible! For a summary of benefits and costs terms of the health care expenses your payroll or benefits no!

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