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). In general, PEBB retirees may choose from the plans listed below. Learn more about the plans. $1,860.37. $1,611.34. UMP Classic. (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 Date Modified: 4/24/2017. Services Program in late October with information about plans you are eligible for in 2017, including premiums and costs. The following documents—called a Certificate of Coverage—provide in-depth descriptions of the health care benefits for each plan. Date Created: 11/24/2005 Please re-enter the retype password. 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. (This plan not available to Medicare members), King, Kitsap, Pierce, Skagit, Snohomish, Spokane, Thurston, Uniform Medical Plan • UMP Classic is the primary payer for prescription drugs. 1. Call WA State Rx Services at 1-888-361-1611 for pharmacy. 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. typically pays the remainder. 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. UMP Classic: How the plan covers Medicare retirees Search. Retirees pay the following monthly rates. The WellCare Medicare Rx Saver plan has a $2 co-pay on generic drugs, and a $435 in-network deductible. The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. UMP Plus members can expect to: Save money. If an official or a survivor selects a medicare supplement plan, nonmedicare enrollees will be enrolled in the Uniform Medical Plan (UMP) Classic. cover eligible dependents, everyone must enroll in the same medical plan Direct clinical information reviews (MCG Health) Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. 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. (This plan not available to Medicare members), UMP Plus–Puget Sound High Value Network UMR has more than 65 years of experience listening to and answering the needs of clients with self-funded employee benefits plans. 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. Subs ribers who qualify for a UMP continues to face cost pressures from specialty medications, but these increases are not as high as retirees have seen in recent years. This plan covers the same benefits as UMP Classic but offers lower costs and additional services. We're sorry, but you arrived at this page by accident. Willamette Dental Group of Washington, Inc. 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HCA is determining how we can moderate UMP Classic premiums for Medicare … $1,354.37. CDHP >Uniform Medical Plan 1. Learn more about your customer service options. You need to enable JavaScript to run this app. 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. Improved benefit: No coinsurance for male sterilization procedures Beginning in 2017, UMP Classic will offer male $679.72. Medical plan premiums are partially calculated based on the costs for medical services, equipment, and supplies. Non-Medicare Retirees will see increases of $5-27 per month depending on their plan. 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. 1. In general, PEBB retirees may choose from the plans listed below. With the Uniform Medical Plan, you may choose from the plans listed below. Highlights of UMP Classic for Medicare retirees Copays • Emergency room copay: $75 per visit at preferred facilities. Use the tables below to make sure you live in the plan's service area. UMP Plus Puget Sound Hi gh Value Network 3. For a summary of benefits and costs, see Is there a quick way to see benefits and costs? Also, the COC may have additional information on this subject. 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). 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. For in-depth descriptions of benefits and coverage, see What are the benefits of each plan? If information given here is inconsistent with the applicable COC, the rules in the applicable COC will apply. For UMP CDHP and UMP High Deductible members, the surgery and related services are covered in full after you meet your annual deductible. Beginning January 1, 2016, the UMP Classic premium for Medicare retirees will increase. Permanente WA plans (for Medicare and non-Medicare), and the UMP Plus plans (for non-Medicare only) are value-based plans. For UMP Classic, UMP Select, UMP Achieve 1, and UMP Achieve 2 members, the surgery and related services are covered in full. 2020 Changes to Uniform Medical Plan (UMP) Prescription Drug Formulary. The WellCare Classic Rx plan has a $1 co-pay on generic drugs, and a $435 in-network deductible. UMP Plus members' premiums are lower than UMP Classic—up to 30 percent lower for state agency and higher-education employees. The certificate of coverage (COC) for the member's plan is the source of coverage provisions offered under 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. $1,206.48. year. • Inpatient copay: $200 per day, up to $600 per member per admission for facility charges at a preferred HCA is determining how we can moderate UMP Classic premiums for Medicare This change allows you to access all UMP benefits information in one place. The Public Employees Benefit Board (PEBB) passed the following resolution at their April 24th meeting: What are my plan options? The monthly premium quoted was $27.30. 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 … Do I live in the medical plan's service area? Classic Plan 2. If information given here is inconsistent with the applicable COC, the rules in the applicable COC will apply. Use the tutorial. Due to COVID-19, HCA’s lobby is closed. The certificate of coverage (COC) for the member's plan is the source of coverage provisions offered under the plans. The SBC shows you how you and the plan would share the cost for covered health care services. This change allows you to access all UMP benefits information in one place. CDHP* *Plans offered in Clark and Cowlitz count ies in WA, and the Portland, OR area 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. UMP Classic is the only plan that has a separate prescription drug deductible. Plus, have the peace of mind that comes from emergency coverage wherever you’re traveling. Enrolling in Medicare Part D and UMP Classic Search. The certificate of coverage (COC) for the member's plan is the source of coverage provisions offered under the plans. Also, projected cost increases on prescription drugs often used by Medicare retirees are driving the higher premium. Why is the Uniform Medical Plan (UMP) Classic premium for Medicare retirees increasing so much for 2018? For all the plans, you pay coi… Your options are limited to the plans available in your county and whether you are enrolled in Medicare Part A and Part B. Telehealth services through PSHVN may also be an appropriate option for some primary care needs. 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. 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. Find a Medicare plan. 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… If you aren’t clear about any of Pediatric primary care as well as adult and pediatric specialty care remains available in the Olympia area. See the UMP Classic 2016 Certificate of Coverage for vision hardware coverage for children age 18 and younger. We apologize for any inconvenience. SoundChoice 4. 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