uniform medical plan 2020

0iY�. After a two-year competitive process, HCA selected Regence BlueShield as […] 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. Sleep Medicine . The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. 2020: 2021: What type of enrollee are you? King, Kitsap, Pierce, Skagit, Snohomish, Spokane, Thurston, Yakima, Uniform Medical Plan Learn more about the Uniform Medical Plan (UMP) plans, administered by Regence BlueShield and Washington State Rx Services (WSRxS). In-network uniform preventative and medical benefits are offered in all plans. Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. Uniform Glossary of Coverage and Medical Terms SBC and Uniform Glossary Translations - Chinese, Spanish, Tagalog, and Navajo Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials – for plan years beginning on or after 4/1/17 What are my plan options? Applies to Uniform Medical Plan (UMP) The VHA Comprehensive Mental Health Strategic Plan and the requirements included in this Handbook have been developed to implement the goals of the President’s New Freedom Commission on Mental Health, including the principle that mental health care is an essential component of overall heath care. The Health Care Authority (HCA) today announced a new contract to provide enhanced services to the nearly 200,000 public employees enrolled in Uniform Medical Plan (UMP). All state employees and retirees who elect medical coverage through the State of Wisconsin Group Health Insurance Program are eligible. With the Uniform Medical Plan, you may choose from the plans listed below. $1,400/per person, $2,800/family Deductible is what you pay before the plan begins to pay. See the 2020 Preferred Drug List. The following changes were made to our Uniform Medical Plan Pre-authorization List effective January 1, 2020: ... 2020 changes. Generated Date: 5/22/2020 The presence of codes on this list does not necessarily indicate coverage under the member's benefit contract. December 23, 2015 Key Dates in 2016: QHP Certification in the FFM; Rate Review; Risk Adjustment, Reinsurance and Risk Corridors 4. Use the tables below to make sure you live in the plan's service area. ��a�~�Wj��s��\/�&� �8�� u.�\�a�s��I�ֿ�_��*��Oݪ�X��6��"MRd4%�0�ѣ�x:��r��05�EC��i��et%O��~��B��S��h{_H��@�M�o�͕�]��m�E��f� %�6��% ��X8�$��!$�- <>/Metadata 2372 0 R/ViewerPreferences 2373 0 R>> Employees can choose a health plan with or without dental (routine and preventative dental), and the It’s Your ... 11/18/2020 It’s Your Choice Health Plan (IYC) Benefit Schedule Benefits You Receive Included Generated Date: 3/23/2020 The presence of codes on this list does not necessarily indicate coverage under the member's benefit contract. 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. As of September 23, 2012 or soon after, health insurance issuers and group health plans are required to provide you with an easy-to-understand summary about a health plan’s benefits and coverage. Applies to Uniform Medical Plan (UMP) Learn more about your customer service options. endobj ... 2020 UMP Classic (PEBB) Certificate of Coverage 8 Under the Affordable Care Act, health insurers and group health plans will provide the 180 million Americans who have private insurance with clear, consistent and comparable information about their health plan benefits and coverage. 2020 UMP Classic (PEBB) Certificate of Coverage 6. you must report your new address to your payroll or benefits office no later than 60 days after your move. UMP is the state’s self-funded medical option for eligible members enrolled in the Public Employees Benefits Board (PEBB) Program. 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Health plans with health savings accounts (HSAs) Contact HCA. Uniform Medical Plan (UMP) Classic prescription drug benefit are listed in this booklet, along with how they’re covered. 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) Classic (Medicare) (PEBB) Coverage for: Individual/Family | Plan Type: PPO 1 of 10 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 2021: Available in all Washington counties and nationwide. Telehealth services through PSHVN may also be an appropriate option for some primary care needs. �O��_�� W��"�J�ě��$��]�wF'��U"(yNR��6@��as@1�BmO*�-t��8��ӍV��O�Q~�g��y�J�0�_H��%1h�O~=3|?޿��;E%�b��I9$��Bv�?|��~$=�g�!��%��!5e�~�7V��r!�n%S�l巏��_�+�� S�� *À�� n��#��Y�֟c��ѻb��|��Erp��ߟN�۰��~��E��tZګQG�7P� F$�ԅ!x��ѣ�gc��V�s�*MI3�U��*-2��a�KP�� /2FJT ��t��S�z�K��LV��vy��~�'�"� UMP Achieve 1 UMP Achieve 2 UMP High Deductible UMP Plus—Puget Sound High Value Network UMP Plus—UW Medicine Accountable Care Network UMP Plus— Puget Sound Page 1 of 7. The following documents—called a Certificate of Coverage—provide in-depth descriptions of the health care benefits for each plan. To help you decide on a plan, it can be helpful to know the network—or the group of doctors, hospitals and pharmacies that are part of the plan. UMP Plus—UW Medicine Accountable Care Network, UMP Consumer-Directed Health Plan (UMP CDHP) (2021), UMP Plus—Puget Sound High Value Network (PSHVN) (2021), UMP Plus—UW Medicine Accountable Care Network (UW Medicine ACN) (2021), UMP Consumer-Directed Health Plan (UMP CDHP) (2020), UMP Plus—Puget Sound High Value Network (PSHVN) (2020), UMP Plus—UW Medicine Accountable Care Network (UW Medicine ACN) (2020, UMP Plus—Puget Sound High Value Network (2021), UMP Plus—UW Medicine Accountable Care Network (2021), UMP Plus—Puget Sound High Value Network (2020), UMP Plus—UW Medicine Accountable Care Network (2020), Website feedback: Tell us how we’re doing. 2 0 obj Page 1 of 9 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2020 – 12/31/2020 Uniform Medical Plan (UMP) Achieve 1 (SEBB) Coverage for: Individual/Family | Plan Type: PPO * For more information about limitations and exceptions, see the plan’s certificate of coverage or policy document at hca.wa.gov/ump -sebb coc. Uniform Medical Plan (UMP) plans. b. x��=ko�6��{1#�R�!��ds��fwf�X$��ݶ��v�۞��~��=HJ�D{�cwS�"Y�wϿ;�6W��)��N��f}��r�y��?/�7��i�ߝ��r��^^��%�?\$��~��2˓,U�p�'��W�C�{��ׯ�?�D~��+"e I stream 2020 Plan Year Uniform Dental Benefits Certificate of Coverage For All Programs with Dental Please read the following information carefully for your procedure frequencies and provisions. For a summary of benefits and costs, see Is there a quick way to see benefits and costs? Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. Members: 1-888-674-8734 Non-Members: 1-888-241-4556 Providers: 1-888-732-7364 Which year would you like information on? 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 : ��V��H��m�5�U�~x�ꗳO��r��g��Jޯw��l�x[�]mNzv�_9��.��.�k|�^Ë�I��|��ׯ��sȻsȳ2��y ��K�n�l X��(�G��1�p�.wrT"?V��1�w��,�;��G��{��^�mFEY��ftOs��9DN��=>�/q��b!A�6rV��q"zmR��\��K�\�$��Sɟ\��o Benefits are offered in all plans require prescription drugs are being removed from the plans available in your.... Is closed UMP Classic ( PEBB ) Program individual/ $ 16,300 family Dental benefit uniform medical plan 2020 Uniform Dental for! Medical option for some primary care needs more, please call Washington State Rx at., everyone must enroll in the Public Employees benefits Board ( PEBB Certificate. As of the Uniform benefits plan, cost-saving networks close to home ( drug! Board ( PEBB ) Program s self-funded medical option for some primary care needs plans listed below FAQs. 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