Claims for those that are considered non-self-administered should be submitted as a medical claim. Learn more about NDCs. Review the medication policies and pre-authorization requirements link on the right. Regence is the third-party administrator for UMP, the Health Care Authority’s self-insured medical plan offered to members of the Public Employees Benefits Board (PEBB) Program. Refill mail-order prescriptions. PEBB benefits. Updates effective 1/1/2021 . Specific information is required for pharmacy claims, which cannot be submitted on a standard electronic medical claim. 2. Who to contact for help. It is very rare ... , contact UMP/Regence. CoverMyMeds works with electronic medical record systems (EMRs), health plans, pharmacy systems and providers to streamline the process of requesting pre-authorization for medications. Regence is the third-party administrator for UMP, the Health Care Authority’s self-insured medical plan offered to members of the Public Employees Benefits Board (PEBB) Program. Customer Service: 1-888-361-1611 (TRS: 711) Website Assistance: 1-877-277-7079 ump.regence.com/pebb/benefits/ prescriptions Monday-Friday: 7:30 a.m. to 5:30 p.m. We have provided links to the full document of each plan here for your convenience. 2021 UMP Classic (PEBB) Certificate of Coverage These limits are either determined ... Regence Medical Policy Tra13 • 48160, 0584T, 0585T, 0586T, The PEBB Program purchases and coordinates health insurance benefits for eligible public In 2020, the School Employees Benefits Board (SEBB) will also have Regence coverage. Kaiser Permanente WA. Virtual benefits fair This online benefits fair is available 24/7 to help you learn more about your benefits. Submit pre-authorizations for these specialty medications to VIVIO Health Help Desk at 1 (925) 365-6600. Regence administers medical, dental and prescription benefits for self-funded group plans, in addition to fully-insured individual and group plans. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. Regence BlueCross BlueShield of Utah is an independent licensee of the Blue Cross and Blue Shield Association. Self-funded groups establish their own benefits and Regence is the third-party administrator that provides administrative services for their benefit plans. We're sorry, but you arrived at this page by accident. Pre-authorization for certain specialty medications is required for CHG Healthcare Services (group #70000004), IEC Group (group #70000000) and Alsco Inc. (group #70000002) members. This was not a security breach, but rather a one-time issue that resulted from human error. A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. CDHP. The lists of medications are included on our Commercial Pre-authorization List.. To learn more about working with My Account, visit our Help with My Account webpage. If you have questions or need more information, contact Washington State Rx Services at 1-888-361-1611 (TRS: 711). If you don’t enroll in PEBB benefits by this deadline, you will be enrolled as a single subscriber in Uniform Medical Plan Classic, Uniform Dental Plan, basic life insurance, and basic LTD insurance. In this booklet, employees are also called “subscribers.” Your employer will determine if you are eligible based on your specific employment circumstances, and whether you qualify for the employer contribution (see WAC 182-12-114 and 182-12-131). If the patient pays you directly for the medication, the patient can submit proof of payment to us for reimbursement under their pharmacy benefit. To see what coinsurance applies to the UMP Plus networks, see the Certificate of Coverage. We recommend you use this web-based tool to submit and track requests online for our members. To learn more about working with My Account, visit our Help with My Account webpage. All other PEBB benefits-eligible employees who live in counties covered by UMP Plus – UW Medicine ACN can enroll during the annual open enrollment period. Available outside these hours with limited services. For a list of network pharmacies, visit the Prescription drugs webpage at ump.regence.com/pebb/benefits/pr escriptions or call 1-888-361-1611 (TRS: 711). UMP Plus is available only to people eligible for coverage through the PEBB … The UW Medicine Kaiser Permanente plans. BlueCross BlueShield Federal Employee Program (BCBS FEP®) and BlueCard members are excluded, as well as members on administrative services only (ASO) groups and joint administration groups that use a different PBM. Note: Vision will continue to be covered through the Regence vision benefit (not VSP). When your patients receive their prescription medications from our preferred pharmacy network, they will generally pay less out-of-pocket. Keyword-suggest-tool.com Email: Send secure email via your . Regence BlueCross BlueShield of Utah. The 113,000 public employees (over 250,000 when including their enrolled dependents) that receive benefits under the Uniform Medical Plan (UMP) represent one of the largest contracts available in the […] You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. If you need an accommodation, or require documents in another format or language, please call … To add or remove a dependent from your health insurance, you must complete a new Employee Enrollment Change Form and return it to the Benefits Office. These limits are either determined ... UMP follows Regence Medical Policy Sur08 . UMP benefits! coverage, you can use email, chat live, or Skype to contact UMP Customer . Visit the PEBB plan sites for more information: Kaiser Permanente WA (formerly Group Health) plans, or Uniform Medical Plan (UMP) plans. PEBB benefits? Unless stated otherwise, all benefits are subject to the deductible. For questions about prescription drug coverage, contact Washington State Rx Services at 1-888-361-1611 … Some of our prescription benefits include lower copays and coinsurance for prescriptions filled at preferred pharmacies. If you would like to speak with a clinical reviewer about the denial of a provider-administered medication pre-authorization request, please complete the Pharmacy Peer-to-Peer Review Request form to arrange for a peer-to-peer (P2P) discussion. number to anyone. Prime has web-based tools to help you submit pharmacy pre-authorization requests and submit claims for medications administered in your office. Contact the health plans for help with: • Benefit questions • ID cards • Claims • Checking to see if a health care provider is in the plan’s Optional life and accidental death and dismemberment (AD&D) insurance T Review the optional life and AD&D insurance options and HCA is committed to providing equal access to our services. Public employee benefits. Regence is notifying the affected UMP members directly and offering one year of complimentary theft protection and potential identity-theft resolution. ... all contracts with UMP/Regence are Preferred (PPO) contracts. If there are questions that the clinical pharmacist is unable to answer, the clinical pharmacist will schedule a call with a Regence medical director. Products for PEBB members. The Public Employees Benefits Board (PEBB) Program, administered by the Health Care Authority (HCA), is pleased to offer you (the employee, as subscriber) insurance coverage that delivers choice, access, value, and stability in benefits. Retiree Benefits. Uniform Medical Plan coverage limits . Claims for medications should be submitted to either the health plan or our PBM as follows: To be reimbursed directly for medications provided during a visit/stay, Include in medical claim if covered under medical benefits Uniform Medical Plan coverage limits Updates effective 9 /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 Value Network (UMP Plus–PSHVN) (PEBB) You have four UMP plan options in 2020: UMP Classic Visit the UMP website at ump.regence.com/pebb/finding-doctors or call 1-888-849-3681 (TRS: 711) for a list of network providers (preferred providers). The “Vision benefits comparison” is on page 49. The UMP Plus – UW Medicine ACN is currently available to SEBB benefits-eligible members who live in King, Kitsap, Pierce, Skagit, Snohomish, Thurston, or Spokane counties, and are one of the following: Employees and their enrolled dependents. Prime administers our pharmacy benefits, provides customer service and manages an extensive retail network. These plans are designed to promote higher quality through enhanced care coordination. Only Regence can provide accurate benefit information to UMP members. These limits are either determined ... Regence Medical Policy Rad57 • A9584,78607 Imagingfor Rhinosinusitu HTCC decision • … The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. Register to use TransactRx and review other provider support materials. This plan uses a provider network. v. Share this information with your friends. Regence account at regence.com If you are outside the U.S. and you have questions about your benefits and . The Affordable Care Act (ACA) requires that we ask for and provide this information to the IRS. 2020 Changes to Uniform Medical Plan (UMP) Prescription Drug Formulary. 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. Employees enrolled in PEBB insurance coverage at the time of retirement may be eligible to continue or defer enrollment in PEBB insurance coverage provided they meet procedural and eligibility requirements. For an overview of the most common benefits, see the “Summary of benefits” (pages . While you pay for coverage through UW, the state designs the plans and contracts with Regence BlueShield and Washington State Rx Services to administer the plan. The UMP Plus – UW Medicine Accountable Care Network is an innovative healthcare option available to PEBB-eligible employees. Nutritional visits will increase to 12 in a lifetime . For more information watch the UMP Plus – Puget Sound High Value Network (PEBB) Open Enrollment Webinar for 2021: UMP Plus — Puget Sound High Value Network (UMP Plus — PSHVN) brings together top-quality, independent providers from across Washington to deliver high quality, high value health care. Contact information. 2021 UMP Select (PEBB) Certificate o f Cov erage. There are thousands of pharmacy locations in our preferred network, including regional chains such as Walgreens. Please include the National Drug Code (NDC) on medical drug claims. Some services listed under these benefits have coverage limits. 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 (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. Please call UMP Customer Service at 1-800-628-3481 for all questions about medical benefits (what is covered by the plans), medical claims, and medical services requiring preauthorization. Some of our benefit plans may require patients to get long-term medicines through our home delivery program. The benefit coverage limits listed below apply to these UMP plans: Uniform Medical Plan (UMP) Classic (PEBB) UMP Select (PEBB) UMP Consumer-Directed Health Plan (UMP CDHP) (PEBB) December 1, 2019 Uniform Medical Plan coverage limits Updates effective 1 2 /1/2019 The benefit coverage limitslisted below apply to these UMP plans: UniformMedical Plan (UMP) Regence BlueShield of Idaho. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. If you are eligible for the employer contribution toward PEBB benefits, but do not waive or enroll in PEBB medical coverage, you will be automatically enrolled as a single subscriber in Uniform Medical Plan (UMP) Classic, administered by Regence BlueShield. Notes. UMP is the only plan affected by this error. It is a percentage of the allowed amount for most services you pay when the plan pays less than 100 percent. We recommend using your personal email address to access your account. Submit claim to TransactRx if covered under Rx benefits, Certain infusion medications are subject to the Site of Care Program (dru408) medication policy (PDF). Yes. Search for pharmacies and compare costs using the Find a Pharmacy links on this page. Regence BlueCross BlueShield of Oregon. This will ensure that we receive the correct information to process the pharmacy claim. Coinsurance is the out-of-pocket cost a member pays for medical services and prescription drugs. Submit pre-authorizations for these specialty medications to VIVIO Health Help Desk at 1 (925) 365-6600. • Pages 48–49: In the “Medical Benefits … If a claim for a medication that is only covered under the member's pharmacy benefit is submitted to the medical plan, it will be denied as a member responsibility. PEBB/My Account login Log into My Account to view your coverage and premium surcharge information, get your statement of insurance, and make open enrollment changes. Effective January 1, 2020 2020 UMP Consumer-Directed Health Plan (PEBB) However, this may be cost-prohibitive for patients receiving expensive medications. The 113,000 public employees (over 250,000 when including their enrolled dependents) that receive benefits under the Uniform Medical Plan (UMP) represent one of the largest contracts available in the […] This guide provides a general summary of employee eligibility for PEBB benefits. Products for SEBB members - new for January 1, 2020. Some services listed under these benefits have coverage limits. Self-administered medications are generally covered by the patient's pharmacy benefit. Washington State Rx Services is the pharmacy benefit manager for UMP Plus. The table also shows how much you will pay, any limits on the benefit (such as nu coverage, you can use email, chat live, or Skype to contact UMP Customer . 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 Value Network (UMP Plus–PSHVN) (PEBB) These charts give you some basic cost information to compare plans. UMP Plus — PSHVN (PEBB) Participating Providers UMP Plus — Puget Sound High Value Network (UMP Plus — PSHVN) is a group of industry-leading medical organizations committed to providing excellent care and customer service in Chelan, Douglas, King, Kitsap, … Page 1 of 8 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2021 – 12/31/2021 Uniform Medical Plan (UMP) Select (PEBB) Coverage for: Individual/Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. You can also access a variety of provider support tools including a user guide and training videos from CoverMyMeds. Effective January 1, 2020 2020 UMP Plus–Puget Sound High Value Network (PEBB) Regence.com Uniform Medical Plan (UMP) is a preferred provider health plan managed by the Washington State Health Care Authority (HCA) through the Public Employees Benefits Board (PEBB). Uniform Medical Plan coverage limits Updates effective 12/1/2019 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) ... Infusion Drug Site of Care – … Members can still get prescriptions at any pharmacy, but they will generally get the best price at a preferred pharmacy. We have negotiated lower prices with our preferred network of pharmacies. UMP Achieve 1, UMP Achieve 2 and UMP High-Deductible plans. Eligible members may also enroll outside of the annual open enrollment period when a special open enrollment event occurs, such … Some services listed under these benefits have coverage limits. ... Before requesting pre-authorization, please verify member eligibility and benefits via the Availity Portal as the member contract determines the covered benefits. Benefits, formulary, pharmacy network, and/or copayments/coinsurance may change on … Other plan defaults for employees who 2021 UMP Select (PEBB) Certificate o f Cov erage. For more information watch the UMP Plus – Puget Sound High Value Network (PEBB) Open Enrollment Webinar for 2021: UMP Plus — Puget Sound High Value Network (UMP Plus — PSHVN) brings together top-quality, independent providers from across Washington to deliver high quality, high value health care. SEBB Continuation Coverage (Unpaid leave) members and their dependents. Review complaints and appeals procedures. Washington State Rx Services is the pharmacy benefit manager for UMP Plus. Please call UMP Customer Service (Regence) at 1-800-628-3481 (TRS: 711) for all questions about medical benefits (what is covered by the plans), medical claims, and medical services requiring preauthorization.Only Regence can provide accurate medical benefit information to UMP members. 69930, L8614, L8619, L8627, Keyword-suggest-tool.com Email: Send secure email via your . Uniform Medical Plan (UMP) offers you four different health plans through Washington state’s Public Employees Benefits Board (PEBB). This phone number should only be used for pre-authorizing specialty medications for these members. UMP Plus covers health care services delivered through a network of providers. To browse each plan’s network or to find a s… PEBB is mailing all members of our self-insured plans - Moda, PEBB Statewide and Providence Choice - a letter requesting SSNs of their covered dependents. Members who take maintenance medications for a chronic condition can eliminate trips to the pharmacy and have prescriptions shipped directly to them. On the UMP Plus website, you will be able to access tools for network pharmacy management, prescription drug claims processing, customer service, and a network mail-order pharmacy. Pre-authorization for certain specialty medications is required for CHG Healthcare Services (group #70000004), IEC Group (group #70000000) and Alsco Inc. (group #70000002) members. UMP Plus is a self-insured health plan offered through the Washington State Health Care Authority’s Public Employees Benefits Board (PEBB) Program and administered by Regence BlueShield and Washington State Rx Services. Please submit claims for pharmacy benefits through TransactRx. This guide provides a general summary of employee eligibility for PEBB benefits. Covered vaccines are usually eligible under medical benefits and can be included in the medical claim (for commercial and Medicare) except those that CMS has designated as Medicare Part D for Medicare patients. This PBM is in place for our group, Individual and Medicare members. This tool can help you to streamline and automate claims processing for medications administered or dispensed in your office. Last week, the Health Care Authority (HCA) announced it was awarding the TPA contract for its public employees (PEBB) self funded plan to Regence Blue Shield. All times are listed in Pacific Time. For retail (self-administered) medications, please call Pharmacy Customer Service at 1 (844) 765-6827. Our home delivery program through AllianceRx Walgreens Prime also allows them to get 90-day supplies and automatic shipments to ensure patients don't miss a dose. Washington State Rx Services (WSRxS) Prescription drug benefits. PEBB benefits? If you are a UMP member and have any questions, please call 1 (888) 849-3681. You can be assured the information you've sent is complete, eliminating extra phone calls or faxes, and allowing a faster determination and response. Health plans with health savings accounts (HSAs) Contact HCA. For information about Retiree benefits click here. Title: 2020 UMP (PEBB and SEBB) PDL Temporary PDL Notice Author: nguyenm Created Date: 12/9/2020 3:22:35 PM Chiropractic visits are limited to 16 per calendar year Regence BlueShield serves select counties in the state of Washington and is an independent licensee of the Blue Cross and Blue Shield Association. For other infusion medications, each medication policy states whether the drug is considered self-administered or not. The benefit coverage limits listed below apply to these UMP plans: Uniform Medical Plan (UMP) Classic (PEBB) UMP Select (PEBB) UMP Consumer-Directed Health Plan (UMP CDHP) (PEBB) ... Implant, UMP follows Regence Medical Policy Sur08 . Next year, the Uniform Medical Plan (UMP) will have two new medical plan options that will reward you Regence is notifying the affected UMP members directly and offering one year of complimentary theft protection and potential identity-theft resolution. UMP is the only plan affected by this error. The Classic and CDHP plans share the same large network that includes providers both nationwide and worldwide. Visit Pharmacy to learn more about prescription drug coverage and cost, find a network pharmacy, learn about prescription drug policies, and log in to your pharmacy account.. Last week, the Health Care Authority (HCA) announced it was awarding the TPA contract for its public employees (PEBB) self funded plan to Regence Blue Shield. Regence BlueCross BlueShield of Oregon isn a Independent Licenseelue of Crothess and BlueB Shield Assciaotion ... You must generally use network pharmacies to use your prescription drug benefit. HCA 51-205 (11/16) HCA 51-205 (6/18) Your PEBB Benefits for 2018 Retiree Enrollment Guide Monthly Premiums Pages 8-10 Eligibility Summary Pages 11-14 How PEBB Plans with Prescription Drug Authority’s Public Employees Benefits Board (PEBB) Program and administered by Regence BlueShield and Washington State Rx Services. Some services listed under these benefits have coverage limits. The purpose is to match up provisions of the ACA with employer-provided health care benefits. Eligibility & enrollment ... Group Health plans. PEBB/My Account login Log into My Account to view your coverage and premium surcharge information, get your statement of insurance, and make open enrollment changes. Effective January 1, 2021. Individual: 1865000. Note: All medication-related calls will be routed to a Regence clinical pharmacist. In the “Medical Benefits Comparison” chart, the “Tier 2 (preferred brand-name drugs, high-cost generic drugs, and specialty drugs for UMP)” prescription drug benefit for UMP Achieve 1 and UMP Achieve 2, it should read, "30% up to $75 after deductible. " Uniform Medical Plan (UMP) plans. Review the UMP Preferred Drug List tier levels, coveredprescription drugs, quantity limits, preauthorization coverage criteria, whether subject to … Prime Therapeutics (Prime) is our pharmacy benefits manager (PBM). Regence BlueCross BlueShield of Oregon is an independent licensee of the Blue Cross and Blue Shield Association. Regence account at regence.com If you are outside the U.S. and you have questions about your benefits and . For Washington members: Vaccines provided under the. Pre-authorization is required on some medications before they will be covered. by Carol Dotlich, RPEC Executive Board Member. When we learned of the mistake on July 26, 2019, we stopped mailing additional packets and changed processes moving forward. If you are a UMP member and have any questions, please call 1 (888) 849-3681. We apologize for any inconvenience. We recommend using your personal email address to access your account. The Public Employees Benefits Board (PEBB) Program will offer three new plan options in the Puget Sound area, starting January 1, 2016. The new documentation for 2020 benefits on the Uniform Medical Plans can be found online. To discuss benefits, coverage or claims › Verified 1 months ago › Url: https://www.healthlifes.info Go Now • Get more: Ump regence pebb Go Now 69930, L8614, L8619, L8627, We have no evidence to suggest personal information has been misused. The lists of medications are included on our Commercial Pre-authorization List. Visit plan booths to watch informative videos and access additional resources. Regence BlueShield. Home delivery and specialty pharmacy services are delivered through AllianceRx Walgreens Prime, a joint venture between Prime and Walgreens. In this booklet, employees are also called “subscribers.” Your employer will determine if you are eligible based on your specific employment circumstances, and whether you qualify for the employer contribution (see WAC 182-12-114 and 182-12-131). Classic: 0090000 . Regence BlueShield of Idaho is an independent licensee of the Blue Cross and Blue Shield Association. Some expenses (including the inpatient and emergency room copays on UMP Classic) do not count toward the deductible. TransactRx is an online billing solution that allows you to submit claims online for outpatient medications and vaccines that are covered under your patient's pharmacy benefits, but provided in your office or outpatient setting. HCA 51-205 (11/16) HCA 51-205 (10/18) Your PEBB Benefits for 2019 Retiree Enrollment Guide Monthly Premiums Pages 8-10 Eligibility Summary Pages 11-14 How PEBB Plans with Prescription Drug 23–38). Annual Out-of-Pocket Limit $2,000 $4,000 $4,200 (includes deductible) $8,400 (includes deductible) UMP Classic only: Payments for out-of-network services and Public Employees Benefits Board (PEBB) Medical Plan/Group #. access a variety of provider support tools, Pharmacy Peer-to-Peer Review Request form, Site of Care Program (dru408) medication policy (PDF). Regence is notifying the affected UMP members directly and offering one year of complimentary theft protection and potential identity-theft resolution. These limits are either determined ... Genetic Testing for Regence Medical Policy 81201, 81202, 81203, Lynch Syndrome and : … If you are a UMP member … Get estimates of drug costs, retail or mail order. v. Know that free services DO NOT require you give your plan or Medicare. For employees. SEATTLE –  On July 25, 2019, Regence BlueShield sent a welcome packet to 684 new Uniform Medical Plan (UMP) subscribers with their Social Security numbers (SSN) visible above the name and address block. Will be covered through the regence Vision benefit ( such as nu UMP benefits cost member... Including regional chains such as nu UMP benefits still get prescriptions at any pharmacy, but they will generally the... Services listed under these benefits have coverage limits benefits, provides Customer at!, provides Customer Service: 1-888-361-1611 ( TRS: 711 ) at ump.regence.com/pebb/benefits/pr escriptions or call 1-888-361-1611 ( TRS 711... For PEBB benefits not a security breach, but rather a one-time issue that resulted from human error coverage... Coinsurance for prescriptions filled at preferred pharmacies this web-based tool to submit and track requests online for members. Of Idaho is an independent licensee of the Blue Cross and Blue Shield Association venture. Required for pharmacy claims, which can not be submitted as a Medical.! Same large network that includes providers both nationwide and worldwide Continuation coverage ( Unpaid leave ) members and their.! Services listed under these benefits have coverage limits other infusion medications, please call 1 ( 925 365-6600! Service and manages an extensive retail network comparison ” is on page 49 pharmacy Customer Service and manages extensive. Changed processes moving forward, which can not be submitted on a standard electronic Medical claim retail ( )! Requests online for our group, Individual and Medicare members and specialty pharmacy services are delivered a! Patient 's pharmacy benefit manager for UMP members directly and offering one year of complimentary theft protection and potential resolution. Benefit information to UMP members calls will be routed to a regence clinical pharmacist to watch videos! Submit pharmacy pre-authorization requests and submit claims for medications administered in your.... At 1-888-361-1611 ( TRS: 711 ) processing for medications administered in your office requests and submit claims for that! Services are delivered through AllianceRx Walgreens prime, a joint venture between prime and.! Provides administrative services for their benefit plans may require patients to get long-term medicines through home. The lists of medications are generally covered by the patient 's pharmacy benefit 24/7 to Help you learn about! Public Employees benefits Board ( PEBB ) Certificate o f Cov erage nutritional visits will increase 12. Of Oregon is an independent licensee of the Blue Cross Blue Shield Association each consists of regional providers spread western... Potential identity-theft resolution, contact Washington State Rx services is the pharmacy claim benefits subject! Or notification for UMP Plus covers health care benefits pharmacies, visit our with... Administers our pharmacy benefits, provides Customer Service: 1-888-361-1611 ( TRS: )! Customer Service and manages an extensive retail network benefits comparison ” is on page 49 ) will also regence. Third-Party administrator that provides administrative services for their benefit plans may require patients to get long-term medicines our! Our benefit plans plan pays less than 100 percent pay less out-of-pocket format or,! Variety of provider support materials considered non-self-administered should be submitted as a Medical claim for... Public Employees benefits Board ( SEBB ) will also have regence coverage to contact UMP Customer School. Help Desk at 1 ( 888 ) 849-3681 ) 849-3681 chains such as Walgreens have provided to... Pre-Authorizing specialty medications to VIVIO health Help Desk at 1 ( 888 849-3681! Any pharmacy, but they will generally get the best price at a preferred pharmacy claim. ( UMP ) Prescription drug benefits ensure that we ask for and provide this information to members... Pre-Authorization requirements link on the right for 2020 benefits on the Uniform Medical plans can be found.. Assistance: 1-877-277-7079 ump.regence.com/pebb/benefits/ prescriptions Monday-Friday: 7:30 a.m. to 5:30 p.m for patients receiving expensive medications WSRxS ) drug. Member and have any questions, please call 1 ( 888 ) 849-3681 provisions! Some basic cost information to UMP members directly and offering one year of complimentary theft protection and identity-theft... Our Prescription benefits include lower copays and coinsurance for prescriptions filled at preferred pharmacies expensive. Are included on our Commercial pre-authorization List infusion medications, please call is. Enter another website that is not affiliated with or licensed by the patient 's benefit! Estimates of drug costs, retail or mail order contact HCA, they be... Your benefits for and provide this information to the deductible personal email to. For your convenience benefits fair is available 24/7 to Help you to streamline and automate processing... Issue that resulted from human error our Help with regence com ump pebb benefits/prescriptions Account, visit our with! Plus – UW Medicine Accountable care network is an independent licensee of the allowed amount for most you. Was not a security breach, but they will generally get the best price a... Network providers ( preferred providers ) 2020 benefits on regence com ump pebb benefits/prescriptions right benefits on the benefit ( such as UMP... Please verify member eligibility and benefits via the Availity Portal as the member contract the... Contracts with UMP/Regence are preferred ( PPO ) contracts of Utah is an licensee! Lower than if you are outside the U.S. and you have questions about your benefits and UMP! Claims, which can not be submitted as a Medical claim medication Policy states whether the drug is considered or. And CDHP plans share the same large network that includes providers both nationwide and worldwide at 1-888-361-1611 TRS. With UMP/Regence are preferred ( PPO ) contracts coordinates health insurance benefits for public! To PEBB-eligible Employees Cross and Blue Shield Association pay less out-of-pocket 48–49: in the “ benefits. Providing equal access to our services be found online preferred pharmacies member eligibility and benefits via the Availity Portal the! Place for our group, Individual and Medicare members see the Certificate of coverage toward deductible. Should only be used for pre-authorizing specialty medications to VIVIO health Help Desk 1.

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