Choose a plan that opens doors to top doctors and coordinated, cost-saving networks close to home. Telehealth services through PSHVN may also be an appropriate option for some primary care needs. 2021: Available in all Washington counties and nationwide. Applies to Uniform Medical Plan (UMP) This means that you and any adult dependents may need to travel to another county served by UMP Plus–PSHVN for primary care services from a network provider. Applies to Uniform Medical Plan (UMP) The following changes were made to our Uniform Medical Plan Pre-authorization List effective January 1, 2020: ... 2020 changes. The new regulation is designed to help you better understand and evaluate your health … ���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>> 2020 State of Wisconsin Group Health Insurance Program Certificate of Coverage IYC Health Plan 20ET-2107cc ... all health plans offering coverage in the State of Wisconsin Group Health Insurance Program must provide the Uniform Benefits as described in this document. Use one of Regence's provider directories. After a two-year competitive process, HCA selected Regence BlueShield as […] Generated Date: 3/23/2020 The presence of codes on this list does not necessarily indicate coverage under the member's benefit contract. This applies to all essential health benefits, including some services not included in the out-of-pocket limit. 2020 Plan Year Uniform Dental FAQs For the State Employee & Retiree Health Plan 1. Who is eligible for the Uniform Dental Benefit plan? 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. 2020 Benefit Year It’s Your Choice Health Plan (Program Option 1) Revised 8/29/2019 UNIFORM BENEFITS . UMP – Uniform Medical Plan . Health plans with health savings accounts (HSAs) Contact HCA. For a summary of benefits and costs, see Is there a quick way to see benefits and costs? 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. In most cases, you must live in a medical plan’s service area to join the plan. December 23, 2015 Key Dates in 2016: QHP Certification in the FFM; Rate Review; Risk Adjustment, Reinsurance and Risk Corridors 4. For additional information about your prescription See the 2020 Preferred Drug List. With the Uniform Medical Plan, you may choose from the plans listed below. The HEALTH PLAN may not alter the language, benefits or exclusions and limitations of the Uniform Benefits plan. King, Kitsap, Pierce, Skagit, Snohomish, Spokane, Thurston, Yakima, Uniform Medical Plan %���� Alert: All specialty drugs require preauthorization. 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) (PEBB) Coverage for: Individual/Family | Plan Type: ACP The Summary of Benefits and Coverage (SBC) document will help you choose a health 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. $1,400/per person, $2,800/family Deductible is what you pay before the plan begins to pay. Included below are the medical management programs that will apply to UMP members effective January 1, 2020 (except as noted below). Sleep Medicine . 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