2021 Open Enrollment - PEBB

This page contains benefit information for 2021. For 2021 Plan overview information visit the 2021 Plan Overview webpage.

UMP (PEBB) Open Enrollment

Welcome to the Public Employees Benefits Board (PEBB) Program open enrollment. Open enrollment starts November 1 and ends November 30, 2020. Benefit coverage will begin January 1, 2021.

This page offers information for UMP members that may be helpful during open enrollment. Find out what’s new for 2021, learn about your options, and compare the UMP plans to find the one that best fits your needs.

Have questions? Call UMP Customer Service at 1-888-849-3681 (TRS: 711) for questions about medical and vision benefits, or Washington State Rx Services at 1-888-361-1611 (TRS: 711) for questions about prescription drugs.

You can also visit the PEBB virtual benefits fair starting October 1 to learn about all of UMP’s plans, or visit Open enrollment (PEBB) for general information like how to enroll. When you’re ready to enroll in a plan, visit My Account or contact your payroll or benefits office.

 Visit the virtual benefits fair

In an effort to keep PEBB members’ health and safety a top priority during the COVID-19 pandemic, and follow the state guidelines for large gatherings, PEBB will not offer in-person benefits fairs in November. Instead, find out more about all of UMP’s plans online with the PEBB’s virtual benefits fair.

A virtual benefits fair is a new way to learn about your benefit options through an online, interactive, and personalized experience. It will be available anytime, day or night, starting October 1.

Use your computer, tablet, or smartphone to visit UMP’s virtual benefits booth. Once there, you can view UMP’s short video to get an overview of all UMP plans or select a specific plan to see more detailed information.

 Check out a UMP webinar

UMP is hosting several webinars during open enrollment. Live close captioning is available for most webinars, on demand.* Registration is required.

Learn about all UMP plans

To learn more about UMP's plans and benefit options, view the recorded UMP (PEBB) Open Enrollment online webinar.

Learn more about UMP Plus

Visit the UMP Plus–Puget Sound High Value Network and UMP Plus–UW Medicine Accountable Care Network home pages or attend a UMP Plus webinar.

  • Puget Sound High Value Network (PSHVN): Wednesday, October 28, 12 p.m. to 1 p.m. (Pacific). Register for the webinar on the Go to Webinar webpage. The recorded session will be available within three business days on PSHVN’s website.
  • UW Medicine Accountable Care Network (ACN): Wednesday, November 4, 12 p.m. to 1 p.m. (Pacific). Register for the webinar on the Go to Webinar webpage. The recorded session will be available a few days later on UW Medicine ACN’s website.

*Communication Access Real-time Transcription (CART) services, or live closed captioning, are available for this event, on demand. Scheduling CART services requires a two to three week lead-time. To request this accommodation, please submit a request to Janice Knutz at janice.knutz@hca.wa.gov as soon as possible. If you make your request less than a week in advance of the event, our language access manager cannot guarantee that a CART writer will be available.

 What's new for 2021

For a summary of the most important information about open enrollment and 2021 coverage, read the UMP open enrollment newsletter:

UMP has a new plan: UMP Select

  • UMP Select is similar to UMP Classic – they have the same benefits and utilize the same provider network.
  • Costs are where the two plans differ: With UMP Select, your monthly premiums will be lower than with UMP Classic – approximately three times lower. Visit the PEBB Program’s open enrollment webpage for premium amounts.
  • Learn more about deductibles, coinsurance, and out-of-pocket limits on the UMP Select webpage.

UMP has a new vision provider network

  • UMP will be using a new vision provider network, Vision Service Plan (VSP) Choice network. New and existing members will receive a new UMP member ID card that will include the VSP member services contact information.
  • To get the most out of your vision benefit, see a provider in the VSP Choice Network. Visit the VSP website to see if a provider is in the Choice network or contact UMP Customer Service at 1-888-849-3681 (TRS: 711).
  • Learn more about your vision benefit by visiting the UMP PEBB Vision webpage.

2021 monthly premiums

To compare 2020 and 2021 premiums for UMP members, read the UMP 2021 premiums flyer.

For the complete list of 2021 premiums, visit the PEBB website (employees, retirees, PEBB Continuation Coverage) or read the PEBB Program’s October For Your Benefit newsletter, which will be mailed or emailed (depending on the delivery method you chose) starting on October 12, 2020.

Note: Non-represented ESD employees and employees who work for a city, county, port, etc., need to contact their personnel, payroll, or benefits office to find their monthly premiums.

Changes to existing benefits for 2021

  • You pay $0 every five calendar years for a hearing aid for each ear. UMP CDHP members pay $0 after they meet their deductible. This includes required accessories, as well as rental and repair costs. Currently, the plan pays up to $800 for a hearing aid per member every three calendar years. To learn more about what is and is not covered by the hearing aid benefit, check your plan’s 2021 certificate of coverage by visiting Forms and publications.
  • For UMP CDHP members, out-of-pocket expenses for a single member under a family plan will not exceed $7,000. This is an increase from $6,900.
  • For durable medical equipment you can shop online for medical supplies through Amazon, where supplies typically cost less through the partners. Then you can easily file a claim online and get reimbursed for covered supplies. To learn more contact UMP Customer Service at 1-888-849-3681 (TRS: 711).
  • What you pay for covered insulins will be changing if you are a UMP Classic, UMP Select, or UMP CDHP member. It will not change if you are a UMP Plus member. For these plans, all covered insulins are no longer subject to the prescription drug deductible. For UMP CDHP, members will pay based on a tier structure instead of paying 15 percent. To learn more about this change, check your plan’s 2021 certificate of coverage by visiting Forms and publications.
  • Check out Quartet. Quartet is a program that works alongside your primary care provider to find a specialist to fit your needs. Quartet’s care navigation team matches members to in-person and telemedicine behavioral health providers who are in the plan’s network, have availability, and offer an array of behavioral health services, including, but not limited to, mental health counseling, substance use disorder, and psychiatry services.

UMP Plus service area and provider changes

UMP Plus–Puget Sound High Value Network (PSHVN)

  • Adding Chelan and Douglas counties to its service area. The service area in 2021 will include Chelan, Douglas, King, Kitsap, Pierce, Snohomish, Thurston, and Yakima counties.
  • Adding network providers to its core network:
    • Confluence Health (Chelan and Douglas counties)
    • The Everett Clinic

Learn more about the plan by visiting the UMP Plus–PSHVN webpage.

UMP Plus–UW Medicine Accountable Care Network (UW Medicine ACN)

  • UMP Plus–UW Medicine ACN does not have any service changes for 2021. The plan will continue to serve King, Kitsap, Pierce, Skagit, Snohomish, Spokane, and Thurston counties. Learn more about the plan by visiting the UMP Plus–UW Medicine ACN webpage.

UMP is updating its privacy practices

UMP is updating the UMP Notice of Privacy Practices (effective November 1, 2020). It will be posted on the UMP notice of privacy practices webpage. Read it to learn how UMP and the Health Care Authority are protecting your personal information.

 Information about your 2021 UMP plan

Your 2021 certificate of coverage is your best resource for benefit information. It describes what is covered and how much you will pay for different services.

 Compare UMP's plans

UMP offers UMP Classic, UMP Select, UMP CDHP, and UMP Plus. UMP Plus has two network options: Puget Sound High Value Network (PSHVN) and UW Medicine Accountable Care Network (ACN). To quickly compare 2021 plan information:

 Learn more about Centers of Excellence

If you qualify for services, the UMP Centers of Excellence (COE) Program covers single knee and single hip replacement surgery, and spine care evaluation and/or surgery for low to no cost. This program is available for all UMP members except those enrolled in UMP Plus and UMP members enrolled in Medicare as their primary coverage. Medicare and UMP Plus members have access to covered services related to joint replacement and spine care outside of this program. To learn more, visit Premera’s COE program website. Note: This program will be available to UMP Select members in 2021.

 Have more questions about UMP

Explore the virtual benefits fair or call:

  • UMP Customer Service at 1-888-849-3681 (TRS: 711) for questions about medical benefits
  • Washington State Rx Services at 1-888-361-1611 (TRS: 711) for questions about prescription drugs