UMP PEBB Open Enrollment

Attend a PEBB benefits fair to meet with plan representatives and to learn more about your options for 2024. Benefits fairs will be held across Washington between November 1-14. Visit PEBB benefits fairs for the full schedule and more details.

You can find out more about all of UMP’s plans online with PEBB’s virtual benefits fair.

A virtual benefits fair is a way to learn about your benefit options through an online, interactive, and personalized experience. Virtual benefits fairs will be available anytime, day or night, starting September 30.

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

UMP is hosting several webinars during open enrollment.

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

For general plan information, visit the UMP Plus–Puget Sound High Value Network and UMP Plus–UW Medicine Accountable Care Network plan detail pages or register to attend a UMP Plus webinar.

• Puget Sound High Value Network (PSHVN): Thursday, October 26, noon to 1 p.m. PST
  • Register for the webinar on the Zoom webinar webpage.

  • The recorded session will be available within three business days on PSHVN’s website.

• UW Medicine Accountable Care Network (ACN): Friday, October 27, noon to 1 p.m. PST
  • Register for the webinar on the Zoom webinar webpage.
  • The recorded session will be available within three business days 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 Lauren Johnston at lauren.johnston@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.

For a summary of the most important information about open enrollment and 2024 coverage, read the UMP Open Enrollment Newsletter.

UMP Open Enrollment Newsletter 2024 (non-Medicare edition)
UMP Open Enrollment Newsletter 2024 (Medicare edition)

To compare 2023 and 2024 premiums for UMP members, read the UMP 2024 premiums flyer.

For the complete list of 2024 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 20, 2023.

Note: Non-represented ESD employees and employees who work for an educational service district, city, tribal government, county, port, water district, hospital, etc., must contact their payroll or benefits office to get their monthly premiums.

There are no changes to the following for UMP Classic, UMP Select, UMP Plus–PSHVN, and UMP Plus–UW Medicine ACN members:

• Medical deductible;
• Prescription drug deductible;
• Out-of-pocket maximum; and
• SmartHealth wellness incentive ($125 deductible credit to those who qualify)

• The UMP Consumer-Directed Health Plan (CDHP) deductible is increasing
  The deductible for UMP CDHP members is increasing to $1,600 for a single subscriber and $3,200 for a family. This is an increase from $1,500 for a single subscriber and $3,000 for a family. This deductible increase is required to maintain compliance with IRS rules, so that a subscriber can make eligible health savings account (HSA) contributions in 2024. UMP CDHP members will be receiving a new ID card for 2024 with the updated deductible amounts.

• The 24-hour nurse line phone number is changing for most plans
  The phone number for the 24-hour nurse line for the UMP Classic, UMP Select, UMP Consumer-Directed Health Plan (CDHP), and UMP Plus–Puget Sound High Value Network (PSHVN) plans is changing to 1-877-375-2599 (TRS: 711). Members on these plans will receive new member ID cards for 2024. Note: The 24-hour nurse line phone number is not changing for the UMP Plus–UW Medicine Accountable Care Network (ACN) plan.

• Changes to coverage for hearing aids
  Starting January 1, 2024, you will pay $0 of the $3,000 benefit limit per ear every 3 calendar years for prescribed hearing aids. You will be responsible for any charges exceeding the $3,000 benefit limit. Other covered hearing-related services such as ear molds, and initial batteries and cords will be paid at the standard rate. Note: Hearing aids are subject to the deductible under the UMP CDHP.

• Changes to coverage for family planning services
  Starting January 1, 2024, you pay the preventive rate for covered voluntary and involuntary termination of pregnancy (abortion or miscarriage) from a network provider. If you receive covered services from an out-of-network provider, you pay the standard rate. Note: Services are subject to the deductible on UMP CDHP plan.

• Changes to coverage for outpatient dialysis services for most plans
  Starting January 1, 2024, you pay the standard rate during your initial outpatient treatment period of three months. Once the supplemental treatment period begins, you will pay 0% of the allowed amount for covered outpatient dialysis services. You may also be eligible for Medicare Part B coverage and to get your Medicare Part B premiums reimbursed by the plan. If you are not enrolled in Medicare Part B and you receive outpatient dialysis from an out-of-network provider during the supplemental treatment period, you will be responsible for any amount exceeding the allowed amount (known as balance billing). Note: This change does not apply to the UMP CDHP plan. Call UMP Customer Service to connect with a care manager who can assist you.

• Changes to the Centers of Excellence Program
  MultiCare Capital Medical Center will no longer participate in the Centers of Excellence Program for spine care as of January 1, 2024. Virginia Mason Medical Center will continue to serve members through its Centers of Excellence Program for knee and hip joint and for spine care.

• Prescription drug costs
  For information about 2024 prescription drug costs, please visit the 2024 plan webpage you are interested in (UMP Classic, UMP Select, UMP CDHP, UMP Plus–PSHVN, UMP Plus–UW Medicine ACN).
  

• See changes to the UMP Preferred Drug List
  Starting in November, see a list of anticipated changes to the UMP Preferred Drug List (PDL). The list is updated throughout the year and does not contain every anticipated change to the UMP PDL. It only contains changes that may negatively impact members, such as increasing a drug’s cost or limiting the amount of drug available per refill.

• UMP Plus–Puget Sound High Value Network (PSHVN): Learn more about the plan by visiting the UMP Plus–PSHVN webpage.

  • For 2024, UMP Plus–PSHVN does not have any service area changes. The plan will continue to serve Chelan, Douglas, King, Kitsap, Pierce, Snohomish, and Yakima counties.

• UMP Plus–UW Medicine Accountable Care Network (UW Medicine ACN): Learn more about the plan by visiting the UMP Plus–UW Medicine ACN webpage.
  • For 2024, UMP Plus–UW Medicine ACN will no longer serve Kitsap County. UMP Plus–PSHVN will still be available in Kitsap County and is substantially similar to UMP Plus–UW Medicine ACN. Benton and Franklin counties are being added to the service area.
  • The service area in 2024 will include Benton, Franklin, King, Pierce, Skagit, Snohomish, Spokane, and Thurston counties.

• At home COVID-19 testing
  COVID tests are covered at no cost to UMP members, up to $12 per test kit, under your prescription drug benefit. Each member on your plan can receive up to two test kits per month. Use the Pharmacy Locator Tool to locate a network pharmacy. Be sure to present your UMP member ID card and make your purchase at the pharmacy counter to have your test kits processed according to your pharmacy benefit. If you purchase a test kit at a non-network pharmacy or pay for the kits out of pocket at a retail location, you will need to complete the OTC COVID-19 At Home Test Claim Form for reimbursement. Submit the completed form along with your receipts to the address or fax number listed on the form. Note: At-home COVID tests are not covered under the UMP medical benefit.

• SmartHealth is getting a refresh
  Beginning in January, this platform will be administered by WebMD and will have new functionality, a new look, new content, and more activities to help you get and stay healthy! Create your account, complete your well-being assessment to receive customized activity recommendations, participate in hundreds of challenges, and complete requirements to receive a $125 deductible incentive ($125 HSA credit for those with UMP Consumer-Directed Health Plan (CDHP).

• UMP is updating its privacy practices
  UMP is updating the UMP Notice of Privacy Practices (effective November 1, 2023). 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.

Your 2024 certificate of coverage is your best resource for benefit information. It describes what is covered and how much you will pay for different services.

• UMP Classic
• UMP Select
• UMP Consumer-Directed Health Plan (CDHP)
• UMP Plus–Puget Sound High Value Network (PSHVN)
• UMP Plus–UW Medicine Accountable Care Network (ACN)

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 2024 plan information:

• Review benefits comparisons (UMP Classic, UMP Select, UMP Plus, and UMP CDHP or UMP Classic Medicare).
• Use PEBB’s medical benefits comparison tool and choose up to three UMP plans to compare.
• Review Summaries of Benefits and Coverage.
• Read this summary of your prescription drug benefit.

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.* To learn more, watch the COE video or visit Premera’s COE program website.

*Medicare and UMP Plus members have access to covered services related to joint replacement and spine care outside of this program.

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

WSRxS, WebMD, and Centers of Excellence do not provide BlueCross Blue Shield services and are separate companies solely responsible for their products/services.