UMP Classic Medicare with Part D (PDP) vision benefits

Regence BlueShield administers medical benefits for the treatment of diseases and disorders of the eyes.

You pay the standard rate under the medical benefit for treatment of diseases and disorders of the eye that are not part of a routine vision exam. Orthoptic therapy is not covered except for the diagnosis of strabismus, a muscle disorder of the eye. LASIK surgery is not covered. Following cataract surgery, vision hardware (contact lenses or eyeglasses, including frames and prescription lenses) is covered and paid at the standard rate.

If you have questions about treatment of diseases and disorders of the eyes, call UMP Customer Service or reference your plan's certificate of coverage.

UMP Classic Medicare with Part D (PDP) vision coverage is provided by UMP, in collaboration with Regence Choice Vision Plan administered by Vision Service Plan (VSP). VSP administers benefits for routine eye exams and hardware (prescription lenses, frames, or prescription contact lenses) and provides claims administration for this plan.
If you have questions about routine eye exams and hardware, call VSP Member Services.

For full details about your UMP vision benefits, read your plan’s certificate of coverage.

For full details about UMP vision benefits for children (under the age of 19) who are covered under the UMP Classic Medicare with Part D (PDP) plan, read your plan's certificate of coverage.

Save money and get the most out of your UMP vision benefits by choosing a Choice Network provider. To find a Choice Network provider:

1. Visit the VSP website and create an account or log in to your existing account.
2. Click on "Find a doctor" and use the advanced search option.
3. Select "Choice" under "Doctor network" to find a participating provider.

By choosing a Choice Network provider, you'll enjoy cost savings and optimized benefits.

You can also search for a Choice Network provider through your Regence account:

1. Sign in to your Regence account.
2. Click on "Covered services" and then select "Vision".
3. You'll be redirected to your VSP account, where you can search for Choice Network providers.

Note: Your Regence account offers single sign-on to VSP, so you won't need to remember a separate username and password.

• Choice Network provider: When you choose to see a Choice Network provider for covered preventive vision care, you pay $0 of the allowed amount and the plan pays 100% of the allowed amount. Select a Choice Network provider who participates in the Premier Edge Promise Program to receive the best value for lenses and frames or contact lenses. VSP providers who participate in the Premier Edge Promise Program provide access to special offers and savings.
• Out-of-network provider: For members ages 19 and over, out-of-network providers will cost you more. Members under the age of 19 do not have out-of-network benefits.

If you are a UMP member who cannot find a VSP provider within a 25-mile radius, call VSP Member Services. The VSP representative will confirm whether there are no VSP providers within the 25-mile radius and transfer you to the VSP support queue for assistance with the VSP provider access process. The VSP support queue representative will guide you through the process to receive network level reimbursement for routine vision services at an out-of-network provider.

Note: If you see an out-of-network doctor and submit a VSP request for reimbursement form without contacting VSP Member Services first, the claim will process to the out-of-network benefit for adults and deny for members under the age of 19.

To find out more information about the VSP provider network, sign in or create your account at the VSP website.

Visit the VSP website to view your benefits. If logging in for the first time, have your UMP member ID card handy. To create an account:
1. Enter your Member ID (do not use SSN field). You must enter all letters and numbers with no spaces. The last two digits are the numbers next to your name on your card. Example: UDWW71234567800
2. Complete all required fields.
3. Click on "Create An Account".
4. You will receive an email to finish activating your account.

If you are a UMP member who is experiencing trouble getting an appointment scheduled with your VSP doctor, call VSP Member Services at 1-844-299-3041 or (TTY) 1-800-428-4833 for assistance. VSP member services can call the VSP doctor with you on the line, or on your behalf to help schedule an appointment.

For information on how to submit a claim, or file a complaint or appeal visit Claims and appeals.

When you have questions about your VSP coverage or need help finding a Choice Network provider, contact VSP Member Services. When you have questions about diseases and disorders of the eye, contact UMP Customer Service.