UMP Plus–PSHVN Health Plan - PEBB

This page contains benefit information for 2022. For more open enrollment information visit the UMP (PEBB) Open Enrollment web page.

For 2021 plan information visit the 2021 UMP Plus–PSHVN web page.

Important message for UMP Plus–PSHVN members


Beginning January 1, 2022, UMP Plus–PSHVN will no longer be available in Thurston County. UMP Plus–UW Medicine ACN will continue to be available in Thurston County in 2022.

UMP Plus–PSHVN members will continue to receive covered services under their current plan through December 31, 2021. Members can change their plans during the PEBB Program’s annual open enrollment: November 1 – November 30, 2021.

UMP Plus–Puget Sound High Value Network (PSHVN) does not have primary care network providers for adults in Thurston County at this time due to limited access. Pediatric primary care, as well as adult and pediatric specialty care, remains available in the Olympia area. 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. Telemedicine services through UMP Plus–PSHVN may also be an appropriate option for some primary care needs.

UMP Plus–Puget Sound High Value Network (PSHVN)

UMP Plus–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. UMP Plus–PSHVN has a lower deductible and monthly premiums than UMP Classic while offering most of the same benefits. The UMP Plus–PSHVN network is a limited network compared to UMP Classic. To find out if your provider is in the UMP Plus–PSHVN network, use the UMP provider search tool or call UMP Customer Service.
Plan features
To enroll in this plan, you must live in Chelan, Douglas, King, Kitsap, Pierce, Snohomish, or Yakima county
One medical deductible; no prescription drug deductible
No referral needed for specialists
You pay $0 for office and qualifying telemedicine visits with network primary care providers
You pay $0 for covered preventive care services when you see a network provider
Lower coinsurance than UMP Select
Annual medical deductible:
Individual
$125
Family
$375
Annual medical out-of-pocket limit:
Individual
$2,000
Family
$4,000
Annual prescription drug deductible:
Individual
None
Family
None
Annual prescription drug out-of-pocket limit:
Individual
$2,000
Family
$4,000

Medical benefits

Certificate of coverage
Find everything you need to know about this plan’s medical, vision, and prescription drug coverage.
Summary of Benefits and Coverage
See the Summary of Benefits and Coverage for an overview of this plan’s coverage and costs.
Preventive care
It might be hard to remember to go to the doctor when you’re not sick but getting an annual check-up and other preventive care is one of the easiest ways to protect your health.
Advice24 nurse line
You pay $0 for registered nurses to assess symptoms and help you decide what kind of care you need. Call Advice24 nurse line 24/7 at 1 (800) 267-6729 (TRS: 711).
Vision
Find out more about Vision Service Plan (VSP) coverage and costs, including access to VSP Choice network providers.

Prescription drugs

Certificate of coverage
Find everything you need to know about this plan’s prescription drug coverage.
Summary of Benefits and Coverage
See the Summary of Benefits and Coverage for an overview of this plan’s coverage and costs.
Pharmacy locator
Save money when you use a network pharmacy. Use the 2022 Pharmacy Locator to see which pharmacies will be in UMP’s network for 2022. Note: The 2022 Pharmacy Locator is only for the 2022 benefit year and is subject to change.
Drug price check
Use the 2022 Drug Price Check Tool to find out how much your prescription drugs might cost in 2022. The prices shown are estimates. Note: The 2022 Drug Price Check Tool is only for the 2022 benefit year and is subject to change.
Your pharmacy account

In order to view your previous prescription claims history in 2022, you need to access your prescription claims history by December 31, 2021. Claims histories may be needed for Health Savings Account submissions, Flexible Spending Account submissions, or tax purposes. By viewing your claims history before the new year, you have access to previous claims.

  • You can view your claims by signing in to your Regence account at ump.regence.com/ump/signin.
  • After you sign in, select “My benefits” and choose the "Pharmacy" tab.
  • Then select “Sign in to your pharmacy account” and select "Claims for [your name]."

If you have questions, please call WSRxS Customer Service at 1 (888) 361-1611 (TRS: 711).

Specialty drugs
Specialty drugs may include a variety of medications from injectables to oncology therapies. Specialty drugs must be purchased through Ardon Health, unless you receive an authorization from Washington State Rx Services. For more information on specialty drugs, contact Ardon Health.

Providers

Find a network provider
Some providers are network providers in one location but not another. Confirm a provider’s network status before your visit to avoid paying more.
More about UMP Plus–PSHVN’s network
As a UMP Plus member, you have access to the core network in your service area and support network in Washington state.