This page contains plan information for 2021. For 2022 plan information visit the 2022 UMP Plus–PSHVN web page.
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 SEBB Program’s annual open enrollment: October 25 – November 22, 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.
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 SEBB Program’s annual open enrollment: October 25 – November 22, 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 Achieve 2 while offering most of the same benefits. The UMP Plus–PSHVN network is a limited network compared to UMP Achieve 2. 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, Thurston, or Yakima county
One medical deductible; no prescription drug deductible
No referral needed for specialists
You pay $0 for office visits with network primary care providers
You pay $0 for covered preventive care services when you see a network provider
Lower coinsurance than UMP Achieve 1
Medical benefits
Certificate of coverage
Find everything you need to know about this plan’s medical 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.
Understanding your coverage
From your UMP 2021 premiums to your out-of-pocket expenses, learn all about your cost for care.
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).
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.
Prescription drug coverage
Find out more about UMP prescription drug coverage and costs, including access to network pharmacies.
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.
Washington State Prescription Services does not provide BlueCross BlueShield services and is a separate companies solely responsible for its products/services.