UMP Plus–UW Medicine ACN

UMP Plus–UW Medicine Accountable Care Network (ACN)

UMP Plus–UW Medicine ACN is a network of providers providing high quality, coordinated care at a lower cost. UMP Plus–UW Medicine ACN has a lower deductible and monthly premiums than UMP Achieve 2 while offering most of the same benefits. The UMP Plus–UW Medicine ACN network is a limited network compared to UMP Achieve 2. To find out if your provider is in the UMP Plus–UW Medicine ACN network, use the UMP provider search tool or call UMP Customer Service.
Plan features
To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston 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
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 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.
Know your costs
Learn more about the medical and prescription drug costs specific to your UMP plan.
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.
Nurse line
You pay $0 for registered nurses to assess symptoms and help you decide what kind of care you need. Call the nurse line 24/7 at 1 (855) 520-9400 (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.
Pharmacy locator
Save money when you use a network pharmacy.
Know your costs
Learn more about the prescription drug costs specific to your UMP plan.
Drug price check
Find out how much your drug costs.
UMP Preferred Drug List
Use this tool to check if your drug is covered.
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.
Your pharmacy account
To view your prescription claims history, log into your pharmacy account.

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–UW Medicine ACN's network
As a UMP Plus member, you have access to the core network in your service area and support network in Washington state.