UMP High Deductible
UMP High Deductible covers all the same services as UMP Achieve 2, but has a lower monthly premium and a higher deductible. UMP High Deductible automatically enrolls members in a health savings account (HSA), which allows you to set aside pre-tax money to pay for qualified medical and prescription drug expenses. Once the money is in your account, it’s yours, and there is no deadline to use it.
Your out-of-pocket limit depends on the number of persons enrolled in the plan:
One member enrolled: $4,200
Two or more members enrolled: $8,400.
Once a member meets $7,000 in covered out-of-pocket expenses annually, the plan will pay for covered services at 100% for that member.
Your out-of-pocket limit depends on the number of persons enrolled in the plan:
Once a member meets $7,000 in covered out-of-pocket expenses annually, the plan will pay for covered services at 100% for that member.
Plan features
Uses largest provider network
Doesn't require a referral for specialists
You pay $0 for covered preventive care services when you see a network provider
Lower monthly premium and higher deductible than UMP Achieve 1, UMP Achieve 2, and UMP Plus
Includes HSA: The State of Washington contributes $375/individual, $750/family annually
Lower coinsurance than UMP Achieve 1
Provides two mail-order pharmacy options
Medical benefits
Certificate of coverage
Find everything you need to know about this plan’s medical and prescription drug coverage and costs.
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 2024 premiums to your out-of-pocket expenses, learn all about your cost for care.
Preventive care
Getting an annual check-up and other preventive care is one of the easiest ways to protect your health.
Health savings account (HSA)
With a high deductible health plan, you can put pre-tax money into an HSA and use these funds to pay for qualified medical, vision, and prescription drug expenses. To learn more, read the HSA section in the 2024 UMP High Deductible Certificate of Coverage.
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 1-877-375-2599 (TRS: 711).
Prescription drugs
Certificate of coverage
Find everything you need to know about this plan’s prescription drug coverage and costs.
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.
Pharmacy locator
Confirm a pharmacy's network status before filling your prescriptions to save money. Use the Pharmacy Locator to see which pharmacies will be in UMP’s network. Note: Pharmacies listed in the Pharmacy Locator are subject to change.
Mail order pharmacies
If you take the same prescription drug for a longer period of time (called a maintenance drug), getting it through mail order may be easier for you. Save time by having your prescription drugs shipped directly to you at no cost. To set up mail order, connect with one of the following network options: Costco Mail Order Pharmacy or Postal Prescription Services.
Drug price check
Use the Drug Price Check Tool to find out how much your prescription drugs might cost. The prices shown are estimates and assume you have met your combined medical and prescription drug deductible. Note: Prescription drug prices listed in the Drug Price Check Tool are subject to change.
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 to fill elsewhere. For more information on specialty drugs, contact Ardon Health.
Medical drugs
Certain drugs that are administered by your provider may be covered under your medical benefit. Check with your provider to verify which benefit your injectable or provider-administered drugs are covered under.
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 providers
Learn why you should choose a preferred provider, whether you need a primary care provider, and more.
WSRxS, Postal Prescription Services, Costco Mail Order Pharmacy, and Ardon Health do not provide BlueCross BlueShield services and are separate companies solely responsible for their products/services.