This page contains plan information for 2021. For 2022 plan information visit the 2022 UMP High Deductible web page.
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.
Note: 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.
Note: 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
No referral needed 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
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.
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 and prescription drug expenses. To learn more, read the HSA section in the 2021 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 (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.
Drug price check
Find out how much your drug costs. The prices shown for drugs assume you have NOT met your combined (medical and prescription) deductible.
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 providers
Learn why you should choose a preferred provider, whether you need a primary care provider, and more.
Washington State Prescription Services does not provide BlueCross BlueShield services and is a separate companies solely responsible for its products/services.