UMP Plus–Puget Sound High Value Network (PSHVN)

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 has a lower deductible and monthly premiums than UMP Achieve 1 and Achieve 2 while offering most of the same benefits. The UMP Plus network is a limited network compared to UMP Achieve 1 and UMP Achieve 2. To find out if your provider is in the UMP Plus 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, Snohomish, Thurston, or Yakima county
One medical deductible; no prescription drug deductible
No referral needed for specialists
No cost for office visits with network primary care providers
No cost for covered preventive care services when you see a network provider
Annual medical deductible:
Individual
$125
Family
$375
Annual prescription drug deductible:
Individual
None
Family
None
Annual medical out-of-pocket limit:
Individual
$2,000
Family
$4,000
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 2020 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
At no cost to you, registered nurses can assess symptoms and help you decide what kind of care you need. Call Advice24 nurse line 24/7 at 1 (800) 267-6729.

Prescription drugs

Pharmacy locator
Save money when you use a network pharmacy.
Drug price check
Find out how much your drug costs. The prices shown for drugs assume you’ve met your deductible.
UMP Preferred Drug List
Use this tool to see 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 must be purchased through Ardon Health, which offers a variety of medications from injectables to oncology therapies. Call Ardon Health at 1 (855) 425-4085 (TRS: 711).
Your pharmacy account
View your prescription claims history and find forms and member resources through Washington State Rx Services.

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 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.