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  • Wa Uniform Medical Plan Form Pd001-ump1 2022

Get Wa Uniform Medical Plan Form Pd001-ump1 2022-2025

1800 Ninth Avenue PO Box 91015 Seattle, WA 981119115MEDICAL CLAIM Forms this form to submit reimbursement requests for services received from a nonnetwork provider. Please complete a separate form.

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Related content

MEDICAL CLAIM FORM Uniform Medical Plan
PO Box 91015. Seattle, WA 98111-9115. MEDICAL CLAIM FORM. Use this form to submit...
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UMP Achieve 2 uses our largest network of providers, but has a lower deductible than UMP Achieve 1. With UMP Achieve 2, you pay $0 for covered preventive care when you see a network provider. UMP Achieve 2 also covers the full cost of certain programs to quit smoking or manage diabetes.

Uniform Medical Plan (UMP) is a self-insured health plan offered through the Washington State Health Care Authority's (HCA) Public Employees Benefits Board (PEBB) Program and the School Employees Benefits Board (SEBB) Program. UMP is administered by Regence BlueShield and Washington State Rx Services.

The medical deductible amount is $250 per member, with a maximum of $750 per family. When you first get services, you pay the first $250 in charges. After you pay that first $250, the plan begins to pay for covered services.

Welcome, PEBB member Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans offered through Washington State's Public Employees Benefits Board (PEBB) Program. When you choose a UMP plan, you get an active partner in your health care.

Uniform Medical Plan (UMP) is a health plan offered through the Washington State Health Care Authority's (HCA) Public Employees Benefits Board (PEBB) and the School Employees Benefits Board (SEBB). UMP is administered by Regence BlueShield and Washington State Rx Services.

UMP Classic uses our largest network of providers, but has a lower deductible than UMP Select. With UMP Classic, you pay $0 for covered preventive care when you see a network provider. UMP Classic also covers the full cost of certain programs to quit smoking or manage diabetes.

UMP Plus–PSHVN has a lower deductible and monthly premiums than UMP Classic while offering most of the same benefits. The UMP Plus–PSHVN network is a limited network compared to UMP Classic. To find out if your provider is in the UMP Plus–PSHVN network, use the UMP provider search tool or call UMP Customer Service.

UMP Classic uses our largest network of providers, but has a lower deductible than UMP Select. With UMP Classic, you pay $0 for covered preventive care when you see a network provider. UMP Classic also covers the full cost of certain programs to quit smoking or manage diabetes.

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© Copyright 1997-2025
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3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232