{"id":4407,"date":"2017-11-24T09:18:38","date_gmt":"2017-11-24T17:18:38","guid":{"rendered":"http:\/\/hr.uw.edu\/benefits\/?page_id=4407"},"modified":"2026-07-05T08:19:59","modified_gmt":"2026-07-05T15:19:59","slug":"uniform-medical-plan","status":"publish","type":"page","link":"https:\/\/hr.uw.edu\/benefits\/insurance\/health\/plans\/uniform-medical-plan\/","title":{"rendered":"Uniform Medical Plan"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 ez-toc-wrap-left counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title ez-toc-toggle\" style=\"cursor:pointer\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #000000;color:#000000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #000000;color:#000000\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/hr.uw.edu\/benefits\/insurance\/health\/plans\/uniform-medical-plan\/#Provider-networks\" >Provider networks<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/hr.uw.edu\/benefits\/insurance\/health\/plans\/uniform-medical-plan\/#Cost-overview\" >Cost overview<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/hr.uw.edu\/benefits\/insurance\/health\/plans\/uniform-medical-plan\/#2026\" >2026<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/hr.uw.edu\/benefits\/insurance\/health\/plans\/uniform-medical-plan\/#Coverage-overview\" >Coverage overview<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/hr.uw.edu\/benefits\/insurance\/health\/plans\/uniform-medical-plan\/#2026-plan-summaries\" >2026 plan summaries<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/hr.uw.edu\/benefits\/insurance\/health\/plans\/uniform-medical-plan\/#Prescription-drug-coverage\" >Prescription drug coverage<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/hr.uw.edu\/benefits\/insurance\/health\/plans\/uniform-medical-plan\/#File-a-claim\" >File a claim<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/hr.uw.edu\/benefits\/insurance\/health\/plans\/uniform-medical-plan\/#Plan-ID-Cards\" >Plan ID Cards<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/hr.uw.edu\/benefits\/insurance\/health\/plans\/uniform-medical-plan\/#Others-resources\" >Others resources<\/a><\/li><\/ul><\/nav><\/div>\n<p>Uniform Medical Plan (UMP) offers you three different health plans through Washington state\u2019s Public Employees Benefits Board (PEBB). While you pay for coverage through the UW, the state designs the plans and contracts with Regence BlueShield and Washington State Rx Services to administer the plan.<\/p>\n<p>You have three UMP medical plan options:<\/p>\n<ul>\n<li>UMP Classic<\/li>\n<li>UMP Select<\/li>\n<li><a href=\"https:\/\/hr.uw.edu\/benefits\/benefits\/insurance\/health\/compare-plans\/how-consumer-directed-health-plans-work\/\">UMP CDHP<\/a><\/li>\n<\/ul>\n<p>You\u2019re eligible to enroll in a UMP plan if you\u2019re\u00a0<a href=\"http:\/\/hr.uw.edu\/benefits\/health-insurance\/eligibility-for-insurance\/\">eligible for PEBB benefits<\/a>. However, you should check plan availability where you live, because not all plans are available in all counties. In most cases, you must live in a medical plan\u2019s service area to join the plan. Please visit the HCA page listing\u00a0<a href=\"https:\/\/www.hca.wa.gov\/employee-retiree-benefits\/public-employees\/medical-plans-available-county\">medical plans available by county<\/a>\u00a0to find plans that serve your area.<\/p>\n<p>You can find <a href=\"https:\/\/isc.uw.edu\/user-guides\/benefits-enrollment-pebb-health-and-other-insurance-plans\/\">step-by-step instructions for enrolling in benefits<\/a> on the Employee Workday Help website.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"Provider-networks\"><\/span>Provider networks<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>The Classic, Select, and CDHP plans share the same large network that includes providers both nationwide and worldwide.<\/p>\n<p>To browse each plan\u2019s network or to find a specific provider, either call the plan directly or use the plan\u2019s web search tool.<\/p>\n<div class=\"table-responsive\">\n<table class=\"table table-striped table-sm\">\n<tbody>\n<tr>\n<th style=\"text-align: left\" width=\"90\">Plan<\/th>\n<th style=\"text-align: left\">Network<\/th>\n<th style=\"text-align: left\">Find a provider\u00a0online<\/th>\n<\/tr>\n<tr>\n<td>UMP Classic<\/td>\n<td>Uniform Medical Plan<\/td>\n<td><a href=\"https:\/\/ump.regence.com\/go\/PEBB\/UMP-Classic\" target=\"_blank\" rel=\"noopener noreferrer\">Regence BlueShield search<\/a><\/td>\n<\/tr>\n<tr>\n<td>UMP Select<\/td>\n<td>Uniform Medical Plan<\/td>\n<td><a href=\"https:\/\/ump.regence.com\/go\/PEBB\/UMP-Select\" target=\"_blank\" rel=\"noopener noreferrer\">Regence BlueShield search<\/a><\/td>\n<\/tr>\n<tr>\n<td>UMP CDHP<\/td>\n<td>Uniform Medical Plan<\/td>\n<td><a href=\"https:\/\/ump.regence.com\/go\/PEBB\/UMP-CDHP\" target=\"_blank\" rel=\"noopener noreferrer\">Regence BlueShield search<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<h4><span class=\"ez-toc-section\" id=\"Cost-overview\"><\/span>Cost overview<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4><\/h4>\n<h5>Copayments or coinsurance?<\/h5>\n<p>With\u00a0<b>coinsurance<\/b>, the costs you pay for services are calculated as a percentage (for example, 20 percent). Insurance pays the remaining percentage of the cost. With\u00a0<b>copayments<\/b>, on the other hand, you pay a fixed amount (for example, $20).<\/p>\n<p>Generally, you\u2019ll pay coinsurance after your visit the doctor, when the bill arrives in the mail. Copayments are usually made at the doctor\u2019s office, when you receive the service.<\/p>\n<p>While plans using coinsurance are more common, some people prefer plans with copayments because costs are more predictable.<\/p>\n<div class=\"table-responsive\">\n<h4><span class=\"ez-toc-section\" id=\"2026\"><\/span>2026<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<div class=\"table-responsive\">\n<table class=\"table table-striped table-sm\">\n<tbody>\n<tr>\n<th>Plan<\/th>\n<th>Employee only premium (per month)<\/th>\n<th>Employee<br \/>\nDeductible (per year)<\/th>\n<th>Primary care visit (your cost)<\/th>\n<\/tr>\n<tr>\n<td>UMP Classic<\/td>\n<td>$145<\/td>\n<td>$250<\/td>\n<td>15% coinsurance<\/td>\n<\/tr>\n<tr>\n<td>UMP Select<\/td>\n<td>$82<\/td>\n<td>$750<\/td>\n<td>20% coinsurance<\/td>\n<\/tr>\n<tr>\n<td>UMP CDHP<\/td>\n<td>$57<\/td>\n<td>$1,700<\/td>\n<td>15% coinsurance<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Complete table of\u00a0<a href=\"https:\/\/www.hca.wa.gov\/assets\/pebb\/50-0626-pebb-employee-monthly-premiums-2026.pdf\" target=\"_blank\" rel=\"noopener\">Employee monthly medical premiums 2026<\/a>.<\/p>\n<\/div>\n<\/div>\n<h4><span class=\"ez-toc-section\" id=\"Coverage-overview\"><\/span>Coverage overview<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>While all plans cover the same basic health care services, you may want to know whether or not a certain service is covered by the plan. The most direct way to find out is to call the plan and ask. Alternatively, you can read the plan\u2019s Certificate of Coverage (also called the benefits booklet), which describes the plan in detail. These booklets are long, but they can be helpful if you need to know something specific.<\/p>\n<p>If you simply want an overview of a plan\u2019s coverage and costs, take a look at the plan Summary of Benefits and Coverage, an easy-to-read summary that lets you quickly review health plans. You can compare options based on price, benefits, and other features that may be important to you.<\/p>\n<p>To view plan details side by side and directly compare coverage and costs, use the <a href=\"https:\/\/fortress.wa.gov\/hca\/pebbhealthplan\/compare.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">PEBB medical benefit comparison tool<\/a>.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"2026-plan-summaries\"><\/span><span style=\"font-size: 16px\">2026 plan summaries<\/span><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<div class=\"table=responsive\">\n<div class=\"table=responsive\">\n<table class=\"table table-striped table-sm\">\n<tbody>\n<tr>\n<th style=\"text-align: left\">Plan<\/th>\n<th style=\"text-align: left\" width=\"30%\">Certificate of Coverage<\/th>\n<th style=\"text-align: left\">Summary of Benefits and Coverage<\/th>\n<\/tr>\n<tr>\n<td>UMP Classic<\/td>\n<td>\u00a0<a href=\"https:\/\/www.hca.wa.gov\/assets\/pebb\/54-0015-ump-classic-coc-2026.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">View <small>(PDF)<\/small><\/a><\/td>\n<td><a href=\"https:\/\/www.hca.wa.gov\/assets\/pebb\/ump-classic-nonmedicare-pebb-sbc-2026.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">View <small>(PDF)<\/small><\/a><\/td>\n<\/tr>\n<tr>\n<td>UMP Select<\/td>\n<td>\u00a0<a href=\"https:\/\/www.hca.wa.gov\/assets\/pebb\/54-0017-ump-select-coc-2026.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">View <small>(PDF)<\/small><\/a><\/td>\n<td><a href=\"https:\/\/www.hca.wa.gov\/assets\/pebb\/ump-select-pebb-sbc-2026.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">View <small>(PDF)<\/small><\/a><\/td>\n<\/tr>\n<tr>\n<td>UMP CDHP<\/td>\n<td>\u00a0<a href=\"https:\/\/www.hca.wa.gov\/assets\/pebb\/54-0021-ump-cdhp-coc-2026.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">View <small>(PDF)<\/small><\/a><\/td>\n<td><a href=\"https:\/\/www.hca.wa.gov\/assets\/pebb\/ump-cdhp-pebb-sbc-2026.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">View <small>(PDF)<\/small><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<hr \/>\n<h4><span class=\"ez-toc-section\" id=\"Prescription-drug-coverage\"><\/span>Prescription drug coverage<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>UMP Classic and UMP Select are the only plans that have separate prescription drug deductibles. However, they only apply to Tier 2 prescription drugs, so you don\u2019t have to pay the deductible if you use prescription drugs from any other tier, which includes most generic and low-cost drugs.<\/p>\n<p>For all the plans, you pay coinsurance for prescriptions. The amount you pay increases as you move up the tiers from the least expensive, generic drugs, to the more expensive, specialty drugs. The one exception is the CDHP plan, which charges the same coinsurance for all tiers of drugs.<\/p>\n<p>You can find complete details about prescription drug coverage by reviewing the plan\u2019s Certificate of Coverage.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"File-a-claim\"><\/span>File a claim<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>You don\u2019t have to submit a claim when you visit a provider who is part of your plan\u2019s network. You may have to submit a claim if you receive services for a provider that is outside your network or if you have other insurance where your UMP coverage is secondary. If you need to submit a claim, contact UMP.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"Plan-ID-Cards\"><\/span>Plan ID Cards<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>After you enroll, your health plan will send you an identification (ID) card to show to providers when you receive care. If you have questions about your ID card, contact your plan directly.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"Others-resources\"><\/span>Others resources<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p><a href=\"https:\/\/hr.uw.edu\/benefits\/benefits\/insurance\/health\/compare-plans\/how-consumer-directed-health-plans-work\/\"><span style=\"font-weight: 400\">How CDHPs and HSAs work<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Uniform Medical Plan offers three plans to UW employees: Classic, Select, and CDHP.<\/p>\n","protected":false},"author":49,"featured_media":0,"parent":4399,"menu_order":10,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_lmt_disableupdate":"no","_lmt_disable":"","slim_seo":{"title":"Uniform Medical Plan - Benefits","description":"Uniform Medical Plan offers three plans to UW employees: Classic, Select, and CDHP."},"footnotes":""},"class_list":["post-4407","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/hr.uw.edu\/benefits\/wp-json\/wp\/v2\/pages\/4407","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hr.uw.edu\/benefits\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hr.uw.edu\/benefits\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hr.uw.edu\/benefits\/wp-json\/wp\/v2\/users\/49"}],"replies":[{"embeddable":true,"href":"https:\/\/hr.uw.edu\/benefits\/wp-json\/wp\/v2\/comments?post=4407"}],"version-history":[{"count":2,"href":"https:\/\/hr.uw.edu\/benefits\/wp-json\/wp\/v2\/pages\/4407\/revisions"}],"predecessor-version":[{"id":10458,"href":"https:\/\/hr.uw.edu\/benefits\/wp-json\/wp\/v2\/pages\/4407\/revisions\/10458"}],"up":[{"embeddable":true,"href":"https:\/\/hr.uw.edu\/benefits\/wp-json\/wp\/v2\/pages\/4399"}],"wp:attachment":[{"href":"https:\/\/hr.uw.edu\/benefits\/wp-json\/wp\/v2\/media?parent=4407"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}