• Evidence-informed preventive care and screenings for women as described in HRSA Guidelines in accordance with 45 CFR §147.130 (a)(iv). • Evidence-informed preventive care screenings for infants, children, and adolescents supported by the Health Resources and Services Administration (HRSA). • Services with an A or B rating by the U.S. Preventive Services Task Force. Preventive rate Covered preventive services are not subject to your deductible. The plan’s preventive rate depends on the provider’s status: • Preferred providers: You pay $0. The plan pays 100 percent of the allowed amount. • Participating providers: You pay $0. The plan pays 100 percent of the allowed amount. • Out-of-network providers: You pay 40 percent of the allowed amount. You pay all charges billed to you above the allowed amount (known as balance billing). The plan pays 60 percent of the allowed amount. Primary care provider (PCP) A primary care provider (PCP) is a physician (see the “Physician services” definition), nurse practitioner, or physician assistant who provides, coordinates, or helps a member access a range of health care services. See page 19 for a list of specialties that may be a primary care provider. Primary payer The primary payer is the insurance plan that processes the claim first when a member has more than one group insurance plan covering the services and the plans must coordinate benefits. Professional services Professional services are non-facility medical services performed by professional providers, including, but not limited to, medical doctors, doctors of osteopathy, naturopathic physicians, and advanced registered nurse practitioners. Provider A provider is an individual medical professional (such as a doctor or nurse), hospital, skilled nursing facility, pharmacy, program, equipment and supply vendor, or other facility, organization, or entity that provides care or bills for health care services or products. Provider network A provider network is a group of providers who negotiate a contract with Regence BlueShield to provide health care services to plan members. These providers have agreed to see members under certain rules, including billing at contracted rates (see the “Allowed amount, medical services” definition). The Regence BlueShield, including the BlueCard Program, provider network for UMP CDHP members in 2024 consist of preferred and participating providers. Public Employees Benefits Board (PEBB) The Public Employees Benefits Board (PEBB), is a group of representatives, appointed by the governor, who approves insurance benefit plans for employees and their dependents, and establishes eligibility criteria for participation in insurance benefit plans. 2024 UMP CDHP (PEBB) Certificate of Coverage 187