Public Employees Benefits Board (PEBB) plan A Public Employees Benefits Board (PEBB) plan is one of several health benefit plans, including the Uniform Medical Plan (UMP Classic, UMP Select, UMP Consumer-Directed Health Plan, and UMP Plus plans: UMP Plus–Puget Sound High Value Network and UMP Plus–UW Medicine Accountable Care Network), offered through the PEBB Program to eligible public employees, former employees and dependents in Continuation Coverage, retirees, survivors, retired employees of a former employer group, and their eligible dependents. The PEB Board designs benefits and eligibility and is administered by HCA as part of a comprehensive benefits package. Public Employees Benefits Board (PEBB) Program The Public Employees Benefits Board (PEBB) Program is the HCA program that administers PEBB benefit eligibility and enrollment. Qualified medical expense A qualified medical expense is a cost payable through an HSA, without paying income tax or tax penalties. See IRS publication 502 for the complete definition. IRS publication 502 also lists the specific types of services and supplies that qualify. You may also access a list on the HealthEquity website (see Directory for link). Quantity limit A quantity limit is a limit on how much of a prescription drug you may get for a specific time period (days’ supply). Reconstructive surgery Reconstructive surgery is surgery and follow-up treatment needed to correct or improve a part of the body because of birth defects, accidents, injuries, or medical conditions. Regence BlueShield service area The Regence BlueShield service area means the Washington counties of Clallam, Columbia, Cowlitz, Grays Harbor, Jefferson, King, Kitsap, Klickitat, Lewis, Mason, Pacific, Pierce, San Juan, Skagit, Skamania, Snohomish, Thurston, Yakima, Wahkiakum, Walla Walla, Whatcom, and any other areas designated by Regence. Check the Regence website at regence.com for up-to-date information. Rehabilitative services Rehabilitative services are health care services that help you keep, get back, or improve skills and functioning for daily living that have been lost or impaired because you were sick, hurt, or disabled. These services may include physical and occupational therapy, speech-language pathology, and psychiatric rehabilitation services in a variety of inpatient and/or outpatient settings. Residential treatment facility Residential treatment facility means a facility that offers a defined course of therapeutic intervention and special programming in a controlled environment; offers a degree of security, supervision, and structure; and is licensed by the appropriate state and local authority to provide such services. Patients also must be medically monitored with 24-hour medical availability and 24-hour onsite clinician services. Residential treatment facilities typically do not include halfway houses; supervised living; group homes; wilderness courses or camps; Outward Bound; outdoor youth programs; boarding houses; or settings that 188 2024 UMP CDHP (PEBB) Certificate of Coverage
UMP Consumer-Directed Health Plan (CDHP) COC (2024) Page 188 Page 190