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 primarily either focus on building self-esteem or leadership skills or provide a supportive environment to address long-term social needs. However, services by providers in such settings may be covered if they are billed separately and otherwise would be covered. Respite care Respite care is continuous care for a homebound hospice member of more than four hours a day to provide family members temporary relief from caring for the member. Retired employee of a former employer group A retired employee of a former employer group includes a retired employee from a PEBB employer group and a retired school employee of a SEBB employer group who is continuing enrollment in PEBB health plan coverage by self-paying premiums after losing eligibility for PEBB retiree insurance coverage upon the employer group ending participation in insurance plans and contracts with the health care authority (HCA). Routine Routine services are those provided as preventive, not because of an injury or illness. In the case of covered immunizations, routine refers to covered immunizations included on the CDC schedules (see page 68). Same-day surgery center See the “Ambulatory surgery center (ASC)” definition. School Employees Benefits Board (SEBB) The School Employees Benefits Board (SEBB) is a group of representatives, appointed by the governor, who designs and approves insurance benefit plans for school employees and their dependents, and establishes eligibility criteria for participation in insurance benefit plans. 188 2024 UMP Plus–UW Medicine ACN (PEBB) Certificate of Coverage