You may not have UMP Classic and Medicare Part D You may not enroll in both UMP Classic and a Medicare Part D prescription drug plan. UMP Classic provides your prescription drug coverage and you may not have both. Medicare will notify the PEBB Program if you enroll in a Part D plan while enrolled in UMP Classic. You could lose your eligibility for PEBB retiree health plan coverage if you do this. If you think you want a Part D prescription drug plan, you must change your medical plan from UMP Classic to a PEBB Medicare Supplement Plan. See “Medicare Part D” on page (X) for more information. Contact the PEBB Program at 1-800-200-1004 (TRS: 711) to ask when and how you may change your PEBB medical plan. Where to go for more information See the Directory at the beginning of this booklet for links and contact information. Types of questions Contact Medicare premiums Medicare What Medicare covers Whether your claim has been processed by Medicare Your Medicare deductibles and coinsurance amounts What UMP Classic covers UMP Customer Service or visit the Your UMP Classic copays, coinsurance, and deductible UMP website amounts Your claim after it has been processed by Medicare UMP Customer Service or sign in to your Regence account Prescription drugs WSRxS Customer Service or visit the UMP Prescription drug coverage webpage Adding or removing dependents from your account PEBB Program Address changes Changing your PEBB medical coverage UMP Classic premiums If the member responsibility dollar amount on your UMP Your provider’s billing office Classic Explanation of Benefits does not match your provider’s bill Whether your claim has been submitted to Medicare Billing and payment: submitting a claim FOR MEDICARE RETIREES: Read the “For Retirees Enrolled in Medicare and UMP Classic” section. 2024 UMP Classic (PEBB) Certificate of Coverage 133