of-pocket limits for themselves and their enrolled dependents will transfer to the new PEBB Program UMP plan. These accumulators will also transfer for any member on the subscriber’s account who changes UMP plans with the subscriber. If you have questions, contact UMP Customer Service. Finding a health care provider FOR MEDICARE RETIREES: See “When to see a preferred provider” on page 130 for more information on choosing providers. As a UMP member, you may see preferred, participating, or out-of-network providers. The amount you pay for services depends on the network status of the provider. Seeing preferred providers will save you money. Visit the UMP provider search to find UMP Classic providers. You can search for preferred or participating providers by signing in to your Regence account and selecting Find a Doctor. See the Directory pages at the beginning of this booklet for links and contact information. If you use Find a Doctor by searching as a guest, you will only see preferred providers. You can confirm a provider’s network status before your visit by using the provider search or contacting UMP Customer Service. Preferred providers are in the Preferred Provider Organization (PPO) network that applies to UMP Classic members. ALERT! Some providers are preferred at one practice location but not another (example: urgent care clinics). Contact UMP Customer Service if you have any questions about the network status of a provider at a specific location. • You pay 15 percent of the allowed amount after you meet your medical deductible. The plan pays 85 percent of the allowed amount. • You pay $0 for covered preventive care services, including covered immunizations. The plan pays 100 percent of the allowed amount. • The provider cannot bill you for charges above the allowed amount. • When you are signed in to your Regence account the online provider directory labels preferred providers with a bar icon and “category 1” like this: • If you see a preferred provider, you will not have to file a claim if the plan is your primary coverage. • When you receive nonemergency services at a network hospital, network hospital outpatient department, network critical access hospital, or network ambulatory surgical center in Washington State, you pay the network rate and cannot be balance billed regardless of the network status of the provider. For nonemergency services performed at one of these facilities outside of Washington State, you still pay the network rate, but in some states, an out-of-network provider may be allowed to ask you to waive some of your balance billing protections. 2024 UMP Classic (PEBB) Certificate of Coverage 15