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• Review prescription drug policies and programs. Visit your UMP Plus network website to: • Access appointment-making resources. • Get access to virtual care options across PSHVN. • Find core providers in your plan’s network. • Find frequently asked questions. • Get 24 hours a day, 7 days a week access to a registered nurse line at no additional cost to you. • Get access to your health records so you may view test results as they become available. • Get information about health care organizations in the network. • Get information about network services. How to use this certificate of coverage For general topics, check the table of contents. For an overview of the most common benefits, see the “Summary of benefits” section. The summary also shows: • How much you will pay. • The page numbers where you may learn more about a benefit. To look up unfamiliar terms, see the “Definitions” section. About UMP Plus Uniform Medical Plan Plus (UMP Plus) is a self-insured Accountable Care Program (ACP). UMP Plus is offered through the Washington State Health Care Authority’s (HCA’s) Public Employees Benefits Board (PEBB) Program. UMP Plus is administered by Regence BlueShield and Washington State Rx Services (WSRxS). All prescription drugs, services, or other benefit changes may require approval by the PEB Board. Approval takes place when benefits are procured for the next calendar year. This plan is available only to people eligible for coverage through the PEBB Program. See the “Eligibility and Enrollment” section for more information. Only people who live in the following Washington State counties are eligible to enroll in UMP Plus–Puget Sound High Value Network (PSHVN): Chelan, Douglas, King, Kitsap, Pierce, Snohomish, and Yakima. UMP Plus covers health care services delivered through a specific network of providers. UMP Plus–PSHVN delivers these services through their network of primary care providers, specialty providers, facilities, clinics, and hospitals. This plan is designed to keep you and your enrolled dependents healthy and provide benefits in case of injury or illness. Review this certificate of coverage (COC) carefully so you may get the most from your health care benefits. UMP Plus: High-quality care at a lower cost Accountable Care Networks, like UMP Plus, promote high-quality care at a lower cost. HCA designed UMP Plus to help providers achieve these goals while allowing members to choose their own providers within their UMP Plus–PSHVN network. 14 2024 UMP Plus–PSHVN (PEBB) Certificate of Coverage

UMP Plus–Puget Sound High Value Network (PSHVN) COC (2024) - Page 15 UMP Plus–Puget Sound High Value Network (PSHVN) COC (2024) Page 14 Page 16