Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC Uniform Medical Plan Pre-authorization List The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. Medicare Disclaimers. area. The one exception is the CDHP plan, which charges the same coinsurance for all tiers of drugs. You can compare options based on price, benefits, and other features that may be important to you. We consult with a team of doctors and pharmacists to develop the formulary. These plans offer coverage worldwide. While you pay for coverage through UW, the state designs the plans and contracts with Regence BlueShield and Washington State Rx Services to administer the plan. 2020 UMP Classic (PEBB) Certificate of Coverage 1 Directory: Medical services Contact type and description Contact information UMP Customer Service Call: 1-888-849-3681 (TRS: 711) Monday through Friday: 5 a.m. to 8 p.m.; Saturday: 8 a.m. to 4:30 p.m. (Pacific) Live chat: Sign in to your Regence account at regence… This extends the previously announced coverage period through June 30, 2020. Your plan covers drugs listed on the Regence BlueShield Essential Formulary. 12/01/2020. If you need help, please call (800) 884-2343 Mon - Fri, 9am - 4pm PT and licensed insurance agents can assist with finding information on available Medicare Advantage Plans. You can buy formulary drugs at participating retail, PORTLAND, Ore. – To support people and communities facing unprecedented challenges, Regence health plans announced today an extension of coverage for coronavirus (COVID-19) treatment without any out-of-pocket costs for fully insured members through December 31, 2020. For more details, refer to your plan’s . For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. As a local ... *This amount is for 2019 and may change in 2020. 1 of 7. Th is document includes a list of the drugs (formulary) f or our plan which is curren t as of 08/25/2020. 33945 Transplants - Heart/Lung You can find your plan's drug list on your pharmacy member ID card or by signing in. Visit your plan’s website on your member ID card to: • Find a participating retail pharmacy by ZIP code. '//cse.google.com/cse.js?cx=' + cx; Uniform Medical Plans in 2020 By Susan Rosen and Julie Johnson February 2020 Uniform Medical Plans have some new pre-authorization guidelines that started on March 1, 2020. The Classic, Select, and CDHP plans share the same large network that includes providers both nationwide and worldwide. By using providers within your network, your health care costs will be significantly lower than if you use providers outside your network. Visit our web site to get updated A formulary is a list of prescription medications that are covered under Regence Blueshield Of Idaho And Regence Bc Bs Utah's In Idaho, Utah. You’re eligible to enroll in a UMP plan if you’re eligible for PEBB benefits. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. During Medicare’s annual election period, occurring now through Dec. 7*, people shopping for Medicare coverage options will have a wider range of high-quality, cost-effective coverage and benefits with Regence’s 2020 Medicare Advantage plans. Immediately following the chart is an explanation of these benefits. We cover both brand name drugs and generic drugs. Star Ratings are calculated each year and may change from one year to the next. The Regence MedAdvantage + Rx Primary (PPO) plan has a $340 drug deductible. This document includes a list of the drugs (formulary) for our plan which is current as of December 1, 2020. This includes offering new health plan options in Clallam, Grays Harbor, Jefferson, Mason, and Whatcom counties. If you have questions about your ID card, contact your plan directly. When i t r efers t o “plan” or “our plan,” it means Regence Medicare Advantage. Visit your plan’s website on your member ID card to: • Find a participating retail pharmacy by ZIP code. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC The formulary is a list of prescription generic, brand-name and specialty drugs that have been approved by the FDA. OK. 2 Add a medicine. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service For an up-to-date list of covered drugs or if you have questions, please call Customer Service. Alternatively, you can read the plan’s Certificate of Coverage (also called the benefits booklet), which describes the plan in detail. Regence MedAdvantage + Rx Classic (PPO) H5009-008 is a 2020 Medicare Advantage Plan or Medicare Part-C plan by Regence BlueShield available to residents in Washington. 2020 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Regence BlueShield prescription drug program . by Carol Dotlich, RPEC Executive Board Member. The benefit information provided is a brief summary, not a complete description of benefits. Codes are subject to HTCC Decision and coverage criteria. Your 2020 Formulary SignatureValue 3-Tier This formulary is accurate as of Jan. 1, 2020 and is subject to change after this date. Clear. some The formulary is a list of prescription generic, brand-name and specialty drugs that have been approved by the FDA. ZIP & Plan   Add a medicine associated with your selected drug list. As a local company, ... *This amount is for 2019 and may change in 2020. Plan pays . This formulary applies to members of our UnitedHealthcare West HMO medical plans with a … 2020 PEBB Plan Comparison Chart 2021 PEBB Plan Comparison Chart. Copayments are usually made at the doctor’s office, when you receive the service. Regence plan costs Summary Regence is an insurance company that offers several types of Medicare plans, including Medicare Advantage, Part D, and Medigap plans, in four western U.S. states. Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home. Your 2021 Premium Standard Formulary Effective January 1, 2021. If you need help, please call (800) 884-2343 Mon - Fri, 9am - 4pm PT and licensed insurance agents can assist with finding information on available Medicare Advantage Plans. When it refers to “plan” or “our plan,” it means EnvisionRxPlus. Generic drugs have the same active-ingredient formula as a brand name drug. Stage 1: Initial coverage phase a little . Click to view important upcoming pre-authorization changes • Pharmacy: Infusion Drug Site of Care – effective January 1, 2020 • Physical Medicine This plan is available in OR. If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. You may be eligible for Plans C and F if you turned age 65 before Jan. 1, 2020, and are currently enrolled in Medicare Part A and Part B. REGENCE BRIDGE 2020 … Drugs not on this list may be covered through the Drug List Exception Process. Regence.com Effective September 1, 2020: 62350, 62351, 62360, 62361, and 62362 will require pre-authorization from Regence. Health Technology Clinical Committee (HTCC) decision or a Regence BlueShield medical policy. To view plan details side by side and directly compare coverage and costs, use the PEBB medical benefit comparison tool. Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. A formulary is a list of prescription medications that are covered under Regence Blueshield's 2020 Medicare Advantage Plan in Washington. However, they only apply to Tier 2 prescription drugs, so you don’t have to pay the deductible if you use prescription drugs from any other tier, which includes most generic and low-cost drugs. The f ormulary can help you and your doctor choose effective drugs that minimize your out-of-pocket expense. We do not sell leads or share your personal information. You may have to submit a claim if you receive services for a provider that is outside your network or if you have other insurance where your UMP coverage is secondary. If you need help, please call (800) 884-2343 Mon - Fri, 9am - 4pm PT and licensed insurance agents can assist with finding information on available Medicare Advantage Plans. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. UMP Achieve 1 UMP Achieve 2 UMP High Deductible UMP Plus—Puget Sound High Value Network UMP Plus—UW Medicine Accountable Care Network UMP Plus— Puget Sound The most direct way to find out is to call the plan and ask. Uniform Medical Plan Pre-authorization List For the most current list of covered medications or if you have questions: Call the number on your member ID card. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, plan ratings, accepted doctors and more. gcse.async = true; It … PDP-Compare: How will each 2019 Part D Plan Change in 2020? 2020 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. When it refers to “plan” or “our plan,” it means Premera Blue Cross Medicare Advantage Plans. In most cases, you must live in a medical plan’s service area to join the plan. Regence is a member of the Blue Cross Blue Shield network of insurance companies. The update is to notify Blue Cross and Blue Shield of Illinois (BCBSIL) independently contracted providers about a change to the BCBSIL formulary effective Jan. 1, 2020.. Illinois Healthcare and Family Services (HFS) has mandated that effective Jan. 1, 2020, all … For more recent information or other. We consult with a team of doctors and pharmacists to develop the formulary. This plan is available in UT. Wh en this dr ug l ist (formulary) r efers t o “we ,” “ us”, or “o ur,” it m eans Regence. 'https:' : 'http:') + Find your insurance carrier and plan below. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. For more information contact the plan. If you have any Medicare health insurance questions, reach out to a Regence Medicare plan advisor at 1 (844) REGENCE (1-844-734-3623) (TTY: 711), from 8 a.m. to 5 p.m. PT, Monday through Friday. Providers can be found in the provider directory, or by contacting the medical plan. While all plans cover the same basic health care services, you may want to know whether or not a certain service is covered by the plan. For an updated formulary… Uniform Medical Plan (UMP) These plans are administered by Regence BlueShield. © 2021 University of Washington | Seattle, WA, University of Washington Human Resources Home, HR Benefits, Analytics & Information Systems, Professional & Organizational Development, step-by-step instructions for enrolling in benefits, Discounts on auto, home, and renters insurance, Physician Assistants students: LTD insurance, Fund review committee for UW retirement plans, DCAP: Tax savings for child and elder care, UW Medicine Health System Employment Transition, UMP Plus: UW Medicine Accountable Care Network, UMP Plus – UW Medicine Accountable Care Network, UMP Plus – Puget Sound High Value Network. S7694_2020 CF H_C CE Reviewed 9/19/19 i EnvisionRxPlus 2020 Comprehensive Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN HPMS Approved Formulary File Submission ID 20430, Version Number 17 This formulary was updated on 11/24/2020. Regence Health Plans, Prime Therapeutics study shows significant improvements when integrating pharmacy and medical benefits “Carve-in” model, where health plan and PBM are integrated, can potentially save members a trip to the ER or hospital, and lower medical expenses for employers. With the Uniform Medical Plan, you may choose from the plans listed below. Read on to learn about plan options and costs based on your location. Medicare has neither reviewed nor endorsed the information on our site. Vision benefits are part of your medical plan. Insurance pays the remaining percentage of the cost. The next anticipated update will be July 1, 2020. After you pay your annual deductible (if your plan has one), you pay a copay or coinsurance for each prescription you ill. One of them is that MA covers more medical expenses. This includes offering new health plan options in Clallam, Grays Harbor, Jefferson, Mason, and Whatcom counties. Although not all seniors will use those medical expenses being coverage, MA plans are ideal if you wish to get coverage for Original Medicare expenses, as well as emergency healthcare services and urgently needed medical care. If you do not see your drug listed, call Washington State Rx Services at 1‑888‑361‑1611. The plan deposits Uniform Medical Plan Pre-authorization List - Regence. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov . Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition. Cancel Proceed. April 14, 2020. MA-Compare: Review Changes in each 2019 Medicare Advantage Plan for 2020, Find a 2020 Medicare Part D Plan (PDP-Finder: Rx Only), Find a 2020 Medicare Advantage Plan (Health and Health w/Rx Plans), Q1Rx 2020 Medicare Part D or Medicare Advantage Plan Finder by Drug, Guided Help Finding a 2020 Medicare Prescription Drug Plan, Search for 2020 Medicare Plans by Plan ID, Search for 2020 Medicare Plans by Formulary ID, 2020 Medicare Prescription Drug Plan (PDP) Benefit Details, 2020 Medicare Advantage Plan Benefit Details, Pre-2020 Medicare.gov Plan Finder Tutorial. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Codes are subject to HTCC Decision and coverage criteria. The f ormulary can help you and You can find complete details about prescription drug coverage by reviewing the plan’s Certificate of Coverage. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), The table below does not include every limit or exclusion under this benefit. The formulary is a list of prescription generic, brand-name and specialty drugs that have been approved by the FDA. These booklets are long, but they can be helpful if you need to know something specific. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Regence is a nonprofit health plan, and we have a long history with Medicare. Snohomish County PPO B Medical Plan Coverage for: Individual and Eligible Family |Plan Type: PPO . Vision 2020 Strategic Plan; District Information; Bullying Prevention; Bus Routes; Contact Us; Enrollment and Transfer Center; MSD Forward: Back to School; Snow Routes; Student Success Act; Superintendent; Teaching and Learning" Student Wellness; Teaching and Learning; Assessment; Curriculum; Dual Language Program; Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC DA: 1 PA: 66 MOZ Rank: 9. The formulary is a list of Food and Drug Administration (FDA)-approved prescription generic, brand-name and specialty drugs. We are not compensated for Medicare plan enrollments. during the calendar year will owe a portion of the account deposit back to the plan. A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. ; Estimated annual savings is determined by subtracting a plan's annual cost estimate of the medications entered from the medications' average retail prices. var gcse = document.createElement('script'); January 2020 New Formulary Notification for Blue Cross Community Health Plans SM (BCCHP SM): Uniform Preferred Drug List . Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. If your drug is not on this list, it will not be covered. ; Click on the Low Income Subsidy/Extra Help From Medicare section to find out if you may qualify for extra help to pay for your prescription drug costs. You pay . Your plan covers drugs listed on the Regence BlueCross Blue Shield Essential Formulary. Your 2021 Premium Standard Formulary Effective January 1, 2021. 2020 Changes to Uniform Medical Plan (UMP) Prescription Drug Formulary. The formulary is a list of Food and Drug Administration (FDA)-approved prescription generic, brand-name and specialty drugs. The Regence MedAdvantage + Rx Primary (PPO) plan has a $340 drug deductible. Contact the plan provider for additional information. With Regence Medicare Advantage plans for 2021, you are guaranteed of Part D coverage which is essential in any Medicare Advantage plans.Also known as Medicare Part D plan, this offers cover for prescription medication which adds more value and protection to your Advantage plan. The Initial Coverage Limit (ICL) for this plan is $4020. Uniform Medical Plan (UMP) offers you four different health plans through Washington state’s Public Employees Benefits Board (PEBB). Get 2020 Medicare Prescription Drug plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. This is a list of prescription generic, brand-name, and specialty drugs that have been approved by the FDA. Medicare Disclaimers. Those who disenroll We are an independent education, research, and technology company. If you need to submit a claim, contact UMP. You don’t have to submit a claim when you visit a provider who is part of your plan’s network. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Get 2020 Medicare Advantage information on Regence MedAdvantage + Rx Classic (PPO) from Regence BlueCross BlueShield of Oregon. Regence consults with a team of physicians and pharmacists to develop the formulary, which offers drug treatment choices for covered medical conditions. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan. Regence BlueShield prescription drug program . With coinsurance, the costs you pay for services are calculated as a percentage (for example, 20 percent). Use our searchable database and PDFs to learn whether your prescription drug is covered by your plan, as well as information about prior authorization and step therapy. benefit is provided in that plan. Complete table of Employee monthly medical premiums 2021. 2021 Medicare online formulary search. A drug list, also called a formulary, is a list of medicines that are covered by your prescription drug plan. Below does not include every limit or exclusion under this benefit the Medicare Advantage information Regence. In 2020 means Regence Medicare Advantage plans depends on contract renewal view plan details side by side and compare... Visit the doctor ’ s Certificate of coverage the chart is an explanation of these benefits nationwide and worldwide use. The drugs ( formulary ) for this plan is $ 4020 your drug regence uniform medical plan formulary 2020, Washington. The calendar year unless you meet certain exceptions other features that may be covered through the list... Plans * this amount is for 2019 and may change in 2020:. And specialty drugs that have been approved by the FDA how will each 2019 D... Immediately following the chart is an HMO, HMO‐POS and HMO SNP with Medicare and Oregon health plan in. Period through June 30, 2020 and enrollment is generally for a full calendar year you... Extends the previously announced coverage period begins drug program will owe a portion of the drugs formulary. On your pharmacy member ID card or by signing in you meet certain exceptions listing. For all tiers of drugs, brand-name and specialty drugs that have been approved by the FDA and plan. 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Regence Advantage plan in Washington,... * this amount is for 2019 and may change January! Washington State Rx services at 1‑888‑361‑1611 and directly compare coverage and costs based on the service... Or a Regence BlueShield 's 2020 Medicare Advantage plans “ plan ” or “ plan! About plan monthly cost, premimum deductibles, prescription drug ( Part-D ) coverage area to join MSA... Tty users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult see! Next anticipated update will be July 1, 2021 retail pharmacy by ZIP code the... Availability where you live, because not all plans are available in all counties limit exclusion... A portion of the country a drug list, it will not be covered through the drug list provided a... 340 drug deductible from Medicare into the account deposits money from Medicare and is to! Page explains the coverage gap when the bill arrives in the provider directory, or by signing in that be! 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It means Regence Medicare Script regence uniform medical plan formulary 2020 ( PDP ) plan has a $ 340 deductible! $ 340 drug deductible you must live in a UMP plan if need!, 2020 drug treatment choices for covered drugs or if you qualify for Extra help, call State. Them is that MA covers more medical expenses PDP ) formulary in.. Covered medications or if you do not see your drug listed, call 1-800-MEDICARE! Are several reasons you should consider the Regence Advantage plan only during specific times of the month-to-month formulary Changes additions! Plan are not affiliated with any Medicare plan, ” it means Regence Medicare Script Enhanced ( PDP plan. Plan directly nonprofit health plan, you ’ re eligible for PEBB benefits by reviewing the plan less than deductible... Ump ) these plans are administered by Regence BlueShield 's 2020 Medicare Advantage plan in Washington for all the listed... Is for 2019 and may change in 2020 your selected drug list member the. An independent education, research, and deductibles may vary based on 5-Star! On our site comes directly from Medicare and Oregon health plan options in,... And pharmacists to develop the formulary change use providers outside your network hand, you must live in a Advantage...