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Your new UMP vision benefits - hca.wa.gov

    https://www.hca.wa.gov/assets/pebb/ump-vision-service-plan-2021.pdf
    The form can be sent to a preferred address or emailed to you. You must complete the form and mail it to the address below. Deaf, DeafBlind, Late Deafened, or Hard of …

Your UMP vision benefits - Washington

    https://www.hca.wa.gov/assets/pebb/ump-vision-service-plan-2022.pdf
    forms and publications at hca.wa.gov/ump-pebb-coc ... (VSP) is a separate company that provides routine vision benefits for Uniform Medical Plan (UMP) members administered …

Uniform Medical Plan (UMP) - Washington

    https://www.hca.wa.gov/about-hca/programs-and-initiatives/uniform-medical-plan-ump
    Uniform Medical Plan (UMP) Uniform Medical Plan (UMP) is a self-insured health plan offered through the Washington State Health Care Authority’s (HCA) Public Employees …

Uniform Medical Plan | Washington State Health Care …

    https://www.hca.wa.gov/employee-retiree-benefits/pebb-virtual-benefits-fair/uniform-medical-plan
    Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans and accountable care plans offered through …

Uniform Medical Plan - Regence

    https://www.regence.com/provider/products/large-groups-administrators/ump
    Uniform Medical Plan (UMP) is a preferred provider health plan managed by the Washington State Health Care Authority (HCA) through the Public Employees Benefits …

Uniform Medical Plan (UMP) and PEBB for public …

    https://ump.regence.com/pebb
    Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans offered through Washington State’s Public Employees …

Uniform Medical Plan

    https://ump.regence.com/member/ump/
    Uniform Medical Plan. Welcome to UMP. Please choose whether you are a member of the Public Employees Benefits Board (PEBB) Program or the School Employees Benefits Board (SEBB) Program. Please choose …

MEDICAL CLAIM FORM - Washington

    https://www.hca.wa.gov/assets/pebb/ump-regence-medical-claim-form.pdf
    form for each family member. The time limit for filing claims is one year from the date of service/purchase. Note: This form may be used for claims for PEBB and SEBB Uniform …

Commonly used forms - PEBB

    https://ump.regence.com/pebb/forms/common-forms
    VSP Request for Reimbursement form: for services from an out-of-network provider or for the purchase of prescription contact lenses and eyeglasses.; If you have questions on …

Claims - PEBB - Regence

    https://ump.regence.com/pebb/benefits/claims-appeals
    Mail or fax both the claim form and the provider's claim document (or bill) to: Regence BlueShield Attn: UMP Claims P.O. Box 1106 Lewiston, ID 83501-1106 Fax: 1 (877) 357 …



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