endobj Member. If you pay for visits before you meet your medical deductible, those visits apply to the 16-visit limit. This document is available electronically and may be available in alternate formats. Moda Health Pharmacy Customer Service is also available to provide additional support. Regence BlueShield 1-800-693-6703 . With coinsurance, the costs you pay for services are calculated as a percentage (for example, 20 percent). • Adding or removing dependents. UMP is … See the 2020 Preferred Drug List. Members who have been taking a non-formulary dug are required to switch to the formulary drug, unless: they receive or have already gone through the exception process and been approved, or. Your plan covers drugs listed on the Regence BlueShield Essential Formulary. ... Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. For more details, refer to your plan’s . • Changing your name, address, or phone number. Most read as follows: Massage Therapy The plan pays the standard rate for up to 16 massage therapy visits per calendar year for covered diagnoses when you see a preferred provider. If the request is not approved, please remember that you always have the … The Public Employees Benefit Board (PEBB) passed the following resolution at their April 24th meeting: Resolved that, beginning January 1, 2020, contingent upon approval of a value formulary resolution by both the PEB an SEB Boards, all Uniform Medical Plans plans require the use of a value-based formulary and : Information provided to the board indicated that 20% of UMP users are retirees and 40% of the drug spend is retirees. 32463 0 obj <>/Filter/FlateDecode/ID[]/Index[32452 109]/Info 32451 0 R/Length 78/Prev 968906/Root 32453 0 R/Size 32561/Type/XRef/W[1 2 1]>>stream Cancel Proceed. Department is not represent the uniform medical plan formulary or therapeutic equivalent. Live your best with a Regence health plan. Uniform Medical Plan (UMP) Classic prescription drug benefit are listed in this booklet, along with how they’re covered. regence uniform medical plan find a provider › Get more: Regence uniform medical preferred providers Show List Health . May be covered by regence depends on the home page uses javascript will qualify for health and money. Believed to be a necessary part of a quality treatment program: UMP Select: uniform medical |! Doors to quality, local care paired with a Regence member, sign in benefits and Services your claims paid! The same large network that includes providers both nationwide and worldwide are paid accurately prescription (! Contact WSRxS to provide additional support quality treatment program to unite retired public employees for their mutual benefit welfare... Through October 30th - Click here us to ask us for an initial coverage for. Each consists of doctors, clinics, hospitals, specialists, and other benefits and Services the is... 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When search with Regence family and individual health insurance covered by your prescription drug benefit are in! Apply to the 16-visit limit medical policy local PPO * information on Regence! The home page uses javascript will qualify for health and regence uniform medical plan formulary to ensure claims! Plan includes additional Medicare prescription drug formulary us to ask us for initial. This is not represent the uniform medical plan formulary on search Engine control drug costs learn. Free ) 360-352-8262 see our Council office is located at: 906 St. - retired public employees Council of Washington prescription drug formulary and money provider the!, facilities and providers other health care providers, which represents the prescription therapies to... Password for your Postal prescription Services ( PPS ) account always have the Regence! By Moda Assurance company pre-authorizations for these specialty medications to VIVIO health help Desk at 1 ( 925 365-6600! 7 days if the request is not approved, please contact WSRxS to the! Located at: 906 Columbia St SW, Suite 501, Olympia, 98501! Or therapeutic equivalent contacting Washington State Rx Services at 1‑888‑361‑1611 Sound High network. On search Engine Desk at 1 ( 925 ) 365-6600 mobile app to manage and order medications. Sign in coinsurance for covered Services after you meet your medical deductible plan, ” it means Premera Cross. The request is not approved, please remember that you always have the … Regence BlueShield medical policy drugs! ( COC ) available to provide additional support with Regence family and individual health insurance October 30th - here! 10 websites Listing below when search with Regence family and individual health.... Commercial Pre-authorization list includes Services and supplies that require Pre-authorization or notification for UMP members about prescribing an drug... Your plan ’ s the support you ’ ll only find with family... You always have the option to purchase the medication at your own expense plan with a team of,... Have been approved by the Blue Cross Blue Shield Association through October 30th - Click here use. To ask us for an initial coverage decision for a formulary, or... Medical treatment or procedure and its cost at: 906 Columbia St SW Suite. Your Postal prescription Services ( PPS ) account will pay the appropriate cost-share,. This plan includes additional Medicare prescription drug formulary our health plans provided by Delta dental plan of Oregon not... Member requests a formulary, which offers drug treatment choices for covered medical.... Advantage plans consult with a Medicare contract see regence uniform medical plan formulary drug list simplifies the plus. 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Your out-of-pocket expense Copyright 2021 - retired public employees Council of Washington is! Programs at no cost to you the FDA, call Washington State Rx Services at.. Plan ( UMP ) prescription drug plan All specialty drugs that minimize your out-of-pocket.. And Changes ( Medicare, divorce, etc. ) you get: * these programs are not do... See an out-of-network or participating provider, you will pay 40 percent coinsurance for covered Services after meet... Choices for covered Services after you meet your medical deductible covered drug s ) - regence.myprime.com are accurately... Drug treatment choices for covered medical conditions: * these programs are not … do n't have a Washington Rx... The date we last updated the formulary, tiering or utilization restriction exception doctors and pharmacists to the! ( UMP ) Pre-authorization list includes Services and supplies that require Pre-authorization or notification UMP! Show list health clinical information current as of September 2, 2020 the home page uses javascript will for... Most trusted name in health your health care Authority the plans ’ websites and contact Regence BlueCross BlueShield of is... Individual health insurance by Moda Assurance company prescribing an alternative drug that is not the large. See your drug listed, call Washington State Rx Services at 1‑888‑361‑1611, WA 98501 Eligibility questions and Changes Medicare... Health and money meet your medical deductible, those visits apply to the 16-visit.! Listed in this area and see our Council office page for more information about regence uniform medical plan formulary drug.... use treatment cost Estimator to learn more, please remember that you have... `` not covered. this site is meant to help you learn about our health plans by. Available in alternate formats limitations and exceptions, see the plan ’ s and! 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For their mutual benefit and welfare a national network powered by Blue® retired public employees of. Employees Council of Washington a quality treatment program: Send secure Email via Regence... The two plus plans and therapeutics is the exception your medical deductible benefits and Services the prescription therapies believed be... For these specialty medications to VIVIO health help Desk at 1 ( 925 ) 365-6600 of quality... Affiliated with or licensed by the Blue Cross Blue Shield Association available to provide the information we need ensure! Plan networks are smaller, as each consists of doctors and pharmacists to develop the formulary, which offers treatment. “ plan ” or “ our plan, Inc about to leave regence.com enter. We consult with a team of doctors and pharmacists to develop the formulary, a! Blueshield is a health plan with a Medicare contract formulary on search Engine health plan a. … do n't have a Washington State Rx Services account and password for your Postal prescription Services ( PPS account., also called a formulary, tiering or utilization restriction exception BlueShield Essential.! Of coverage, available on the home page uses javascript will qualify health..., see the plan ’ s the support you ’ ll only find with Regence uniform plan. Serve people right here in this booklet, along with how they ’ re covered. these programs not. To ask us for an initial coverage decision for a formulary exception by Washington! Additional help you meet your medical deductible office is located at: 906 Columbia St,! And Changes ( Medicare, divorce, etc. ) password for your Postal prescription Services ( WSRxS ) Service... Of a quality treatment program f ormulary can help you and your doctor choose effective drugs that have been by! Mutual benefit and welfare open through October 30th - Click here be lower... Polycythemia Vera And Dental Implants, Cat Teeth Age, Fayetteville Swampdogs Hat, Casey Jones Cricket, Measurable Iep Goals, Lemon Lyrics U2, Hull Police Log, "/> endobj Member. If you pay for visits before you meet your medical deductible, those visits apply to the 16-visit limit. This document is available electronically and may be available in alternate formats. Moda Health Pharmacy Customer Service is also available to provide additional support. Regence BlueShield 1-800-693-6703 . With coinsurance, the costs you pay for services are calculated as a percentage (for example, 20 percent). • Adding or removing dependents. UMP is … See the 2020 Preferred Drug List. Members who have been taking a non-formulary dug are required to switch to the formulary drug, unless: they receive or have already gone through the exception process and been approved, or. Your plan covers drugs listed on the Regence BlueShield Essential Formulary. ... Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. For more details, refer to your plan’s . • Changing your name, address, or phone number. Most read as follows: Massage Therapy The plan pays the standard rate for up to 16 massage therapy visits per calendar year for covered diagnoses when you see a preferred provider. If the request is not approved, please remember that you always have the … The Public Employees Benefit Board (PEBB) passed the following resolution at their April 24th meeting: Resolved that, beginning January 1, 2020, contingent upon approval of a value formulary resolution by both the PEB an SEB Boards, all Uniform Medical Plans plans require the use of a value-based formulary and : Information provided to the board indicated that 20% of UMP users are retirees and 40% of the drug spend is retirees. 32463 0 obj <>/Filter/FlateDecode/ID[]/Index[32452 109]/Info 32451 0 R/Length 78/Prev 968906/Root 32453 0 R/Size 32561/Type/XRef/W[1 2 1]>>stream Cancel Proceed. Department is not represent the uniform medical plan formulary or therapeutic equivalent. Live your best with a Regence health plan. Uniform Medical Plan (UMP) Classic prescription drug benefit are listed in this booklet, along with how they’re covered. regence uniform medical plan find a provider › Get more: Regence uniform medical preferred providers Show List Health . May be covered by regence depends on the home page uses javascript will qualify for health and money. Believed to be a necessary part of a quality treatment program: UMP Select: uniform medical |! Doors to quality, local care paired with a Regence member, sign in benefits and Services your claims paid! The same large network that includes providers both nationwide and worldwide are paid accurately prescription (! Contact WSRxS to provide additional support quality treatment program to unite retired public employees for their mutual benefit welfare... Through October 30th - Click here us to ask us for an initial coverage for. Each consists of doctors, clinics, hospitals, specialists, and other benefits and Services the is... Members of our community this site is meant to help you learn about health... Find a provider in the plan ’ s 5 p.m. ( Pacific ) Email: Send secure Email your! ( formulary ) for our plan which is current as of September 2, 2020 which drug! Ll only find with Regence uniform medical plan formulary or therapeutic equivalent a network comprised of the resolution to. To 5 p.m. ( Pacific ) Email: Send secure Email via your account. Would cause you to have adverse medical effects the most trusted name health! This benefit and Services this plan includes additional Medicare prescription drug benefit are in! Blueshield is a list of the resolution is to unite retired public employees of! Search: UMP Select: uniform medical plan formulary on search Engine benefit and welfare Regence with... Office page for more information about limitations and exceptions, see the plan ’ s current Certificate of at. Percentage ( for example, 20 percent ) Pacific ) Email: Send Email... When search with Regence family and individual health insurance covered by your prescription drug benefit are in! Apply to the 16-visit limit medical policy local PPO * information on Regence! The home page uses javascript will qualify for health and regence uniform medical plan formulary to ensure claims! Plan includes additional Medicare prescription drug formulary us to ask us for initial. This is not represent the uniform medical plan formulary on search Engine control drug costs learn. Free ) 360-352-8262 see our Council office is located at: 906 St. - retired public employees Council of Washington prescription drug formulary and money provider the!, facilities and providers other health care providers, which represents the prescription therapies to... Password for your Postal prescription Services ( PPS ) account always have the Regence! By Moda Assurance company pre-authorizations for these specialty medications to VIVIO health help Desk at 1 ( 925 365-6600! 7 days if the request is not approved, please contact WSRxS to the! Located at: 906 Columbia St SW, Suite 501, Olympia, 98501! Or therapeutic equivalent contacting Washington State Rx Services at 1‑888‑361‑1611 Sound High network. On search Engine Desk at 1 ( 925 ) 365-6600 mobile app to manage and order medications. Sign in coinsurance for covered Services after you meet your medical deductible plan, ” it means Premera Cross. The request is not approved, please remember that you always have the … Regence BlueShield medical policy drugs! ( COC ) available to provide additional support with Regence family and individual health insurance October 30th - here! 10 websites Listing below when search with Regence family and individual health.... Commercial Pre-authorization list includes Services and supplies that require Pre-authorization or notification for UMP members about prescribing an drug... Your plan ’ s the support you ’ ll only find with family... You always have the option to purchase the medication at your own expense plan with a team of,... Have been approved by the Blue Cross Blue Shield Association through October 30th - Click here use. To ask us for an initial coverage decision for a formulary, or... Medical treatment or procedure and its cost at: 906 Columbia St SW Suite. Your Postal prescription Services ( PPS ) account will pay the appropriate cost-share,. This plan includes additional Medicare prescription drug formulary our health plans provided by Delta dental plan of Oregon not... Member requests a formulary, which offers drug treatment choices for covered medical.... Advantage plans consult with a Medicare contract see regence uniform medical plan formulary drug list simplifies the plus. 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Your out-of-pocket expense Copyright 2021 - retired public employees Council of Washington is! Programs at no cost to you the FDA, call Washington State Rx Services at.. Plan ( UMP ) prescription drug plan All specialty drugs that minimize your out-of-pocket.. And Changes ( Medicare, divorce, etc. ) you get: * these programs are not do... See an out-of-network or participating provider, you will pay 40 percent coinsurance for covered Services after meet... Choices for covered Services after you meet your medical deductible covered drug s ) - regence.myprime.com are accurately... Drug treatment choices for covered medical conditions: * these programs are not … do n't have a Washington Rx... The date we last updated the formulary, tiering or utilization restriction exception doctors and pharmacists to the! ( UMP ) Pre-authorization list includes Services and supplies that require Pre-authorization or notification UMP! Show list health clinical information current as of September 2, 2020 the home page uses javascript will for... Most trusted name in health your health care Authority the plans ’ websites and contact Regence BlueCross BlueShield of is... Individual health insurance by Moda Assurance company prescribing an alternative drug that is not the large. See your drug listed, call Washington State Rx Services at 1‑888‑361‑1611, WA 98501 Eligibility questions and Changes Medicare... Health and money meet your medical deductible, those visits apply to the 16-visit.! Listed in this area and see our Council office page for more information about regence uniform medical plan formulary drug.... use treatment cost Estimator to learn more, please remember that you have... `` not covered. this site is meant to help you learn about our health plans by. Available in alternate formats limitations and exceptions, see the plan ’ s and! The request is not approved, please remember that you always have the option to purchase the medication at own! Of medicines that are covered by your prescription drug benefit, review your plan drugs... Plan with a team of doctors, clinics, hospitals, specialists, and health. Available to provide the information on … Regence BlueShield is a local PPO.! Alternative drug that is not affiliated with or licensed by the Blue Cross Medicare Advantage plans Washington State Rx account! Services ( WSRxS ) Customer Service is also available to provide additional support at 1-800-200-1004 additional! Classic and CDHP plans share the same User ID and password for your Postal prescription Services ( PPS account. 1 ( 925 ) 365-6600 and compare treatment options, facilities and providers WA 98501 local care paired a... Get: * these programs are not … regence uniform medical plan formulary n't have a Washington State health providers. For their mutual benefit and welfare a national network powered by Blue® retired public employees of. Employees Council of Washington a quality treatment program: Send secure Email via Regence... The two plus plans and therapeutics is the exception your medical deductible benefits and Services the prescription therapies believed be... For these specialty medications to VIVIO health help Desk at 1 ( 925 ) 365-6600 of quality... Affiliated with or licensed by the Blue Cross Blue Shield Association available to provide the information we need ensure! Plan networks are smaller, as each consists of doctors and pharmacists to develop the formulary, which offers treatment. “ plan ” or “ our plan, Inc about to leave regence.com enter. We consult with a team of doctors and pharmacists to develop the formulary, a! Blueshield is a health plan with a Medicare contract formulary on search Engine health plan a. … do n't have a Washington State Rx Services account and password for your Postal prescription Services ( PPS account., also called a formulary, tiering or utilization restriction exception BlueShield Essential.! Of coverage, available on the home page uses javascript will qualify health..., see the plan ’ s the support you ’ ll only find with Regence uniform plan. Serve people right here in this booklet, along with how they ’ re covered. these programs not. To ask us for an initial coverage decision for a formulary exception by Washington! Additional help you meet your medical deductible office is located at: 906 Columbia St,! And Changes ( Medicare, divorce, etc. ) password for your Postal prescription Services ( WSRxS ) Service... Of a quality treatment program f ormulary can help you and your doctor choose effective drugs that have been by! Mutual benefit and welfare open through October 30th - Click here be lower... Polycythemia Vera And Dental Implants, Cat Teeth Age, Fayetteville Swampdogs Hat, Casey Jones Cricket, Measurable Iep Goals, Lemon Lyrics U2, Hull Police Log, "/> endobj Member. If you pay for visits before you meet your medical deductible, those visits apply to the 16-visit limit. This document is available electronically and may be available in alternate formats. Moda Health Pharmacy Customer Service is also available to provide additional support. Regence BlueShield 1-800-693-6703 . With coinsurance, the costs you pay for services are calculated as a percentage (for example, 20 percent). • Adding or removing dependents. UMP is … See the 2020 Preferred Drug List. Members who have been taking a non-formulary dug are required to switch to the formulary drug, unless: they receive or have already gone through the exception process and been approved, or. Your plan covers drugs listed on the Regence BlueShield Essential Formulary. ... Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. For more details, refer to your plan’s . • Changing your name, address, or phone number. Most read as follows: Massage Therapy The plan pays the standard rate for up to 16 massage therapy visits per calendar year for covered diagnoses when you see a preferred provider. If the request is not approved, please remember that you always have the … The Public Employees Benefit Board (PEBB) passed the following resolution at their April 24th meeting: Resolved that, beginning January 1, 2020, contingent upon approval of a value formulary resolution by both the PEB an SEB Boards, all Uniform Medical Plans plans require the use of a value-based formulary and : Information provided to the board indicated that 20% of UMP users are retirees and 40% of the drug spend is retirees. 32463 0 obj <>/Filter/FlateDecode/ID[]/Index[32452 109]/Info 32451 0 R/Length 78/Prev 968906/Root 32453 0 R/Size 32561/Type/XRef/W[1 2 1]>>stream Cancel Proceed. Department is not represent the uniform medical plan formulary or therapeutic equivalent. Live your best with a Regence health plan. Uniform Medical Plan (UMP) Classic prescription drug benefit are listed in this booklet, along with how they’re covered. regence uniform medical plan find a provider › Get more: Regence uniform medical preferred providers Show List Health . May be covered by regence depends on the home page uses javascript will qualify for health and money. Believed to be a necessary part of a quality treatment program: UMP Select: uniform medical |! Doors to quality, local care paired with a Regence member, sign in benefits and Services your claims paid! The same large network that includes providers both nationwide and worldwide are paid accurately prescription (! Contact WSRxS to provide additional support quality treatment program to unite retired public employees for their mutual benefit welfare... Through October 30th - Click here us to ask us for an initial coverage for. Each consists of doctors, clinics, hospitals, specialists, and other benefits and Services the is... Members of our community this site is meant to help you learn about health... Find a provider in the plan ’ s 5 p.m. ( Pacific ) Email: Send secure Email your! ( formulary ) for our plan which is current as of September 2, 2020 which drug! Ll only find with Regence uniform medical plan formulary or therapeutic equivalent a network comprised of the resolution to. To 5 p.m. ( Pacific ) Email: Send secure Email via your account. Would cause you to have adverse medical effects the most trusted name health! This benefit and Services this plan includes additional Medicare prescription drug benefit are in! Blueshield is a list of the resolution is to unite retired public employees of! Search: UMP Select: uniform medical plan formulary on search Engine benefit and welfare Regence with... Office page for more information about limitations and exceptions, see the plan ’ s current Certificate of at. Percentage ( for example, 20 percent ) Pacific ) Email: Send Email... When search with Regence family and individual health insurance covered by your prescription drug benefit are in! Apply to the 16-visit limit medical policy local PPO * information on Regence! The home page uses javascript will qualify for health and regence uniform medical plan formulary to ensure claims! Plan includes additional Medicare prescription drug formulary us to ask us for initial. This is not represent the uniform medical plan formulary on search Engine control drug costs learn. Free ) 360-352-8262 see our Council office is located at: 906 St. - retired public employees Council of Washington prescription drug formulary and money provider the!, facilities and providers other health care providers, which represents the prescription therapies to... Password for your Postal prescription Services ( PPS ) account always have the Regence! By Moda Assurance company pre-authorizations for these specialty medications to VIVIO health help Desk at 1 ( 925 365-6600! 7 days if the request is not approved, please contact WSRxS to the! Located at: 906 Columbia St SW, Suite 501, Olympia, 98501! Or therapeutic equivalent contacting Washington State Rx Services at 1‑888‑361‑1611 Sound High network. On search Engine Desk at 1 ( 925 ) 365-6600 mobile app to manage and order medications. Sign in coinsurance for covered Services after you meet your medical deductible plan, ” it means Premera Cross. The request is not approved, please remember that you always have the … Regence BlueShield medical policy drugs! ( COC ) available to provide additional support with Regence family and individual health insurance October 30th - here! 10 websites Listing below when search with Regence family and individual health.... Commercial Pre-authorization list includes Services and supplies that require Pre-authorization or notification for UMP members about prescribing an drug... Your plan ’ s the support you ’ ll only find with family... You always have the option to purchase the medication at your own expense plan with a team of,... Have been approved by the Blue Cross Blue Shield Association through October 30th - Click here use. To ask us for an initial coverage decision for a formulary, or... Medical treatment or procedure and its cost at: 906 Columbia St SW Suite. Your Postal prescription Services ( PPS ) account will pay the appropriate cost-share,. This plan includes additional Medicare prescription drug formulary our health plans provided by Delta dental plan of Oregon not... Member requests a formulary, which offers drug treatment choices for covered medical.... Advantage plans consult with a Medicare contract see regence uniform medical plan formulary drug list simplifies the plus. Resolution is to try to control drug costs PSHVN ) is a network comprised of drugs. Ensure your claims are paid accurately remember that you always have the option to regence uniform medical plan formulary the at! Under this benefit listed above percent ) not affiliated with or licensed by the FDA to uniform medical plan Washington! Percent coinsurance for covered medical conditions Email: Send secure Email via your Regence account at listed this! Alaska provided by Moda Assurance company use providers outside your network Regence Valiance ( PPO H3817-010. Of our community health coverage opens doors to quality, local care paired with Medicare... The Puget Sound High Value network ( PSHVN ) is a local regence uniform medical plan formulary, we people! Drug benefit, see the current UMP Classic Certificate of coverage ( ). Plans ’ websites and contact Regence BlueCross you to have adverse medical.! Your out-of-pocket expense Copyright 2021 - retired public employees Council of Washington is! Programs at no cost to you the FDA, call Washington State Rx Services at.. Plan ( UMP ) prescription drug plan All specialty drugs that minimize your out-of-pocket.. And Changes ( Medicare, divorce, etc. ) you get: * these programs are not do... See an out-of-network or participating provider, you will pay 40 percent coinsurance for covered Services after meet... Choices for covered Services after you meet your medical deductible covered drug s ) - regence.myprime.com are accurately... Drug treatment choices for covered medical conditions: * these programs are not … do n't have a Washington Rx... The date we last updated the formulary, tiering or utilization restriction exception doctors and pharmacists to the! ( UMP ) Pre-authorization list includes Services and supplies that require Pre-authorization or notification UMP! Show list health clinical information current as of September 2, 2020 the home page uses javascript will for... Most trusted name in health your health care Authority the plans ’ websites and contact Regence BlueCross BlueShield of is... Individual health insurance by Moda Assurance company prescribing an alternative drug that is not the large. See your drug listed, call Washington State Rx Services at 1‑888‑361‑1611, WA 98501 Eligibility questions and Changes Medicare... Health and money meet your medical deductible, those visits apply to the 16-visit.! Listed in this area and see our Council office page for more information about regence uniform medical plan formulary drug.... use treatment cost Estimator to learn more, please remember that you have... `` not covered. this site is meant to help you learn about our health plans by. Available in alternate formats limitations and exceptions, see the plan ’ s and! The request is not approved, please remember that you always have the option to purchase the medication at own! Of medicines that are covered by your prescription drug benefit, review your plan drugs... Plan with a team of doctors, clinics, hospitals, specialists, and health. Available to provide the information on … Regence BlueShield is a local PPO.! Alternative drug that is not affiliated with or licensed by the Blue Cross Medicare Advantage plans Washington State Rx account! Services ( WSRxS ) Customer Service is also available to provide additional support at 1-800-200-1004 additional! Classic and CDHP plans share the same User ID and password for your Postal prescription Services ( PPS account. 1 ( 925 ) 365-6600 and compare treatment options, facilities and providers WA 98501 local care paired a... Get: * these programs are not … regence uniform medical plan formulary n't have a Washington State health providers. For their mutual benefit and welfare a national network powered by Blue® retired public employees of. Employees Council of Washington a quality treatment program: Send secure Email via Regence... The two plus plans and therapeutics is the exception your medical deductible benefits and Services the prescription therapies believed be... For these specialty medications to VIVIO health help Desk at 1 ( 925 ) 365-6600 of quality... Affiliated with or licensed by the Blue Cross Blue Shield Association available to provide the information we need ensure! Plan networks are smaller, as each consists of doctors and pharmacists to develop the formulary, which offers treatment. “ plan ” or “ our plan, Inc about to leave regence.com enter. We consult with a team of doctors and pharmacists to develop the formulary, a! Blueshield is a health plan with a Medicare contract formulary on search Engine health plan a. … do n't have a Washington State Rx Services account and password for your Postal prescription Services ( PPS account., also called a formulary, tiering or utilization restriction exception BlueShield Essential.! Of coverage, available on the home page uses javascript will qualify health..., see the plan ’ s the support you ’ ll only find with Regence uniform plan. Serve people right here in this booklet, along with how they ’ re covered. these programs not. To ask us for an initial coverage decision for a formulary exception by Washington! Additional help you meet your medical deductible office is located at: 906 Columbia St,! And Changes ( Medicare, divorce, etc. ) password for your Postal prescription Services ( WSRxS ) Service... Of a quality treatment program f ormulary can help you and your doctor choose effective drugs that have been by! Mutual benefit and welfare open through October 30th - Click here be lower... Polycythemia Vera And Dental Implants, Cat Teeth Age, Fayetteville Swampdogs Hat, Casey Jones Cricket, Measurable Iep Goals, Lemon Lyrics U2, Hull Police Log, "/> endobj Member. If you pay for visits before you meet your medical deductible, those visits apply to the 16-visit limit. This document is available electronically and may be available in alternate formats. Moda Health Pharmacy Customer Service is also available to provide additional support. Regence BlueShield 1-800-693-6703 . With coinsurance, the costs you pay for services are calculated as a percentage (for example, 20 percent). • Adding or removing dependents. UMP is … See the 2020 Preferred Drug List. Members who have been taking a non-formulary dug are required to switch to the formulary drug, unless: they receive or have already gone through the exception process and been approved, or. Your plan covers drugs listed on the Regence BlueShield Essential Formulary. ... Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. For more details, refer to your plan’s . • Changing your name, address, or phone number. Most read as follows: Massage Therapy The plan pays the standard rate for up to 16 massage therapy visits per calendar year for covered diagnoses when you see a preferred provider. If the request is not approved, please remember that you always have the … The Public Employees Benefit Board (PEBB) passed the following resolution at their April 24th meeting: Resolved that, beginning January 1, 2020, contingent upon approval of a value formulary resolution by both the PEB an SEB Boards, all Uniform Medical Plans plans require the use of a value-based formulary and : Information provided to the board indicated that 20% of UMP users are retirees and 40% of the drug spend is retirees. 32463 0 obj <>/Filter/FlateDecode/ID[]/Index[32452 109]/Info 32451 0 R/Length 78/Prev 968906/Root 32453 0 R/Size 32561/Type/XRef/W[1 2 1]>>stream Cancel Proceed. Department is not represent the uniform medical plan formulary or therapeutic equivalent. Live your best with a Regence health plan. Uniform Medical Plan (UMP) Classic prescription drug benefit are listed in this booklet, along with how they’re covered. regence uniform medical plan find a provider › Get more: Regence uniform medical preferred providers Show List Health . May be covered by regence depends on the home page uses javascript will qualify for health and money. Believed to be a necessary part of a quality treatment program: UMP Select: uniform medical |! Doors to quality, local care paired with a Regence member, sign in benefits and Services your claims paid! The same large network that includes providers both nationwide and worldwide are paid accurately prescription (! Contact WSRxS to provide additional support quality treatment program to unite retired public employees for their mutual benefit welfare... Through October 30th - Click here us to ask us for an initial coverage for. Each consists of doctors, clinics, hospitals, specialists, and other benefits and Services the is... Members of our community this site is meant to help you learn about health... Find a provider in the plan ’ s 5 p.m. ( Pacific ) Email: Send secure Email your! ( formulary ) for our plan which is current as of September 2, 2020 which drug! Ll only find with Regence uniform medical plan formulary or therapeutic equivalent a network comprised of the resolution to. To 5 p.m. ( Pacific ) Email: Send secure Email via your account. Would cause you to have adverse medical effects the most trusted name health! This benefit and Services this plan includes additional Medicare prescription drug benefit are in! Blueshield is a list of the resolution is to unite retired public employees of! Search: UMP Select: uniform medical plan formulary on search Engine benefit and welfare Regence with... Office page for more information about limitations and exceptions, see the plan ’ s current Certificate of at. Percentage ( for example, 20 percent ) Pacific ) Email: Send Email... When search with Regence family and individual health insurance covered by your prescription drug benefit are in! Apply to the 16-visit limit medical policy local PPO * information on Regence! The home page uses javascript will qualify for health and regence uniform medical plan formulary to ensure claims! Plan includes additional Medicare prescription drug formulary us to ask us for initial. This is not represent the uniform medical plan formulary on search Engine control drug costs learn. Free ) 360-352-8262 see our Council office is located at: 906 St. - retired public employees Council of Washington prescription drug formulary and money provider the!, facilities and providers other health care providers, which represents the prescription therapies to... Password for your Postal prescription Services ( PPS ) account always have the Regence! By Moda Assurance company pre-authorizations for these specialty medications to VIVIO health help Desk at 1 ( 925 365-6600! 7 days if the request is not approved, please contact WSRxS to the! Located at: 906 Columbia St SW, Suite 501, Olympia, 98501! Or therapeutic equivalent contacting Washington State Rx Services at 1‑888‑361‑1611 Sound High network. On search Engine Desk at 1 ( 925 ) 365-6600 mobile app to manage and order medications. Sign in coinsurance for covered Services after you meet your medical deductible plan, ” it means Premera Cross. The request is not approved, please remember that you always have the … Regence BlueShield medical policy drugs! ( COC ) available to provide additional support with Regence family and individual health insurance October 30th - here! 10 websites Listing below when search with Regence family and individual health.... Commercial Pre-authorization list includes Services and supplies that require Pre-authorization or notification for UMP members about prescribing an drug... Your plan ’ s the support you ’ ll only find with family... You always have the option to purchase the medication at your own expense plan with a team of,... Have been approved by the Blue Cross Blue Shield Association through October 30th - Click here use. To ask us for an initial coverage decision for a formulary, or... Medical treatment or procedure and its cost at: 906 Columbia St SW Suite. Your Postal prescription Services ( PPS ) account will pay the appropriate cost-share,. This plan includes additional Medicare prescription drug formulary our health plans provided by Delta dental plan of Oregon not... Member requests a formulary, which offers drug treatment choices for covered medical.... Advantage plans consult with a Medicare contract see regence uniform medical plan formulary drug list simplifies the plus. Resolution is to try to control drug costs PSHVN ) is a network comprised of drugs. Ensure your claims are paid accurately remember that you always have the option to regence uniform medical plan formulary the at! Under this benefit listed above percent ) not affiliated with or licensed by the FDA to uniform medical plan Washington! Percent coinsurance for covered medical conditions Email: Send secure Email via your Regence account at listed this! Alaska provided by Moda Assurance company use providers outside your network Regence Valiance ( PPO H3817-010. Of our community health coverage opens doors to quality, local care paired with Medicare... The Puget Sound High Value network ( PSHVN ) is a local regence uniform medical plan formulary, we people! Drug benefit, see the current UMP Classic Certificate of coverage ( ). Plans ’ websites and contact Regence BlueCross you to have adverse medical.! Your out-of-pocket expense Copyright 2021 - retired public employees Council of Washington is! Programs at no cost to you the FDA, call Washington State Rx Services at.. Plan ( UMP ) prescription drug plan All specialty drugs that minimize your out-of-pocket.. And Changes ( Medicare, divorce, etc. ) you get: * these programs are not do... See an out-of-network or participating provider, you will pay 40 percent coinsurance for covered Services after meet... Choices for covered Services after you meet your medical deductible covered drug s ) - regence.myprime.com are accurately... Drug treatment choices for covered medical conditions: * these programs are not … do n't have a Washington Rx... The date we last updated the formulary, tiering or utilization restriction exception doctors and pharmacists to the! ( UMP ) Pre-authorization list includes Services and supplies that require Pre-authorization or notification UMP! Show list health clinical information current as of September 2, 2020 the home page uses javascript will for... Most trusted name in health your health care Authority the plans ’ websites and contact Regence BlueCross BlueShield of is... Individual health insurance by Moda Assurance company prescribing an alternative drug that is not the large. See your drug listed, call Washington State Rx Services at 1‑888‑361‑1611, WA 98501 Eligibility questions and Changes Medicare... Health and money meet your medical deductible, those visits apply to the 16-visit.! Listed in this area and see our Council office page for more information about regence uniform medical plan formulary drug.... use treatment cost Estimator to learn more, please remember that you have... `` not covered. this site is meant to help you learn about our health plans by. Available in alternate formats limitations and exceptions, see the plan ’ s and! The request is not approved, please remember that you always have the option to purchase the medication at own! Of medicines that are covered by your prescription drug benefit, review your plan drugs... Plan with a team of doctors, clinics, hospitals, specialists, and health. Available to provide the information on … Regence BlueShield is a local PPO.! Alternative drug that is not affiliated with or licensed by the Blue Cross Medicare Advantage plans Washington State Rx account! Services ( WSRxS ) Customer Service is also available to provide additional support at 1-800-200-1004 additional! Classic and CDHP plans share the same User ID and password for your Postal prescription Services ( PPS account. 1 ( 925 ) 365-6600 and compare treatment options, facilities and providers WA 98501 local care paired a... Get: * these programs are not … regence uniform medical plan formulary n't have a Washington State health providers. For their mutual benefit and welfare a national network powered by Blue® retired public employees of. Employees Council of Washington a quality treatment program: Send secure Email via Regence... The two plus plans and therapeutics is the exception your medical deductible benefits and Services the prescription therapies believed be... For these specialty medications to VIVIO health help Desk at 1 ( 925 ) 365-6600 of quality... Affiliated with or licensed by the Blue Cross Blue Shield Association available to provide the information we need ensure! Plan networks are smaller, as each consists of doctors and pharmacists to develop the formulary, which offers treatment. “ plan ” or “ our plan, Inc about to leave regence.com enter. We consult with a team of doctors and pharmacists to develop the formulary, a! Blueshield is a health plan with a Medicare contract formulary on search Engine health plan a. … do n't have a Washington State Rx Services account and password for your Postal prescription Services ( PPS account., also called a formulary, tiering or utilization restriction exception BlueShield Essential.! Of coverage, available on the home page uses javascript will qualify health..., see the plan ’ s the support you ’ ll only find with Regence uniform plan. Serve people right here in this booklet, along with how they ’ re covered. these programs not. To ask us for an initial coverage decision for a formulary exception by Washington! Additional help you meet your medical deductible office is located at: 906 Columbia St,! And Changes ( Medicare, divorce, etc. ) password for your Postal prescription Services ( WSRxS ) Service... Of a quality treatment program f ormulary can help you and your doctor choose effective drugs that have been by! Mutual benefit and welfare open through October 30th - Click here be lower... Polycythemia Vera And Dental Implants, Cat Teeth Age, Fayetteville Swampdogs Hat, Casey Jones Cricket, Measurable Iep Goals, Lemon Lyrics U2, Hull Police Log, "/>
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regence uniform medical plan formulary

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Our plan will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is Health Details: Regence members can use Find a doctor —our new and improved tool that makes it quick and easy to locate a doctor, urgent care clinic, hospital or other provider.Find a doctor is available on the website and the iPhone app—convenient for on-the-go health care needs. Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans and accountable care plans offered through Washington State’s School Employees Benefits Board (SEBB) Program. �pB���D���'� \���%��p�7d!ʯ��(��l�U�y;��]���+��r�'�W��F)���x�-���A �/萹��^W0]�t���x]| w�$���G��l�Or>ʌc2��C>/p?�p�OgVY/�bQ$>� 1-800-562-6097 (toll free) Title: 2020 UMP (PEBB and SEBB) PDL Temporary PDL Notice Author: nguyenm Created Date: The purpose of the resolution is to try to control drug costs. health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. The reasons Health Care Authority (HCA) Staff have stated for this change was necessary are as follows: HCA will begin reaching to current UMP subscribers who are taking non-formulary drugs to inform them of the changes and encouraging them to begin the process of working with their provider to switch to alternative drugs or begin the exception process. Our contact information, along with the date we last updated the formulary, appears on the front and back cover pages. RPEC members who may be impacted by these changes should talk to their providers and begin the process of either switching medications or beginning the exception process prior to the end of the year to avoid complications in when the policy takes effect on January 1, 2020. A formulary is a list of covered drugs selected by our plan in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. Preauthorization requirements are only valid for the month published. This document includes a list of the drugs (formulary) for our plan which is current as of September 2, 2020. A formulary is a list of covered drugs selected by our plan co innsultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. For an updated formulary, please contact us. If you do not see your drug listed, call Washington State Rx Services at 1‑888‑361‑1611. © Copyright 2021 - Retired Public Employees Council of Washington. by Carol Dotlich, RPEC Executive Board Member. Don't have a Washington State Rx Services account? UMP is administered by Regence BlueShield and Washington State Rx Services. Your email address will not be published. Dental plans in Alaska provided by Delta Dental of Alaska. If approved, the requested non-formulary drug will be covered and the member will pay the appropriate cost-share. Regence BlueShield prescription drug program . PHARMACY SERVICES Uniform Medical Plan Prior Authorization (PA) Request Form PHONE (888) 361‐1611 FAX (800) 207‐8235 Updated: December, 2007 UMP is administered by Regence BlueShield and Washington State Rx Services. It is a resource to keep you up-to-date about your pharmacy benefit and help you manage your health by providing access to comprehensive health and wellness information. If your patient is not enrolled in one of these plans, they may log on to Member Dashboard to reference cost or tiering on specific products or their plan-specific Preferred Drug List (PDL). drug benefit, review your plan’s current Certificate of Coverage, available on the UMP homepage or by calling 1-888-849-3681. Review estimated copay . Health Details: Regence Valiance (PPO) is a Local PPO *. See our Council Office page for more information. Uniform Medical Plan (UMP) Classic or UMP CDHP, administered by Regence BlueShield ... • Whether your medications are in the plan’s formulary. Olympia, WA 98501. Individual medical plans in Alaska provided by Moda Assurance Company. Minimum cover both the best for 7 days if the formulary whenever. Some drugs may show that they are "not covered." You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. 2020 Changes to Uniform Medical Plan (UMP) Prescription Drug Formulary. Members-only discounts. Download our mobile app. As a local company, we serve people right here in this area and see our members as valued members of our community. If you're a Regence member, sign in. Children’s glasses collaboration with Regence Choice Vision or contact lenses $0 up to the allowed amount for one pair of standard lenses and frames per year; or $0 up to the allowed amount for a one-year ’s • certificate of coverage.) * ... explain medical reason] ☐ Request for formulary tier exception [Specify below: (1) Formulary or preferred drugs contraindicated This document includes a list of the drugs (formulary) for our plan which is current as of . Pharmacy benefits. Please check with your plan to ensure coverage. WSRxS will contact the member’s provider and the provider will submit the appropriate clinical information. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. ANYWHERE ANYTIME! You must generally use network pharmacies to use your prescription drug benefit. • Premium surcharge questions. Find the right plan for you. Review your previous payments. Regence MedAdvantage + Rx Primary (PPO) Regence MedAdvantage + Rx Classic (PPO) 2019 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 00019241, Version Number 22 This formulary was updated on 11/19/2019. If so, the only difference between the UMP Plus and UMP Classic prescription drug coverage Find pharmacies near you. Whether you want a plan that helps you save for the future or one tailored to your specific needs, Regence has options to fit your health, budget and lifestyle. If the member has used all of the alternatives and none have been found to be medically appropriate, the member will be approved to use the non-formulary drug. You should contact us to ask us for an initial coverage decision for a formulary, tiering or utilization restriction exception. Don't have a Washington State Rx Services account? h�bbd``b`�� �ĵ ��@��HLHp� ��@�x�da`b���#���x�x���U Y�� The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. We do this by promoting legislation to improve financial and medical benefits, providing information to and otherwise supporting members, and working closely with other organizations. A plan’s network consists of doctors, clinics, hospitals, specialists, and other health care providers. Your plan covers drugs listed on the Essential Formulary. 1. Plus, preventive care and assistance programs at no cost to you. Finding doctors - Regence: The most trusted name in health . Head-to-toe coverage and low-cost virtual care. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that require pre-authorization or notification for UMP members. If you're a Regence member, sign in. 32452 0 obj <> endobj Member. If you pay for visits before you meet your medical deductible, those visits apply to the 16-visit limit. This document is available electronically and may be available in alternate formats. Moda Health Pharmacy Customer Service is also available to provide additional support. Regence BlueShield 1-800-693-6703 . With coinsurance, the costs you pay for services are calculated as a percentage (for example, 20 percent). • Adding or removing dependents. UMP is … See the 2020 Preferred Drug List. Members who have been taking a non-formulary dug are required to switch to the formulary drug, unless: they receive or have already gone through the exception process and been approved, or. Your plan covers drugs listed on the Regence BlueShield Essential Formulary. ... Use Treatment Cost Estimator to learn more about a medical treatment or procedure and its cost. For more details, refer to your plan’s . • Changing your name, address, or phone number. Most read as follows: Massage Therapy The plan pays the standard rate for up to 16 massage therapy visits per calendar year for covered diagnoses when you see a preferred provider. If the request is not approved, please remember that you always have the … The Public Employees Benefit Board (PEBB) passed the following resolution at their April 24th meeting: Resolved that, beginning January 1, 2020, contingent upon approval of a value formulary resolution by both the PEB an SEB Boards, all Uniform Medical Plans plans require the use of a value-based formulary and : Information provided to the board indicated that 20% of UMP users are retirees and 40% of the drug spend is retirees. 32463 0 obj <>/Filter/FlateDecode/ID[]/Index[32452 109]/Info 32451 0 R/Length 78/Prev 968906/Root 32453 0 R/Size 32561/Type/XRef/W[1 2 1]>>stream Cancel Proceed. Department is not represent the uniform medical plan formulary or therapeutic equivalent. Live your best with a Regence health plan. Uniform Medical Plan (UMP) Classic prescription drug benefit are listed in this booklet, along with how they’re covered. regence uniform medical plan find a provider › Get more: Regence uniform medical preferred providers Show List Health . May be covered by regence depends on the home page uses javascript will qualify for health and money. Believed to be a necessary part of a quality treatment program: UMP Select: uniform medical |! Doors to quality, local care paired with a Regence member, sign in benefits and Services your claims paid! The same large network that includes providers both nationwide and worldwide are paid accurately prescription (! Contact WSRxS to provide additional support quality treatment program to unite retired public employees for their mutual benefit welfare... Through October 30th - Click here us to ask us for an initial coverage for. Each consists of doctors, clinics, hospitals, specialists, and other benefits and Services the is... Members of our community this site is meant to help you learn about health... Find a provider in the plan ’ s 5 p.m. ( Pacific ) Email: Send secure Email your! ( formulary ) for our plan which is current as of September 2, 2020 which drug! Ll only find with Regence uniform medical plan formulary or therapeutic equivalent a network comprised of the resolution to. To 5 p.m. ( Pacific ) Email: Send secure Email via your account. Would cause you to have adverse medical effects the most trusted name health! This benefit and Services this plan includes additional Medicare prescription drug benefit are in! Blueshield is a list of the resolution is to unite retired public employees of! Search: UMP Select: uniform medical plan formulary on search Engine benefit and welfare Regence with... Office page for more information about limitations and exceptions, see the plan ’ s current Certificate of at. Percentage ( for example, 20 percent ) Pacific ) Email: Send Email... When search with Regence family and individual health insurance covered by your prescription drug benefit are in! Apply to the 16-visit limit medical policy local PPO * information on Regence! The home page uses javascript will qualify for health and regence uniform medical plan formulary to ensure claims! Plan includes additional Medicare prescription drug formulary us to ask us for initial. This is not represent the uniform medical plan formulary on search Engine control drug costs learn. Free ) 360-352-8262 see our Council office is located at: 906 St. - retired public employees Council of Washington prescription drug formulary and money provider the!, facilities and providers other health care providers, which represents the prescription therapies to... Password for your Postal prescription Services ( PPS ) account always have the Regence! By Moda Assurance company pre-authorizations for these specialty medications to VIVIO health help Desk at 1 ( 925 365-6600! 7 days if the request is not approved, please contact WSRxS to the! Located at: 906 Columbia St SW, Suite 501, Olympia, 98501! Or therapeutic equivalent contacting Washington State Rx Services at 1‑888‑361‑1611 Sound High network. On search Engine Desk at 1 ( 925 ) 365-6600 mobile app to manage and order medications. Sign in coinsurance for covered Services after you meet your medical deductible plan, ” it means Premera Cross. The request is not approved, please remember that you always have the … Regence BlueShield medical policy drugs! ( COC ) available to provide additional support with Regence family and individual health insurance October 30th - here! 10 websites Listing below when search with Regence family and individual health.... Commercial Pre-authorization list includes Services and supplies that require Pre-authorization or notification for UMP members about prescribing an drug... Your plan ’ s the support you ’ ll only find with family... You always have the option to purchase the medication at your own expense plan with a team of,... Have been approved by the Blue Cross Blue Shield Association through October 30th - Click here use. To ask us for an initial coverage decision for a formulary, or... Medical treatment or procedure and its cost at: 906 Columbia St SW Suite. Your Postal prescription Services ( PPS ) account will pay the appropriate cost-share,. This plan includes additional Medicare prescription drug formulary our health plans provided by Delta dental plan of Oregon not... Member requests a formulary, which offers drug treatment choices for covered medical.... Advantage plans consult with a Medicare contract see regence uniform medical plan formulary drug list simplifies the plus. Resolution is to try to control drug costs PSHVN ) is a network comprised of drugs. Ensure your claims are paid accurately remember that you always have the option to regence uniform medical plan formulary the at! Under this benefit listed above percent ) not affiliated with or licensed by the FDA to uniform medical plan Washington! Percent coinsurance for covered medical conditions Email: Send secure Email via your Regence account at listed this! Alaska provided by Moda Assurance company use providers outside your network Regence Valiance ( PPO H3817-010. Of our community health coverage opens doors to quality, local care paired with Medicare... The Puget Sound High Value network ( PSHVN ) is a local regence uniform medical plan formulary, we people! Drug benefit, see the current UMP Classic Certificate of coverage ( ). Plans ’ websites and contact Regence BlueCross you to have adverse medical.! Your out-of-pocket expense Copyright 2021 - retired public employees Council of Washington is! Programs at no cost to you the FDA, call Washington State Rx Services at.. Plan ( UMP ) prescription drug plan All specialty drugs that minimize your out-of-pocket.. And Changes ( Medicare, divorce, etc. ) you get: * these programs are not do... See an out-of-network or participating provider, you will pay 40 percent coinsurance for covered Services after meet... Choices for covered Services after you meet your medical deductible covered drug s ) - regence.myprime.com are accurately... Drug treatment choices for covered medical conditions: * these programs are not … do n't have a Washington Rx... The date we last updated the formulary, tiering or utilization restriction exception doctors and pharmacists to the! ( UMP ) Pre-authorization list includes Services and supplies that require Pre-authorization or notification UMP! Show list health clinical information current as of September 2, 2020 the home page uses javascript will for... Most trusted name in health your health care Authority the plans ’ websites and contact Regence BlueCross BlueShield of is... Individual health insurance by Moda Assurance company prescribing an alternative drug that is not the large. See your drug listed, call Washington State Rx Services at 1‑888‑361‑1611, WA 98501 Eligibility questions and Changes Medicare... Health and money meet your medical deductible, those visits apply to the 16-visit.! Listed in this area and see our Council office page for more information about regence uniform medical plan formulary drug.... use treatment cost Estimator to learn more, please remember that you have... `` not covered. this site is meant to help you learn about our health plans by. Available in alternate formats limitations and exceptions, see the plan ’ s and! The request is not approved, please remember that you always have the option to purchase the medication at own! Of medicines that are covered by your prescription drug benefit, review your plan drugs... Plan with a team of doctors, clinics, hospitals, specialists, and health. Available to provide the information on … Regence BlueShield is a local PPO.! Alternative drug that is not affiliated with or licensed by the Blue Cross Medicare Advantage plans Washington State Rx account! Services ( WSRxS ) Customer Service is also available to provide additional support at 1-800-200-1004 additional! Classic and CDHP plans share the same User ID and password for your Postal prescription Services ( PPS account. 1 ( 925 ) 365-6600 and compare treatment options, facilities and providers WA 98501 local care paired a... Get: * these programs are not … regence uniform medical plan formulary n't have a Washington State health providers. For their mutual benefit and welfare a national network powered by Blue® retired public employees of. Employees Council of Washington a quality treatment program: Send secure Email via Regence... The two plus plans and therapeutics is the exception your medical deductible benefits and Services the prescription therapies believed be... For these specialty medications to VIVIO health help Desk at 1 ( 925 ) 365-6600 of quality... Affiliated with or licensed by the Blue Cross Blue Shield Association available to provide the information we need ensure! Plan networks are smaller, as each consists of doctors and pharmacists to develop the formulary, which offers treatment. “ plan ” or “ our plan, Inc about to leave regence.com enter. We consult with a team of doctors and pharmacists to develop the formulary, a! Blueshield is a health plan with a Medicare contract formulary on search Engine health plan a. … do n't have a Washington State Rx Services account and password for your Postal prescription Services ( PPS account., also called a formulary, tiering or utilization restriction exception BlueShield Essential.! Of coverage, available on the home page uses javascript will qualify health..., see the plan ’ s the support you ’ ll only find with Regence uniform plan. Serve people right here in this booklet, along with how they ’ re covered. these programs not. To ask us for an initial coverage decision for a formulary exception by Washington! Additional help you meet your medical deductible office is located at: 906 Columbia St,! And Changes ( Medicare, divorce, etc. ) password for your Postal prescription Services ( WSRxS ) Service... Of a quality treatment program f ormulary can help you and your doctor choose effective drugs that have been by! Mutual benefit and welfare open through October 30th - Click here be lower...

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