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Uniform Medical Plan (UMP) - Washington

    https://www.hca.wa.gov/about-hca/programs-and-initiatives/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 Benefits Board (PEBB) Program and the School Employees Benefits Board (SEBB) Program.UMP is administered by Regence BlueShield and Washington State Rx Services.

Uniform Medical Plan Pre-authorization List - Regence

    https://www.regence.com/provider/pre-authorization/ump
    Under state law, the Uniform Medical Plans (UMP Achieve 1, UMP Achieve 2, UMP Classic, UMP Select, UMP CDHP, UMP High Deductible, UMP Plus – Puget Sound High …

Uniform Medical Plan - Regence

    https://www.regence.com/provider/products/large-groups-administrators/ump
    DispatchHealth is a health care delivery service designed to reduce emergency room visits for non-emergencies and ensure patients with acute health care needs receive care in a …

Uniform Medical Plan coverage limits

    https://www.dev.hca.wa.gov/sites/default/files/pebb/regence-ump-preauthreqs-surgery.pdf
    The Uniform Medical Plan (UMP) Pre-authorization List includes services and supplies that ... Bariatric Surgery Regence Medical Policy Sur58 UMP is subject to HTCC decision : …

UMP Achieve 2 - Understanding medical and Rx …

    https://ump.regence.com/sebb/benefits/understanding-coverage/achieve-2
    The medical deductible amount is $250 per member, with a maximum of $750 per family. When you first get services, you pay the first $250 in charges. After you pay that first …

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 …

Bariatric surgery - Mayo Clinic

    https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258
    Gastric bypass surgery: Gastric bypass and other weight-loss surgeries make changes to your digestive system to help you lose weight by limiting how much you can eat or by …

Centers of Excellence | Washington State Health Care …

    https://www.hca.wa.gov/about-hca/programs-and-initiatives/uniform-medical-plan-ump/centers-excellence
    The Centers of Excellence (COE) Program offers knee and hip replacement surgery and spine care for low to no cost to qualifying Uniform Medical Plan (UMP) members. …

Bariatric Surgery – Community Plan Medical Policy

    https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medicaid-comm-plan/bariatric-surgery-cs.pdf
    exercise specialist and support groups [American Society for Metabolic and Bariatric Surgery (ASMBS) textbook of bariatric surgery]. Obstructive Sleep Apnea (OSA): The …

Prior Approval (PA) Criteria For Surgical Procedures

    https://eohhs.ri.gov/ProvidersPartners/ProviderManualsGuidelines/MedicaidProviderManual/Physician/PriorApprovalCriteriaforSurgicalProcedures.aspx
    Bariatric Surgery. Bariatric surgery is performed for long term weight management in individuals diagnosed with severe or morbid obesity. Two categories of …



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