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Regence answers FAQs: no referrals required, telemedicine covered, and how UMP coordinates benefits

Health Care Authority webinar (UMP plus — Puget Sound High Value Network) · November 4, 2024
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Regence representatives said referrals are not required on any UMP plans, telemedicine is covered and Advise24 nurse support is available 24/7, and they explained how UMP pays when it is the secondary insurer with two illustrative payment examples.

Ashley Litt said referrals are not required on any UMP plans: “No. Referrals are not required on any of the UMP plans.” She also reminded members that telemedicine visits are covered under all UMP plans and that Advise24 is available 24/7 to UMP Plus PSHVN members at no cost.

Litt explained coordination-of-benefits in examples: if a primary insurance pays $100 and UMP would have paid $100, UMP pays nothing; if the primary pays $80 and UMP would have paid $100, UMP pays $20. She noted that members should use the provider-search tools on the UMP or Regence websites to confirm network participation and potential cost shares.