The plan pays for covered services only when medically necessary and performed by covered provider types working within the scope of their license(s). If you have UMP Achieve 1, UMP Achieve 2, or UMP High Deductible, all preferred and participating providers are covered provider types.
If you have UMP Plus, all providers in the core network and support network are covered provider types.
If you see a provider who is not a covered provider type, such as a Licensed Athletic Trainer, the plan will not pay for any of the services received, and you will pay for all charges. Payments made to a noncovered provider type will not count toward your medical deductible or medical out-of-pocket limit.
Provider specialty type code
Provider specialty type name
Advanced registered nurse practitioner
Licensed behavior analyst
Licensed genetics counselor
Certified nurse midwife
Certified registered nurse anesthetist
DDS or DMD
East Asian medicine practitioner
Licensed clinical social worker
Licensed marriage and family therapist
Licensed mental health counselor
Licensed massage therapist
Licensed physician assistant/physician assistant certified
PhD, PsyD, EdD
Speech language pathologist