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 |
---|---|
ARNP | Advanced registered nurse practitioner |
AUD | Audiologist |
BCBA | Licensed behavior analyst |
CGC | Licensed genetics counselor |
CN | Certified nutritionist |
CNM | Certified nurse midwife |
CRNA | Certified registered nurse anesthetist |
DC | Chiropractic physician |
DDS or DMD | Dentist |
DO | Osteopathic physician |
DPM | Podiatric physician |
EAMP | East Asian medicine practitioner |
LAC | Acupuncturist |
LCSW | Licensed clinical social worker |
LM | Licensed midwife |
LMFT | Licensed marriage and family therapist |
LMHC | Licensed mental health counselor |
LMT | Licensed massage therapist |
MD/DO | Physician |
ND | Naturopathic physician |
OD | Optometrist |
OT | Occupational therapist |
PA | Licensed physician assistant/physician assistant certified |
PharmD | Pharmacist |
PhD, PsyD, EdD | Psychologist |
PT | Physical therapist |
RD | Registered dietitian |
SLP | Speech language pathologist |