Accidental injuries To receive coverage for repair of an accidental injury to natural teeth, the injury must be evaluated, and a treatment plan developed and finalized within 30 days of the injury. The actual treatment may extend beyond 30 days if your provider determines upon the initial assessment that treatment should start later or continue longer. Treatment must be completed by the end of the calendar year following the accident. The plan does not cover treatment after UMP coverage ends. Example: You have an accident on March 12, 2024, resulting in injuries that are covered by the plan. Your treatment plan must be finalized no later than April 11, 2024. All related treatment must be completed by December 31, 2025 (the calendar year following the accident). The plan does not cover treatment that: • Was not included in the treatment plan developed within the first 30 days following the accident; • Extends past the end of the calendar year following the accident; or • Extends past the end of your enrollment in the plan. Diabetes care supplies TIP: If a health plan other than UMP is your primary payer, claims for diabetes care supplies may be paid differently (see page 125). Medical FOR MEDICARE RETIREES: When Medicare is primary, UMP covers continuous glucose monitors, lancets, and test strips under your medical benefit. Insulin pumps and pump supplies are covered as durable medical equipment (DME). See page 49 for coverage of insulin pumps and related supplies. Prescription drug FOR MEDICARE RETIREES: If Medicare is your primary health coverage, see “Diabetes care supplies when Medicare pays first” on page 129 for information on how claims for diabetes care supplies are processed. UMP covers lancets, test strips and continuous glucose monitors under your medical benefit. Diabetes care supplies listed below are only covered under your plan’s prescription drug benefit according to the tier shown on the UMP Preferred Drug List (see “The UMP Preferred Drug List” section for more information): • Insulin syringes • Lancets • Test strips 2024 UMP Classic (PEBB) Certificate of Coverage 45