Ambulance ................................................................................................................................................................................. 39 Applied Behavior Analysis (ABA) Therapy ................................................................................................................... 40 Autism treatment .................................................................................................................................................................... 40 Bariatric surgery ....................................................................................................................................................................... 41 Behavioral health .................................................................................................................................................................... 41 Breast health screening tests ............................................................................................................................................. 44 Care Gap Closure Program ................................................................................................................................................. 44 Care management .................................................................................................................................................................. 44 Chiropractic physician services ......................................................................................................................................... 45 Dental services.......................................................................................................................................................................... 45 Diabetes care supplies .......................................................................................................................................................... 46 Diabetes Control Program .................................................................................................................................................. 47 Diabetes education ................................................................................................................................................................ 47 Diabetes Prevention Program (DPP) .............................................................................................................................. 47 Diagnostic tests, laboratory, and x-rays ....................................................................................................................... 48 Dialysis ......................................................................................................................................................................................... 48 Durable medical equipment (DME), supplies, and prostheses........................................................................... 48 Emergency room ..................................................................................................................................................................... 51 End-of-life counseling .......................................................................................................................................................... 51 Family planning services ...................................................................................................................................................... 51 Foot care, maintenance ........................................................................................................................................................ 52 Gender affirming care ........................................................................................................................................................... 52 Genetic services ....................................................................................................................................................................... 53 Headaches, chronic migraine or chronic tension type ........................................................................................... 53 Hearing care (diseases and disorders of the ear) ..................................................................................................... 53 Home health care .................................................................................................................................................................... 54 Hospice care .............................................................................................................................................................................. 55 Hospital services ...................................................................................................................................................................... 56 Infusion drug site of care program ................................................................................................................................. 57 Joint replacement surgery, knees and hips in the Centers of Excellence (COE) Program ..................... 58 Knee arthroplasty, total ........................................................................................................................................................ 60 Mammogram and Digital Breast Tomosynthesis (DBT) ........................................................................................ 61 Massage therapy ..................................................................................................................................................................... 61 Mastectomy and breast reconstruction ........................................................................................................................ 62 Mental health ............................................................................................................................................................................ 62 Naturopathic physician services ....................................................................................................................................... 62 Nurse line .................................................................................................................................................................................... 62 2024 UMP CDHP (PEBB) Certificate of Coverage 9