AI Content Chat (Beta) logo

Mastectomy and breast reconstruction ALERT! See page 51 for coverage of breast reconstruction or mastectomy services related to gender affirming care. You pay the standard rate for a mastectomy as treatment for disease, illness, or injury, as well as: • Physical complications of all stages of a mastectomy. • Prostheses. • Reconstruction of the breast on which the mastectomy was performed. • Surgery and reconstruction of the other breast to produce a symmetrical appearance. Mental health See the “Behavioral health” benefit. Naturopathic physician services While naturopaths are a covered provider type, naturopaths may recommend services that the plan does not cover. You will pay all costs for excluded and non-medically necessary services, even if your naturopathic physician recommends or prescribes them (see the “Medically necessary or medical necessity” definition for more information). The plan does not cover herbal, homeopathic, or other dietary supplements (including vitamins and minerals, except as described on page 89), even if a covered provider type prescribes them. Nurse line UMP members have access to Advice24 Nurse Triage. Registered nurses are available by phone 24 hours a day, 7 days a week at no cost to you. Registered nurses provide immediate symptom assessment, health information, and advice. They can help you decide if you need to go to the emergency room, see a doctor either virtually or in-person, or care for your symptoms at home. UMP members can call the nurse line at 1-877-375-2599 (TRS: 711). Nutrition counseling and therapy TIP: See the “Diabetes education” benefit for how these services are covered for members with diabetes. The plan covers up to 12 visits per lifetime for nutrition counseling and therapy services. Similar services may be covered under other benefits that are not subject to the 12-visit limit, including, but not limited to, the “Diabetes Control Program,” “Diabetes education,” and the “Diabetes Prevention Program.” Obstetric and newborn care Pregnancy program As an expectant parent, the program helps you manage your health throughout pregnancy and offers access to a nurse line, pregnancy support, and education 24 hours a day, 7 days a week. It also includes a smartphone application to help you track milestones, identify symptoms, access education, and get one- 2024 UMP Select (PEBB) Certificate of Coverage 61

UMP Select COC (2024) - Page 62 UMP Select COC (2024) Page 61 Page 63