|
Important: This information is effective through Dec. 31, 2009. See the changes to coinsurance, medical deductible, and out-of-pocket limit for 2010.
UMP covers professional and facility services necessary to perform dialysis when prescribed by an approved provider type.
For dialysis performed in a hospital or skilled nursing facility, UMP's payment is based on whether the hospital or skilled nursing facility is network or non-network (UMP pays 90% of the allowed amount for network and 60% of the allowed amount for non-network).
UMP pays independent dialysis facilities (not located in a hospital) at 80% of the UMP allowed amount.
|