ALERT! Medical emergencies treated at a non-network hospital will be paid at the network rate. You may be billed for any difference between the provider's billed charges and the allowed amount.

Facility charges for emergency room treatment are covered for diagnosis and treatment of an injury or illness covered by the plan. You must pay a $75 copay for each emergency room visit, in addition to any amount owed toward your medical deductible.

Charges for professional services (provided by doctors and other provider types) may be billed separately from facility (hospital or emergency room) charges. The plan pays these professional services based on the provider’s network status, payment rules, and services provided.

If you are admitted to the hospital directly from the emergency room,  the $75 emergency room copay will be waived. However, you must pay the inpatient hospital copay.

If your emergency room visit is not the result of a medical emergency, the plan will not pay for emergency services.

ALERT! Contact Customer Service at 1-800-762-6004 if you are admitted directly to a non-network hospital from the emergency room. Depending on circumstances, UMP may pay more.