You must receive preauthorization from UMP for organ transplants. This benefit covers services related to organ transplants (bone marrow and stem cells are considered organs for purposes of this benefit), including professional and facility fees for inpatient accommodation, diagnostic tests and exams, surgery, and follow-up care. UMP covers direct costs for bone marrow, stem cell, and umbilical cord donor searches. UMP also covers donor expenses as defined below. UMP may cover related services such as outpatient prescription drugs, and outpatient laboratory and X-rays under UMP benefits specific to those services.

Transplants must be performed in a plan-designated facility. In addition, the treating facility’s transplant program must accept you, and you must follow that program’s protocol.

UMP covers the costs to remove the donor’s organ and treat complications directly resulting from the donor’s surgery if the:

• Donor is not eligible for coverage under any other health care plan or government-funded program.
• Organ recipient is enrolled in UMP.
• Organ transplant meets the above coverage criteria.