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Question/Topic
How does UMP cover surgery?
Answer/Article
ALERT! Even if your doctor is in the UMP network, the facility or other providers such as anesthesiologists might not be. Make sure you confirm that all of the providers who will participate in your care and the facility are in UMP’s network before you receive services. Non-network providers and facilities can bill you for all charges not paid by UMP, while network providers and facilities agree to accept the payment amounts negotiated by UMP, resulting in significant savings for you.
The plan covers the following services as outpatient:
Outpatient surgery at a hospital.
Surgery and procedures performed at an ambulatory surgery center. Note: Only certain procedures are covered at ambulatory surgery centers.
Short-stay obstetric (childbirth) services (released within 24 hours of admission).
The Certificate of Coverage (COC) is the source of coverage provisions offered under UMP. If information given here is inconsistent with the UMP COC, the rules in the COC will apply. Also, the COC may have additional information on this subject.
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