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Question/Topic
How does UMP cover chemical dependency treatment?
Answer/Article

UMP covers inpatient and outpatient chemical dependency treatment and supporting services, up to $14,500 every 24 consecutive calendar months (limit effective 1/1/09). Chemical dependency is defined as an illness characterized by a physiological or psychological dependency on a controlled substance or alcohol. Chemical dependency does not include dependence on tobacco, caffeine, or food. Covered expenses include:

  • Inpatient prescription drugs prescribed in connection with chemical dependency treatment.
  • Inpatient treatment at a hospital or substance abuse treatment facility.
  • Outpatient substance abuse diagnosis and treatment.

Medically necessary detoxification is covered as a medical emergency. Unless you are enrolled in a formal chemical dependency program when you receive detoxification services, costs for emergency detoxification do not count toward your $14,500 chemical dependency maximum plan payment.

Important:  This information is effective through Dec. 31, 2009. See the changes for 2010.


Related Items
UMP definition: "chemical dependency"
KBID 843
Date Modified 10/5/2009
Date Created 10/7/2008

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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