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Question/Topic
How does UMP cover diagnostic tests, laboratory services, and X-rays?
Answer/Article

This benefit covers tests that are appropriate for your diagnosis or symptoms reported by the ordering provider and must be medically necessary as defined by UMP. If there are alternative diagnostic approaches with different fees, the plan will cover the least expensive, evidence-based diagnostic method. See the list of services requiring preauthorization. Covered services include:

  • Diagnostic laboratory tests, X-rays (including diagnostic mammograms), and other imaging studies
  • Electrocardiograms (EKG, ECG).
  • Prostate cancer screening as recommended by your provider.
  • Skin allergy testing.

FOR MORE INFORMATION: See "How does UMP cover mammograms?" and "How does UMP cover genetic counseling and testing?"

Tests Not Covered

The plan does not pay for the following tests (this does not list all tests not covered by the plan):

  • Allergy testing through blood or blood products.
  • Carotid Intima Media Thickness testing.
  • Computed Tomographic Colonography (CTC). Also called a virtual colonoscopy.
  • Electron Beam Tomography (EBT), self-referred or prescribed by your provider.
  • Upright Magnetic Resonance Imaging (uMRI): Also known as "positional," "weight-bearing" (partial or full), or "axial loading."

If a test is not listed above, call Customer Service at 1-800-762-6004 or send us a secure online message to ask about coverage.


Related Links
KBID 846
Date Modified 1/7/2010
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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