TIP: UMP covers durable medical equipment (DME) at the network benefit rate only if you get the equipment or supply from a UMP network DME supplier or other network medical provider. Check UMP's online directory for network DME suppliers, or call Customer Service at 1-800-762-6004. Many network pharmacies are not contracted as network DME suppliers.

You must receive preauthorization from UMP for durable medical equipment rentals of more than three months, and rentals or purchases over $1,000 (except for TENS Units, which must always be preauthorized).

UMP does not cover equipment that costs more than less-costly equipment that serves the same medical purpose. To ensure coverage of any equipment or supplies, you may request preauthorization for durable medical equipment items.

The durable medical equipment benefit covers services and supplies that are prescribed by an approved provider type, medically necessary, and used to treat a covered condition, including:

• Artificial limbs or eyes (including implant lenses prescribed by a physician and required as a result of cataract surgery or to replace a missing portion of the eye).
• Breast prostheses and bras as required by mastectomy, including replacements as needed due to normal wear, a change in your medical condition, or additional surgery (see "Mastectomy and Breast Reconstruction").
• Breast pumps, but only for a medical condition of the mother or baby.
• Casts, splints, crutches, trusses, and braces.
• Continuous Positive Airway Pressure (CPAP) devices.
• Insulin pumps and related pump supplies.
• Ostomy supplies.
• Oxygen and rental equipment for its administration.
• Penile prosthesis when other accepted treatment has been unsuccessful and the impotence is:
  • Caused by a covered medical condition (not psychological).
  • A complication directly resulting from a covered surgery.
  • A result of an injury to the genitalia or spinal cord.
• Phenylketonuria (PKU) formulas, but only when prescribed by a network provider for patients diagnosed with PKU.
• Rental or purchase (at UMP's option) of durable medical equipment such as wheelchairs, hospital beds, and respiratory equipment. (The combined rental fees cannot exceed full purchase price.)
• TENS (Transcutaneous Electrical Nerve Stimulation) Units (must always be preauthorized).
• Wig or hairpiece to replace hair lost due to radiation therapy or chemotherapy for a covered condition, up to a lifetime maximum of $100. Other wigs and hairpieces are not covered.

Note: UMP does not cover replacement of lost, stolen, or damaged durable medical equipment.