Medical policies

Clinical policies


You or your provider must request and receive approval from the plan before some medical services will be covered.

Find out how preauthorization works or visit the Employee and Retiree Benefits forms and publications page to find a list of services requiring preauthorization.

To learn more about preauthorization for medical services, you can also read the "Limits on plan coverage" section in your plan's certificate of coverage.

To learn more about preauthorization for an exception to the Tier 3 drug cost-share, UMP Classic and UMP Plus members can read the "How much will I pay for prescription drugs?" section in their plan's certificate of coverage.

Additional resources