Article III - Benefits
Skip Ribbon Commands
Skip to main content
Navigate Up
Sign In

UMWA Health and Retirement Funds

Article III - Benefits

A. HEALTH BENEFITS
(3) PHYSICIANS’ SERVICES AND OTHER PRIMARY CARE
 
· Allergy desensitization therapy, 320
 
· Allergy testing, 81‑591
 
     ‑‑malignant hyperthermia, 88‑116
     ‑‑nurse anesthetist, 88‑395
     ‑‑preoperative evaluation, 84‑583, 88‑276
 
· Artificial fertilization, 84‑241
 
· Assistant surgeon’s fee, 159, 167, 81‑563, 88‑260, 88‑276, 88‑412, 93‑067
     ‑‑medical necessity, 88‑043, 88‑106, 88‑449, 93‑067
 
· Athletic trainer, 88‑242
 
· Attention Deficit Disorder (ADD), 93‑052
 
· Birth control‑Norplant, 88‑627
 
· Blood pressure monitoring, 88‑630, 88‑466
 
· Cardiac rehabilitation, 81‑406, 81‑410, 81‑415, 88‑269
 
· Charges for writing a prescription, 84‑224
 
· Chelation therapy, 84‑712, 88‑128, 88‑729, 02-018
 
· Chemotherapy, 187, 88‑154, 88‑256, 88‑321
 
     ‑‑x‑rays, 109
 
· Cleft palate surgery, 84‑312, 88‑002, 88‑355
 
· Contact lenses after cataract surgery, 84‑282
 
 
· Dermatology services
     ‑‑alopecia areata, 88‑008
 
· Dyslexia, 93‑068
 
· Examinations for cancer, 84‑639
     ‑‑Magnetic Resonance Imaging (MRI), 88‑117
     ‑‑PET Scans, 02-04607-000807-015 
 
· Emergency room physician’s charges
‑‑acute medical symptoms, 88‑236, 88‑435
‑‑forty‑eight (48) hour limitations on benefits, 81, 85, 81‑048, 84‑617, 07-0063
 
· Eye care services, 88‑012
 
 
· Impacted wisdom teeth, 23, 30, 81‑038, 81‑136
 
· Incidental surgery, 129, 81‑156, 84‑436, 88‑070
     ‑‑tubal ligation, 81‑656
 
· In‑hospital visits, 61, 81‑085, 81‑447
 
· Injured during criminal activity, 202
 
· Intravenous antibiotic therapy, 88‑028
 
· In vitro fertilization, 88-685
 
· Laboratory tests, 81‑175, 84‑224, 84‑280
     ‑‑blood typing, 84‑581
     ‑‑chromatography, 93‑046
     ‑‑dental in nature, 88‑311
     ‑‑histocompatibility testing, 88‑063
     ‑‑immunoassay, 93‑046
     ‑‑muscle biopsy, 88‑116
     ‑‑visual field testing, 84‑628
 
 
· Light box, 88‑652
 
· Mammogram, CA‑035
 
· Mastectomy, 88‑637, 88‑815
 
· Medical consultation, 84‑583
 
 
· Nasal surgery, 84‑424, 88‑280, 88‑388, 88‑66807-0057 
 
· Naturopathic services, 295
 
· Obesity treatment‑nonsurgical, 104, 81‑238, 81‑476, 88‑313
 
· Obstetrical charges
     ‑‑anesthesia, 25
     ‑‑delivery services, 81‑301
     ‑‑excessive fee, 29, 84‑149
     ‑‑pregnancy discrimination act, 73, 84, 171
 
· Office visits, 84‑224
     ‑‑medical necessity, 84‑268, 88‑482
 
     ‑‑bone grafts, 84‑559, 88‑201, 88‑303, CA‑007
     ‑‑extensive noncovered procedures, 81‑672, 84‑411, 88‑061, 88‑621, 88‑60802-041
     ‑‑mandibular augmentation, 81‑655, 84‑332, 84‑362, 84‑396, 84‑418, 88‑227, 88‑274, 88‑303, 93‑075
     ‑‑mandibular bone stapling, 88‑227
     ‑‑part of treatment of covered illness, 187, 201, 282, 84‑312, 84‑603, 84‑697, 88‑35502-041
     ‑‑sinus condition, 93‑091
     ‑‑whether required as the direct result of an accident, 94, 105, 240, 81‑031, 81‑385, 81‑453, 84‑086, 84‑381, 88‑122, 93‑102, 11-0135
     ‑‑sleep apnea, in connection with, 88‑356
     ‑‑teeth extractions, 17, 23, 129, 84‑603, 84‑666, 84‑697, 88‑288, 88‑298, 88‑308, 88‑323, 93‑013, 93‑083, 93‑08607-0006 
     ‑‑tumors of the jaw, 213, 84‑697, 88‑541, 88‑489, 88‑859
     ‑‑vestibuloplasty, 81‑056, 81‑075, 88‑303
 
· Organ transplant, 84-657, 81-404, 81-19
 
 
· Osteopathic physicians, 88‑126
 
· Periodontal disease, 76, 91, 81‑244
 
· Physical therapy, 81‑334, 88‑448, 93-047CA-082 
     ‑‑ultrasound therapy, 81‑358
 
 
· Podiatrist services, 81‑337, 81‑432, 81‑455, 84‑081, 88‑760
     ‑‑assistant surgeon, 159
     ‑‑minor surgery, 81‑337, 84‑296, 88‑816
     ‑‑noncovered routine care, 84‑079
 
· Polysomnography testing, 88‑655
 
· Pregnancy, termination, 84‑149
 
· Pulmonary impairment, 84‑059, 84‑284
 
· Radial keratotomy, 84‑222, 84‑408, 88‑579, 88‑723, 93‑061
 
· Specialist care, 67, 320, 84‑496
     ‑‑optometrist care, 88‑012
 
· Surgical benefits, 84‑242, 88‑002
     ‑‑percutaneous diskectomy, 88‑036
     ‑‑radiofrequency sympathectomy, 88‑566
 
· Surgical services limitations
     ‑‑blepharoplasty, 84‑242, 84‑348
     ‑‑collagen injections, 88‑209
     ‑‑cosmetic surgery, 318, 81‑310, 81‑733, 84‑348, 84‑424, 88‑114, 88‑209, 88‑263, 88‑280,
     ‑‑incidental concurrent surgery, 81‑156, 84‑436, 88‑070
     ‑‑mammoplasty, 318, 81‑551, 88‑263, 88‑402, 88‑420, 98-026
     ‑‑organ transplant, 81‑404, 84‑657, 88‑364
     ‑‑plastic surgery, 318, 84‑510, 88‑209, 88‑361, 88‑402, 88‑637, 88‑815
     ‑‑prosthesis for cleft palate, 88‑002
     ‑‑reconstructive surgery, 84‑350, 84‑510, 88‑637, 88‑815
     ‑‑treatment of obesity, 138, 168, 175, 296, 81‑134, 81‑212, 84‑071, 84‑247, 84‑254, 84‑363, 84‑383, 84‑434, 84‑633, 02-034
 
· Varicose veins, 88‑604, 88‑826, 07-0023
 
· Vision testing, 88‑675