Verifying medical coverage for an employee is actually easy with your UMR online services. Eligibility and benefits information is at your fingertips.


Eligibility Information
With our Online Eligibility Inquiry, you are able to see the following information:

• Group name and number
• Location
• Employee name
• Employee ID number
• Date-of-birth
• Gender
• Address, phone and E-mail (if available)
• Relationship to employee
• Marital status
• Coverages (including benefit, effective date, termination date, and coverage type)

Benefits Information
You can also access specific benefit information for each member. Since we customize the pages for each of our clients, you will see benefit detail for only those services that apply to you.

For medical benefits you can view:

• Provider network
• Copays for office visits, urgent care, emergency, and hospital admission
• Major medical benefits including individual lifetime maximum, individual and family deductibles, benefit level, individual and family out-of-pocket maximums
• Routine/wellness benefits
• Therapy benefits Mental, alcohol, and drug benefits

For dental benefits, you can view:

• Limits for specific services including frequency, age limits, and special limits
• Preventive and diagnostic deductibles

For deductibles, you can view:

• Both in- and out-of-network deductible status
• Shown by family member

Additional Information
For quick reference, you also have access to the following:

• Submission/Pre-certification requirements
• Other plan requirements
• Dental benefit claim filing instructions
• Pharmacy benefit information
• Glossary of terms