Manage Your Plan
Part of our commitment to you is making it as easy as possible to manage your benefits.
Member Portal
Our member portal offers instant access to your claim information, a provider directory, out-of-pocket expenses, and more. It’s easy to use, easy to locate the information you need, and most importantly, available whenever you need to access information about your UM Health Plan coverage.
- View detailed claim information, including any copays, deductible, and coinsurance amounts
- View benefit coverage & drug determination policies
- Order ID cards and print a temporary card
- Track your deductible and out-of-pocket expenses through easy to read and understand graphs
- Download and print your out-of-pocket expenses onto a spreadsheet for tax reporting purposes
- Find providers in your area by specialty or location
- Create and print your own personalized provider directory
Click here to visit the Member Portal
Member Reference Desk (MRD)
The Member Reference Desk is a helpful resource for your basic benefit information. It offers, in PDF form, such information as: benefit summaries, the member handbook, certificates of coverage, advance directives, privacy statements, pharmacy mail order forms, prescription drug lists and provider directory information.
Click here to visit the Member Reference Desk
Medical Resource Management (MRM)
MRM is a highly structured and clinically intense set of processes that facilitate your access to health care resources, decrease your “hassle” factor and improve your overall health care experience.
What Does MRM Do?
As part of MRM, clinical staff will:
- Review members’ care while they’re in the hospital to make sure they’re getting the right care at the right time
- Help members with care after they are released from the hospital
- Assist members with complex care management
- Assist members with transplant services
- Facilitate disease management programs
MRM Team
Our MRM team strives to ensure that you receive quality care, can navigate through the health care system and avoid unnecessary out-of-pocket costs. We define quality care as the right care at the right time in the right setting. Many MRM functions revolve around monitoring the quality of your care. Some of our members may benefit from having a case manager. A case manager is a trained professional who will help you navigate the health care system and obtain needed care and services. The case manager will work closely with you and your doctor to help you optimize your health and understand your conditions. For more information about any of these services or tools, call customer service at the number listed on the back of your member ID card.
The Medical Resource Management Approach
- Care delivered in most appropriate setting
- Reduce delays in access to tests and procedures
- Plan appropriately for discharge
- Post-hospital discharge for targeted diagnosis
- Coordinate access to specialists
- Educate about medical conditions and medications
- Offer self-help tools and disease-specific education
- Assist with follow-up for clinical care, providers' orders, post-hospital appointments
- Provide support with supplies, equipment and community resources
- Address gaps in care
- Provide access to specialists
- Educate about medications and disease process
- Offer self-help tools and information on disease process
- Assist with follow-up for clinical care, specialty physicians, medications and diagnostic testing
- Provide support with supplies, equipment and community resources
- Click here for a Case Management Referral Form
- Care delivered in most appropriate setting by designated transplant network
- Assist with discharge planning
- Assist with follow-up for clinical care, physician appointments, required post-transplant-related care
