Does UMR Insurance Cover Rehab Treatment?
UMR is not an insurance company but a third-party administrator (TPA). It does not directly offer coverage for substance abuse treatment programs like alcohol rehab or drug rehab. However, UMR collaborates with UnitedHealthcare and other partners to expand behavioral health services available to members, which may include addiction treatment services. Individuals should review their specific health insurance plan details to understand what coverage is provided for inpatient, outpatient, residential, or medication-assisted treatment programs related to substance use disorders and mental health disorders.
Covered Addiction Treatment Services
Depending on the UMR insurance plan, coverage may be provided for various addiction treatment services and mental health services, such as:
- Inpatient rehab programs for drug and alcohol rehab
- Residential treatment facilities for substance abuse treatment
- Outpatient programs for mental health treatment
- Individual counseling or therapy for behavioral health
- Group therapy sessions for substance use disorders
- Family therapy for addiction treatment and mental health concerns
- Medication management for mental health disorders
- Treatment for co-occurring mental health disorders
Verifying Coverage
To determine what addiction treatment services and mental health treatment coverage are available under a specific UMR insurance plan, members should consult their summary plan description or contact UMR directly. Coverage depends on factors like the type of treatment, facility, and individual circumstances. It’s important to verify if a treatment provider is in-network or out-of-network and if prior authorization is required for mental health services.
