Call Us Message Us

UMR Coverage for Mental Health Therapy Treatment in Florida

The Sylvia Brafman Mental Health Center, located in sunny Fort Lauderdale, Florida, accepts UnitedHealthcare Medical Resource (UMR) insurance for therapy and rehab treatment. Known for our exceptional mental health and dual diagnosis treatment services, we’re dedicated to making your path to recovery as accessible as possible. Whether you’re dealing with depression, anxiety disorders, bipolar disorder, schizophrenia, OCD, PTSD, BPD, eating disorders, or SUD, our team of experts is ready to assist you.

Our comprehensive treatment approach includes evidence-based mental health treatments that are tailored to the individual’s needs. Our programs, such as the Partial Hospitalization Program, Intensive Outpatient Program, and general Outpatient Program, are meticulously designed to ensure you receive the best care possible. We understand that everyone’s journey to recovery is different, and we’re committed to supporting you every step of the way. If you’re covered by UMR insurance and seeking help for any of these conditions, we encourage you to contact us directly or fill out our online form to check your insurance coverage levels. Our dedicated team is standing by to guide you on your journey towards recovery. Let us be your partner in reclaiming your life.

Check Your UMR Health Insurance Coverage

Fill out our online form now and find out what rehab treatment you are covered for under your UMR health insurance plan.

"*" indicates required fields

MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.
>

Who is UnitedHealthcare Medical Resource (UMR)?

United Medical Resources (UMR) is not a health insurance company but a third-party administrator (TPA) specializing in providing administrative services for self-funded employer-sponsored health plans. UMR third-party administration is a subsidiary of UnitedHealth Group, one of the largest health insurance and healthcare services companies in the United States.

UMR does not sell health insurance policies directly to individuals or families. Instead, it partners with employers to manage their self-funded health plans. UMR offers a range of administrative services to support self-funded health plans. This includes UMR claims processing, provider network management, member enrollment, premiums collection, and customer service.

The UMR provider network consists of healthcare providers, including doctors, hospitals, and specialists, offering a broad range of healthcare services to plan members. UMR preferred providers help keep costs down, ensuring members have access to the necessary healthcare.

In addition, UMR wellness programs help employers and employees manage their well-being. These programs may include mental health resources, preventive care services, and lifestyle management.

>Who is UnitedHealthcare Medical Resource (UMR)?

What is UMR Rehab Insurance Coverage?

Rehab insurance coverage typically includes services for treating substance use and mental health disorders. UMR is not a traditional health insurance company; they do not offer standalone “rehab insurance” coverage. Instead, they administer health plans on behalf of employers, and the coverage provided within these UMR self-funded plans can vary widely according to many factors.

Does UnitedHealthcare Medical Resource Cover Rehab?

Working with UMR member services can help you better understand your insurance policy and maximize your UnitedHealthcare Medical Resource benefits. The coverage provided by your policy and the benefits you receive depends on where you purchased the policy and the type of policy you chose.

Essential health benefits under the Affordable Care Act (ACA) must cover mental and behavioral health treatment, including counseling, therapy, inpatient mental and behavioral health care rehabilitation, and substance abuse treatment. Call 877-958-9212 to learn more about the covered rehab services with your particular UMR health insurance policy.

Does UMR Cover Therapy for Mental Health?

Whether or not UMR covers mental health therapy treatment under a specific health plan would depend on the plan design chosen by the employer. Many employer-sponsored health plans and UnitedHealthcare Medical Resource employee benefits include mental health insurance coverage, as federal law often mandates.

The Mental Health Parity and Addiction Equity Act (MHPAEA) is a federal law requiring group health plans, including self-funded plans, to provide mental health and substance use disorder benefits equal to or on par with medical/surgical benefits. This means that mental health services, including therapy and counseling, should be covered under these plans to the same extent as other medical services.

If you’re still wondering, “What does UMR cover for mental health?” after reviewing your plan summary, call 877-958-9212 to get the most accurate and up-to-date information about your specific mental health therapy coverage under a UMR-administered plan. You can also contact UMR customer service.

Mental Health Programs Covered by UMR Insurance

Mental Health Programs Covered by UMR Insurance

The specific mental health programs United Medical Resources provides can vary depending on the employer’s plan design and the services included. However, UMR plan options typically include coverage for a range of mental health programs and services to support its members’ mental health and emotional well-being.

UMR Coverage for Partial Hospitalization Programs

A Partial Hospitalization Program (PHP) is a structured treatment program for people with mental health disorders requiring intensive, short-term care. It involves extensive therapy but without 24-hour inpatient care. Patients participate in counseling and therapy sessions during the day and return home in the evenings to maintain their daily routines.

UMR typically covers PHP. However, reviewing your particular policy for coverage specifics is essential as they may vary depending on your personal circumstances and other factors.

UMR Coverage for Intensive Outpatient Program

An Intensive Outpatient Program (IOP) is a highly structured treatment option for people suffering from mental health or substance use disorders. It involves therapy, counseling, and support sessions multiple times weekly, allowing patients to continue living at home while receiving treatment. UMR healthcare management generally offers comprehensive mental health coverage, which includes IOP services.

UMR Coverage for Outpatient Program

Outpatient programs offer patients wellness and mental health assistance without needing an overnight stay in a medical facility. Patients can maintain their regular daily routines and return home after each session. UMR third-party administration generally covers a range of outpatient programs.


What Type of Mental Health Disorders Does UMR Cover?

The specific mental health disorders covered by United Medical Resources will typically depend on the terms and conditions of the employer’s self-funded health plan. However, UMR-administered health plans are generally required to cover a wide range of mental health disorders, including the common ones outlined below. However, note that this is not a complete list.

Common Mental Health Disorders Covered by UMR

Treatment for Bipolar Disorder and Cyclothymia

Bipolar disorder disrupts an individual’s mood, leading to intense shifts between manic highs and depressive lows. Conversely, Cyclothymia represents a less severe variant of bipolar disorder characterized by milder mood fluctuations. Both mood disorders substantially impact emotions, energy levels, and daily cognitive functioning, necessitating medical and therapeutic interventions to attain stability and effective management.

UMR typically provides coverage for these psychiatric conditions, guaranteeing access to treatment and mental health assistance. Nevertheless, it’s important to remember that the coverage details may vary from policy to policy.

Treatment for Borderline Personality Disorder (BPD)

Borderline Personality Disorder (BPD) is a mental health disorder marked by enduring patterns of instability in emotions, self-perception, and interpersonal connections. People with BPD frequently contend with intense mood fluctuations, impulsivity, unstable self-esteem, and difficulties in nurturing stable relationships, which negatively impact psychological health, relationships, and overall quality of life.

Nevertheless, through suitable therapy and treatment, it is possible to address and manage the symptoms effectively. UMR typically includes coverage for diagnosing and treating BPD, encompassing various psychotherapy techniques, medication management, and other interventions.

Treatment for Anxiety Disorder

Anxiety is a prevalent mental health disorder defined by an abundance of concern, fear, and unease regarding upcoming events or circumstances. Those grappling with anxiety frequently encounter physical manifestations such as restlessness, a swift heartbeat, perspiration, and muscle strain. Anxiety can substantially impact daily life, influencing work, relationships, and overall well-being.

United Medical Resources typically provides coverage for anxiety treatment, which may entail cognitive-behavioral therapy (CBT), medication management, and other methods grounded in scientific evidence to diminish symptoms and enhance overall well-being.

Treatment for Depression

Depression is a common mental health condition marked by enduring feelings of sadness, despair, and a lack of enthusiasm for once-enjoyed activities. Depression symptoms frequently involve changes in eating and sleeping routines, decreased energy levels, and challenges in maintaining focus, all of which can disrupt daily life, impact relationships, and, if untreated, even give rise to thoughts of self-harm.

UMR, as a third-party administrator, generally extends coverage for depression treatment. This may encompass preventive care benefits, therapy sessions, prescription drug coverage, and other evidence-based methods designed to alleviate depression symptoms and restore mental and emotional well-being.

Treatment for Post-Traumatic Stress Disorder (PTSD)

Post-Traumatic Stress Disorder (PTSD) may emerge after exposure to or observing a distressing event. Symptoms include intrusive flashbacks, disturbing nightmares, heightened anxiety, and emotional detachment. Those with PTSD might also exhibit hypervigilance and tend to evade situations that trigger memories of the traumatic incident. This condition can have a substantial impact on everyday existence and overall welfare.

UMR typically provides coverage for PTSD treatment, encompassing therapeutic interventions, medication, and other evidence-based approaches to develop effective coping strategies for stress management.


Mental Health Rehab Center in Florida That Take UMR Insurance

The Sylvia Brafman Mental Health Center is committed to delivering comprehensive services with a unique emphasis on mental health awareness in South Florida. Our dedicated team of seasoned medical and clinical experts specializes in ensuring precise diagnosis and successful treatment for our patients. Throughout our years of operation, we’ve assisted numerous individuals in overcoming their mental health obstacles.

Our mental health center may accept UMR third-party administered health insurance policies. To discover more about our offerings and your benefits for rehabs in Florida that accept UMR health coverage, speak to one of our supportive patient advocates at 877-958-9212. Alternatively, you are welcome to visit our physical location at the address provided below:

  • The Sylvia Brafman Mental Health Center: 7710 NW 71st Ct, Tamarac, FL 33321, United States
>Mental Health Rehab Center in Florida That Take UMR Insurance

Does UMR Cover Dual Diagnosis Treatment?

United Medical Resources typically provides coverage for various mental health and substance use disorder treatment services, including dual diagnosis treatment. Dual diagnosis treatment is specifically designed to treat individuals with co-occurring mental health disorders (such as depression, anxiety, bipolar disorder) along with substance use disorders (such as alcohol or drug addiction).

How Much Does Rehab Cost with UMR Health Insurance?

The cost of each therapy session can vary based on factors such as your location, employer, and specific insurance plan. Since UMR does not directly provide coverage, it’s essential to gather information about your insurance provider, which your employer can typically provide. Additionally, your employer may offer supplementary coverage as part of their overall employee benefits package.

For example, the average cost of psychotherapy sessions without insurance ranges from $100 to $200 an hour. The UMR provider network includes in-network therapists, which may be more cost-effective than choosing an out-of-network one. Visit umr.com where you can access a provider search, to find the best treatment option near you.

In addition, preauthorization may be necessary to access these UMR health benefits, requiring you to seek approval from your insurance company before they assist with your treatment expenses. Review your policy documents carefully or call 877-958-9212 to better understand your health coverage and the necessary steps before initiating treatment.

How To Check My UMR Health Insurance Coverage Levels

How To Check My UMR Health Insurance Coverage Levels

If you want to understand the extent of your health insurance coverage, call 877-958-9212. Our patient advocates are here to help. We’ll contact UMR member services to verify your coverage specifics. Following that, we will carefully review your policy with you, providing a clear explanation of the treatment and program choices that are accessible.


How Many Times Will United Medical Resources Pay for Rehab?

How Many Times Will United Medical Resources Pay for Rehab?

The number of times that United Medical Resources will pay for rehabilitation will depend on several factors, including the specific UMR-administered health plan, the type of rehab needed, and the medical necessity. UMR typically provides coverage for rehab services when they are deemed medically necessary and within the scope of the plan’s coverage.

Here are some key points to consider:

  • Medical Necessity: UMR, like other healthcare providers, bases coverage decisions on medical necessity. This means that the treatment must be recommended by a healthcare provider and considered essential for recovery or well-being.
  • Type of Rehab: The coverage for each type of rehab may have different criteria and limitations.
  • Plan Design: The specific UMR-administered health plan offered by your employer can have varying levels of coverage and limits. Some plans may have a set number of covered rehab sessions, while others may provide coverage as long as it is medically necessary.
  • Preauthorization: Some rehab services may require preauthorization or prior approval before they are covered.
  • Out-of-Pocket Costs: Even with coverage, you may still be responsible for out-of-pocket costs, such as copayments, deductibles, or coinsurance.


Exploring the Sunshine State and its Southern Cities

Exploring the Sunshine State and its Southern Cities

South Florida has a variety of well-known cities, each with its own unique appeal. Miami is a lively cultural hub famous for its vibrant nightlife, world-class restaurants, and iconic Art Deco architecture. With its strong Latin influence, gorgeous beaches, and the annual Art Basel event that draws art enthusiasts from around the world, Miami offers a diverse mix of experiences.

In contrast, Hollywood has a more laid-back vibe, featuring a picturesque beachfront and the famous Hollywood Beach Boardwalk. Fort Lauderdale, often called the “Venice of America,” is a boater’s paradise with a complex canal system and a significant following among yachting enthusiasts. Pompano Beach caters to fishing and water sports enthusiasts, while Boca Raton is known for its luxurious resorts, championship golf courses, and high-end shopping, appealing to those seeking an exclusive South Florida lifestyle.


Rehab and Mental Health Statistics in Florida

Rehab and Mental Health Statistics in Florida

In Florida, recent trends in substance use and mental health paint a complex picture of challenges and progress. Mental health issues are widespread, with limited access to care. A survey of Florida high school students reveals that a significant 21.4% have experienced four or more adverse childhood experiences (ACEs), indicating a high level of trauma.

Substance use and mental health trends show progress but also persisting challenges. Marijuana use among students has decreased, but high-risk drinking behavior remains prevalent. Early intervention and education efforts are needed to protect the well-being of Florida’s young population and address the barriers to treatment for adults.

  • The long-term pattern of marijuana use among Florida students shows some fluctuations, but the general trend points toward a decrease in usage. Specifically, the prevalence rate of past marijuana use has declined from 13.0% in 2010 to 8.3% in 2022.1
  • Although there has been a decrease in alcohol consumption, there remains a prevalent pattern of high-risk drinking behavior. This is evident as 7.5% of high school students have reported engaging in binge drinking, and 11.0% have experienced blackout episodes due to alcohol consumption on one or more occasions.
  • A survey of Florida high school students found that 21.4% reported experiencing four or more adverse childhood experiences (ACEs), which is considered a high level of trauma.
  • 4% of these students reported that their parents had separated or divorced, followed by 32.9% who reported mental illness in the household and 31.2% who reported emotional neglect. On the lower end of the scale, 6.6% reported sexual abuse, 6.7% reported physical neglect, and 8.5% reported physical abuse in the household.
  • 1% of Florida students reported attempting suicide in the past year, with females being twice as likely as males (12.9% vs. 5.1%).
  • Nearly 2.9 million Floridian adults have a mental health condition, but only about 36% receive treatment, per the National Alliance on Mental Illness (NAMI).2
  • The Substance Abuse and Mental Health Program under the Department of Children and Families offers services to individuals with low income or those without insurance coverage. However, a legislative report from the State Commission on Mental Health and Substance Abuse has indicated that there is a monthly waitlist of over 1,300 individuals seeking these services.
  • Suicide is more common than homicides in 62 of Florida’s 67 counties.3
  • Florida ranks 49th in the United States regarding accessibility of mental healthcare.4 5
  • 8% of adults with any mental illness in Florida are uninsured.

Sources

  1. “2022 Florida Youth Substance Abuse Survey.” Florida Department of Children and Families, 2022, www.myflfamilies.com/sites/default/files/2022-12/2022%20Statewide%20FYSAS%20Report%20Per%20Section%20C2-2.3.pdf.
  2. Bolden, Louis. “Less Than Half of People in Florida With Mental Illness Don’t Get Treatment.” WKMG, 24 Feb. 2023, www.clickorlando.com/news/local/2023/02/24/less-than-half-of-people-in-florida-with-mental-illness-dont-get-treatment.
  3. “Facts About Mental Health in Florida.” Florida Behavioral Health Association, 2018, cdn.ymaws.com/www.fadaa.org/resource/resmgr/files/Mental_Health/FADAA_Slipsheet1_Final.pdf.
  4. Zizo, Christie. “Florida Is 49th in US for Access to Mental Health Care. The New Budget Could Change That.” WKMG, 19 Dec. 2022, www.clickorlando.com/news/politics/2022/05/26/florida-is-49th-in-us-for-access-to-mental-health-care-the-new-budget-could-change-that.
  5. “Access to Care Data 2022.” Mental Health America, mhanational.org/issues/2022/mental-health-america-access-care-data.

evidence-based

Mental Health
Treatment

Get Help Today
dual-diagnosis

Substance Abuse
Treatment

Get Help Today
 

Recent Posts

How To Tell Your Employer You Need Time Off For Detox Treatment

Read More

Election Time Disorder – What Campaigns Can Do for, and To, You

Read More

Monitoring Candidates on Mental Health Access is Taking a Bit of Juggling

Read More

Nutrition and Mental Health

Read More