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UMR Health Insurance Drug Rehabs in Atlanta, GA

If you need substance abuse treatment, you've probably wondered if your insurance covers this. Although UMR does offer rehab coverage, you must pick treatment facilities that accept this insurance policy. At The Summit Wellness Group, our UMR health insurance drug rehabs in Atlanta, GA, offer treatment programs that can help you overcome co-occurring mental health disorders and drug abuse issues.

UMR, a third-party administrator (TPA), partners with United Healthcare to serve over 5 million customers. As the nation’s largest TPA, UMR has a network of healthcare providers they work with— UMR doesn’t directly offer coverage since they aren’t an insurance company. Most policies provide coverage for addiction and mental health services, but the amount may vary.

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Addiction Treatment with UMR Health Insurance

Staying healthy is a huge priority, so picking the right insurance coverage is an important decision. Your choice of insurance will influence whether you receive exceptional treatment at low costs when you go to an addiction treatment center. UMR health benefits reduce out-of-pocket costs and make drug and alcohol rehab treatment plans more accessible.

UMR insurance benefits provide help for substance use disorder treatment with payment assistance for treatment, medications, and other health services. Your specific plan will offer varying degrees of support, but rehab facilities are covered with UMR insurance. This company has one of the largest networks in the nation, so its list of providers is extensive.

UMR Health Insurance drug rehabs in Atlanta, GA

UMR Insurance Coverage Options

As a preferred provider organization (PPO) plan, customers with UMR insurance can choose where they seek treatment. Still, they will receive more savings by choosing a healthcare provider or facility in the United Healthcare Choice Plus Provider network. As part of the PPO, benefits include:

  • Seeing specialists without referrals
  • No requirements to fill out claims forms
  • Savings of up to 30% on healthcare costs
  • A huge database of in-network doctors

What Influences Your UMR Insurance Coverage for Substance Use Disorder Treatment?

When choosing a rehab center with your UMR insurance plan, keep these factors in mind, as they may influence the scope of your coverage:

  • Medical diagnoses you’ve received
  • The length of treatment
  • Whether you have reached your deductible
  • Your plan’s copay amount
  • Your overall insurance benefits
  • If your plan requires you to be pre-approved for treatment

There’s no reason to be concerned about more expensive insurance after treatment. Regardless of the extent of treatment coverage from your insurance, your insurance price will not increase. To protect customers, legislation has made it illegal for insurance companies to increase their insurance premiums after use.

Treatment Center Costs with Insurance Providers

To find out details about your insurance coverage, contact our intake team. They will discuss your addiction with you to determine the type of treatment you require and contact UMR to discuss payment details with your insurance provider.

Due to the Affordable Care Act (ACA), insurance companies must cover substance abuse treatment and behavioral health services with the same amount of coverage they offer for other types of medical treatments or surgical procedures.

In-Network Providers Versus Out-Of-Network Providers

Your insurance reduces medical bills by providing access to a low-cost network of healthcare providers, treatment facilities, and pharmacies. To be in-network with insurance providers, addiction treatment programs must meet specific requirements and accept a discounted rate for covered services under the insurance plan.

In-network providers help provide accessible treatment by reducing costs. Your medical center bills your treatment provider directly due to their contract, and you are only required to pay a small copay unless the entire cost of treatment is covered. In-network insurance plans offer more convenience, as you don’t have to worry about seeking reimbursement.

If a rehab facility has no contract with your health insurance, they’re considered out-of-network and may charge full price. You can still seek treatment at one of these centers if their program offers you the best chance at recovery, but this option requires self-pay.

Your insurance may reimburse you later through your insurance card, yet these low reimbursement rates mean you’ll pay more out of pocket. Out-of-network centers may offer payment plans or sliding scale fees to help patients using self-pay receive affordable treatment.

Treatment Programs Covered by UMR Health Plans

UMR has many plans that cover drug and alcohol treatment programs, so no matter the type of treatment, your insurance will cover the cost at least partially.

UMR health plans cover treatment programs such as:

  • Detox
  • Inpatient Treatment
  • Partial Hospitalization Programs (PHP)
  • Intensive Outpatient Programs (IOP)
  • Outpatient Treatment

Treatment Services that UMR Covers

Since UMR covers different rehab programs, the behavioral health services provided during drug treatment also fall under coverage. This includes:

  • Prescription medications
  • Therapy sessions
  • Support groups
  • Aftercare and outpatient services

Why Choose The Summit Wellness Group?

Our innovative programs are personalized to the needs and goals of each patient to give them the best shot at recovery. Our dual-diagnosis treatment uses a holistic approach that helps our patients practice self-care and personal growth to heal from mental health and substance use disorders.

At The Summit Wellness Group, we offer proven results in drug addiction and mental health treatment. When you choose our recovery center, you’re choosing more than just our luxury facilities and trained clinical staff— you’re choosing client-centered care that will put you on the path to long-term recovery.

Our outpatient rehab locations in Roswell and midtown Atlanta have received Joint Commission accreditation, which shows our consistently safe and quality treatment is recognized. Browse our 5-star Google reviews from previous patients to explore how we help Georgia residents. Our staff has years of experience and various licenses and certifications, and you can see the difference in the care we provide.

Treatment Services at our Rehab Center

During our programs, we offer various treatment options to address addiction and mental health conditions.

  • Evidence-Based Treatment: Patients receive a combination of scientifically-backed, SAMHSA-approved treatment methods such as cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), motivational enhancement therapy, and eye movement desensitization and reprocessing (EMDR).
  • Holistic Therapy: We go beyond addiction and focus on the overall well-being of each patient by using yoga, massage therapy, guided meditation, nutrition, chiropractic care, fitness programs, art therapy, and adventure activities. This helps patients improve their mental health, learn coping skills, and discover new hobbies.
  • Relapse Prevention: This program combines CBT, mind-body relaxation, community outreach, and 12-step groups to teach patients healthy habits and coping mechanisms. By learning how to manage cravings and regulate emotions, patients are no longer controlled by their triggers and instead gain skills to achieve long-term recovery.

Treatment Options at our Rehab Center

We offer various levels of care to help those struggling with mild to severe substance abuse and mental health conditions.

  • Medical Detox: Detoxification from any substance often leads to dangerous and life-threatening side effects. Our program offers patients 24/7 medical supervision from our trained staff to ensure their safety during withdrawal. We use medication-assisted treatment (MAT) to alleviate withdrawal symptoms and reduce the risk of relapse during inpatient rehab.
  • Partial Hospitalization Program (PHP): PHP is our most intense program, which consists of 30 hours of weekly treatment for about 2-4 weeks, every Monday through Friday. This outpatient program lets patients return home in the evenings. PHP combines individual therapy, group therapy, family therapy, 12-step programs, and holistic treatment.
  • Intensive Outpatient Program (IOP): IOP is a day treatment program that lasts about 3-6 months. Patients who’ve undergone more intensive programs but aren’t ready for outpatient treatment, as well as patients who do not require the rigid structure of residential treatment or PHP, will typically choose this program.
  • Sober living: Sober living helps patients transition to daily life after completing treatment. Patients cohabitate with other peers in recovery to avoid triggers and negative influences that could contribute to a relapse. This is a structured environment that holds residents accountable with drug tests, curfews, and regular meetings and support groups.

Break Free from Drug Abuse

Our treatment plans heal every aspect of our patients, helping them discover a brighter future. We use a combination of treatment methods to address all factors that contribute to addiction. If you or a loved one need help battling drug or alcohol addiction, contact our admissions team today.

We help patients covered by UMR and other major health insurance providers. Let The Summit Wellness Group guide you to recovery. Call our helpline at (770) 824-3698 or fill out our contact form to connect with our team and start your journey to sobriety.

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Get help now

We’d love the opportunity to help you during this overwhelming and difficult process. Our sincere passion is helping people recover so that they can live full, meaningful, and healthy lives.

Call us 24/7 at 770-299-1677 or fill out our contact form and a member of our admissions team will contact you shortly.