UMR Insurance Healthy You is an educational resource designed specifically for UMR members, offering information about tools and resources available through our member online services. Available features and benefits will depend upon what products and features are included in your plan design.
UMR Insurance is a third-party administrator that oversees healthcare benefits for self-funded employer sponsored health plans, typically offering dental, pharmacy and vision plans as well as mental health and addiction treatment coverage.
Behavioral Health Services
Behavioral health services are an integral component of preventative healthcare, helping individuals identify unhealthy habits that could contribute to more serious medical conditions. While discussing them during visits may be uncomfortable, trained providers can provide support necessary for making positive changes. They offer counseling and therapy services, medication management solutions and substance abuse treatment as part of this service offering.
Assisting individuals who are dealing with mental illnesses or addiction issues, UMR insurance providers offer help. Their team works with an extensive network of national vendors and has an expansive database that will enable you to find services suited to your individual needs. Furthermore, as third-party administrators they will negotiate coverage between you and your insurer so you can rest easy knowing your claims are being managed effectively and efficiently.
A behavioral health program can provide vital assistance for treating various problems, from depression to life stressors and relationship difficulties. These programs include psychotherapy, psychiatry and other interventions as part of comprehensive treatment plans to ensure you’re getting what’s necessary.
If you need an UMR Insurance mental health therapist, the UnitedHealthcare PPO Network offers online access to providers. Here, you can search and book appointments directly through their website; once connected with one they can offer the care necessary to put things back on track.
All Affordable Care Act-compliant health plans, such as those offered by UMR Insurance, must provide behavioral health services, including alcohol rehab and substance abuse treatment services. Most often these plans also cover detox – the process by which people addicted to substances are detoxed safely from them.
Dependent upon your plan, these services may be offered both in your home or at an alcohol rehabilitation center. Many people find it easier to use these services in this way as it facilitates recovery more rapidly; however, be mindful that not all facilities provide this option and make sure your UMR health insurance provider knows before booking an appointment session.
Teletherapy
Teletherapy provides a safe and effective method of connecting with a counsellor remotely. If you’re restricted from traveling for therapy sessions due to a stay-at-home order or have an inconvenient commute, teletherapy offers flexibility and convenience that traditional appointments cannot offer. Furthermore, services employ secure platforms so your confidential sessions will remain protected.
Teletherapy sessions work similarly to in-person meetings: you will make an appointment with a psychiatrist or therapist and engage in live video session. Prior to your meeting, as with an in-person meeting, it is important that you prepare just like for an in-person appointment by silencing all unnecessary noise, such as television or music; turning off phones; silencing any distracting phones and turning off television and music if present; making a list of questions for them to address during your teletherapy session and more.
One difficulty associated with teletherapy is its inability for clinicians to access full emotional expressions from clients or patients. This may lead to missteps such as saying too much or too little about personal lives; additionally, key behavioral cues, such as tears or extended sessions that they would normally miss may go undetected by clinicians.
Teletherapy sessions may present additional difficulties; their virtual nature may make people feel disassociated from their therapist, which could prove particularly challenging if someone needs in-person treatment for serious mental health conditions. When this occurs, it is crucial that individuals find an experienced therapist capable of treating such ailments.
Telehealth and teletherapy can both be utilized to treat a range of conditions, including digestive disorders, depression, anxiety and addictions. While both approaches may prove helpful in managing these disorders, teletherapy typically proves more successful for addressing anxiety-based mood disorders.
UMR Insurance provides healthcare services through a vast network of doctors and therapists who offer in-network and out-of-network providers for its members. In-network providers have signed a contract with UMR to offer their services at a negotiated rate; members may still visit an out-of-network provider as long as prior authorization from their physician has been given first.
In-Network Providers
Visit an in-network provider and save money on health care costs with the UMR Insurance app! Locate providers within their network and get an idea of the costs involved when planning visits; get details on your deductible obligation, your payments towards it and a list of any recent claims filed; find providers within that network, etc.
Your costs will likely increase if you visit an out-of-network provider; however, UMR insurance plans give access to the UnitedHealthcare Choice Plus network and allow coverage for these services. Chances are your doctor is already part of it or they may apply to join.
UMR Insurance provides access to UnitedHealthcare Choice Plus network as well as other health care resources for its members, such as an estimated health care cost estimator tool and live chat option to speak directly with an RN. You can also use member portal to track claims, locate doctors and view your health insurance card.
Downloading the UMR Insurance app onto your mobile device allows for faster, simpler, and quicker access to information about your plan benefits. Available exclusively on iPhone app store, the app features an easy way of finding in-network health care providers as well as showing how much appointments will cost prior to scheduling them.
UMR app makes managing deductibles and health care spending simpler by showing how much has been paid toward reaching your deductible; and can even set reminders to pay it!
Member Resources
UMR Insurance provides members with various resources, including health tools and services, personalized support from nurses and RNs, a private website for tracking claims and receiving medical advice as well as a mobile app to access claim information or locate doctors – even use it to stay healthy!
UnitedHealthcare provides its customers with a full array of benefits and services, such as dental, vision, pharmacy and health management programs to keep them healthier while saving money. You can learn more by visiting its website or calling their customer service department.
Employers can benefit greatly from working with UMR as a third-party administrator (TPA), as this service can help reduce costs and boost their bottom line, as well as take some of the stress out of managing employee benefits. TPAs offer services from retirement plans to add-on insurance products; in addition they handle claims processing as well as administrative tasks.
UMR Insurance, a wholly owned subsidiary of UnitedHealthcare, provides its customers with various benefits and services such as medical claim processing, case administration, utilization management, precertification/prior approval/customer service for PEIA PPB plans as well as cost reduction strategies to customize benefit packages and reduce expenses.
UMR provides its members with two health care plans – Core and Advantage. Each offers access to an expansive network of doctors and hospitals. The Advantage plan has a national Preferred Provider Organization (PPO), while Core utilizes UnitedHealthcare Choice Plus network with high percentage of providers residing within Washoe County; both plans cover out-of-network providers but at an increased cost; referrals aren’t required for most specialties.
UMR provides its members with access to more than just health benefits; UMR also offers them many helpful resources and tools such as a secure member website where they can track claims, print ID cards and estimate health care costs. They can also contact an on-call registered nurse 24/7 for answers or advice regarding health matters.
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