Mental Health Partial Hospitalization Program Treatment Covered by UMR in Dallas
The percentage of Texan adults reporting that their mental health was not good for at least five days in the last 30 days rose from 18.3% in 2015 to 29.3% in 2023. Yet, Texas continues to report that 80% of counties are mental health professional shortage areas. Outpatient rehab covered by UMR helps to close this gap.
BreakThrough by BasePoint provides in-person care at several facilities around Dallas and virtual care to young adults throughout Texas. Our mental health professionals specialize in treating the unique life stage transitions young adults experience in combination with various mental health conditions. When you call us at 972-325-2633, our admission specialist answers your questions, verifies your insurance coverage, and offers a free assessment with treatment recommendations to identify the level of care you need.
What Is a PHP for Young Adult Mental Health Disorders?
A partial hospitalization program PHP for young adults is a structured short-term mental health treatment option that offers intensive care throughout the day while allowing you to return home at night. The level of care is comparable to a residential treatment facility, with the highest intensity level of day treatment programs available outside inpatient care.
PHP is designed when you need more support than weekly therapy to address conditions such as depression, anxiety, bipolar disorder, and trauma-related disorders. This level of care serves as a bridge when you’re transitioning from a residential treatment facility to outpatient care, or you need stabilization to avoid hospitalization. PHPs are tailored to meet the unique emotional and developmental needs of young adults, helping build resistance, improve coping strategies, and move toward long-term recovery.
Who Is UMR (United Medical Records), the PHP Health Insurance Provider?
UMR, originally known as United Medical Resources, is the nation’s largest third-party administrator (TPA), serving more than 3,800 benefit plans and 6 million members. The company was founded over 70 years ago, specializing in providing innovative solutions to healthcare’s biggest challenges. They focus on self-funded employer health plans, assisting employers in administering health care benefits to their employees.
In 2005, UMR became a subsidiary of UnitedHealthcare but continues to operate under its established name. UMR offers a comprehensive suite of services, including medical, vision, dental, and disability. They provide utilization management, care management, claims administration, and access to a vast network of healthcare providers. The mission is to simplify the healthcare experience by delivering personalized service and intuitive technology so you can focus on your well-being while UMR manages the complexity of healthcare administration.
BreakThrough by BasePoint Accepts UMR PHP Insurance
Our free assessment with a licensed clinician will provide you with a recommendation for the appropriate level of care for young adults struggling with a mental health disorder. We can also check your UMR PHP mental health coverage levels.
Call us today to schedule a same day assessment at (972) 325-2633 or fill out our inquiry form.
Breakthrough by BasePoint: Verify Insurance
What Is UMR’s PHP Insurance Coverage for Young Adult Mental Health Rehab?
UMR usually provides coverage for Partial Hospitalization Programs (PHPs) and Intensive Outpatient Programs (IOPs) tailored for mental health challenges. These programs offer structured, intensive treatment, and coverage often includes services such as individual and group therapy, medication management, and support for co-occurring conditions. However, the specifics of your coverage can depend on your plan and your employer provisions.
To determine the exact details of your UMR outpatient mental health benefits, call BreakThrough by BasePoint at 972-325-2633. Our admission specialist can answer your questions and verify your insurance coverage, so you have information about the factors that affect your out-of-pocket expenses. These factors can include your insurance premiums, deductibles, co-pays, and coinsurance. In-network provider status and prior authorization also affect your coverage benefits. Taking these steps ensures you have access to an appropriate level of care and the information needed to receive the maximum benefits under your insurance plan.
Which Mental Health Disorders Are Covered by UMR Insurance Plans for PHPs In Dallas?
Young adulthood can affect how various mental health conditions present. BreakThrough by BasePoint specializes in the treatment of young adults. The following are mental health conditions that respond to treatment in a PHP, but it is not a full list. Call us today to learn more about how we can help restore your quality of life.
Obsessive Compulsive Disorder (OCD) is a mental health condition that's characterized by unwanted thoughts called obsessions and repetitive behaviors called compulsions. Compulsions are performed to reduce the anxiety and stress triggered by obsessions. However, these typically significantly interfere with your daily life and functioning. UMR administers employer-sponsored health plans and usually covers mental health treatments designed for OCD symptoms.
Each plan can be different and impacts your eligibility, duration, and out-of-pocket costs for treatment. You can determine the exact details by calling BreakThrough by BasePoint at 972-325-2633. Our admission specialist can verify your insurance coverage and offer a free and confidential assessment with treatment recommendations so you can access the appropriate level of care needed to support your mental health journey.
Post Traumatic Stress Disorder (PTSD) is triggered by experiencing or witnessing a trauma. You might suffer from intrusive memories, flashbacks, and severe anxiety that significantly disrupts daily life and may increase your risk of a substance use disorder. The third-party administrator for employer-sponsored health plans, UMR, usually offers coverage for treatment programs designed to address symptoms of PTSD.
However, your benefits and limitations depend on the individual plan and employer provisions. When you call BreakThrough by BasePoint at 972-325-2633, our admission counselor can answer questions about our PHP for substance abuse and mental health conditions, verify your insurance coverage, and offer a free and confidential assessment with treatment recommendations.
Anxiety disorders are a range of mental health conditions that can include generalized anxiety disorder, social anxiety disorder, panic disorder, and social phobias. Most have unique symptoms, but nearly all have symptoms that interfere with daily activities, relationships, and overall well-being. Your employer-sponsored health plan usually offers coverage for mental health treatments.
Programs provide structured and intensive therapy during the day while allowing you to return home in the evening. However, the benefits of limitations on your health plan depend on the plan you have purchased. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can answer questions for you about our day treatment programs and services, verify UMR partial hospitalization program insurance, and offer a free and confidential mental health assessment with treatment recommendations. These steps offer the necessary information to make an informed treatment decision and streamline the admission process.
Trauma is the emotional and psychological response to witnessing or experiencing a deeply distressing or disturbing event. This could be a personal assault, natural disaster, or accident. You may experience flashbacks, severe anxiety, and uncontrollable thoughts that impair your daily functioning and overall well-being. Your employer-sponsored health plan, administered by UMR, usually covers treatment designed to address trauma-related disorders.
Your program may include a partial hospitalization program PHP that provides structured therapy during the day while allowing you to return home in the evening. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can answer your questions about our PHP rehab programs, verify your insurance coverage, and help you understand the benefits and limitations in your plan.
Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental condition characterized by persistent patterns of hyperactivity, impulsivity, and inattention. You might struggle with maintaining your focus on tasks or controlling impulsive behaviors. These symptoms can impact academic performance, work responsibilities, and interpersonal relationships.
UMR is a third-party administrator for employer-sponsored health plans. Your employer-sponsored plan typically includes coverage for mental health treatments that address the needs of young adults with ADHD. We encourage you to call BreakThrough by BasePoint today at 972-325-2633 for more information about our day treatment programs, verify your insurance coverage, and learn more about how we can take steps to help you improve your quality of life.
Depression is a common condition that's characterized by a lack of interest or pleasure in daily activities. You might feel helpless, hopeless, and persistently sad. These feelings can significantly impact your ability to function at work and school and may negatively impact personal relationships. Our admission specialist at BreakThrough by BasePoint is familiar with insurance questions.
Our clients often ask, “Does UMR cover mental health in Dallas?” While the simple answer is yes, it is crucial to verify your insurance coverage and understand the benefits and limitations of your policy. This will help reduce the risk that you'll receive an unexpected medical bill. We can also provide clarity on the available services and prior authorization requirements that must be met.
Personality disorders are a category of mental health conditions in which you experience persistent patterns of behavior, thinking, and an inner experience that deviates markedly from societal expectations. The patterns are pervasive and inflexible. Common types include borderline, narcissistic, antisocial, and avoidant personality disorders. Your employer-sponsored health plan, administered by UMR, usually offers coverage for mental health treatments.
These treatment options should be tailored for young adults with personality disorders. BreakThrough by BasePoint specializes in treating young adults with various mental health conditions, including personality disorders, to ensure you receive the most appropriate care possible in your life stage. Call us today at 972-325-2633 to verify your insurance coverage and understand the benefits of limitations that influence your expenses.
Dual diagnosis is the co-occurrence of mental health conditions and substance use disorders requiring an integrated treatment approach to address both conditions simultaneously. This comprehensive treatment method ensures that the interplay between the two disorders is effectively managed, promoting a more sustainable and achievable recovery. Your administered UMR health plan usually covers mental health and substance abuse day treatment.
These programs provide integrated treatment protocols during the day and allow you to return home in the evening. However, your coverage specifics, which include copays, deductibles, eligibility, and out-of-pocket expenses, depend on the plan you purchased. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can verify your insurance coverage and discuss your expenses for a mental health and substance abuse PHP treatment program to meet your needs. They can also offer a free and confidential assessment with treatment recommendations, so you understand the level of treatment needed to address your concerns.
Checking My UMR Insurance Plans at BreakThrough by BasePoint
The easiest way to verify your insurance plan at BreakThrough by BasePoint is to call us directly below. You can also choose to use our confidential insurance confirmation form to verify your coverage. BreakThrough by BasePoint works with many UMR-administered plans and helps you to understand the specific coverage in your plan.
Your benefits can include treatment of anxiety, depression, and other behavioral health concerns. After contacting us, a member of our admission team will review your details, confirm your benefits, and explain any out-of-pocket costs or prior authorization requirements in your plan. This step ensures that you or your loved one can confidently access the appropriate level of care with support.
How to Get UMR Health Insurance to Pay for PHPs in Dallas, Texas
The best way to get UMR health insurance to pay for a Partial Hospitalization Program (PHP) is to understand the benefits and limitations in the policy. UMR is a third-party administrator for employer-sponsored health plans, which typically cover mental health treatment. However, your employer-sponsored health plan may have certain requirements before you can begin treatment.
These are called prior authorization requirements and often include medical necessity to ensure that the care they are providing is appropriate for your diagnosis. They may also have specific limitations on the number of hours or type of therapy they will cover. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist will verify your coverage and offer a free and confidential assessment of your mental health condition with treatment options to ensure you have the necessary information to make an informed healthcare choice about your treatment. We can handle all the paperwork for you and help streamline your admission process to begin your recovery journey.
How Many Times Will UMR Insurance Pay for PHPs in DFW?
The number of times that UMR covers a partial hospitalization program in the Dallas-Fort Worth area is based on medical necessity and the limitations within your plan. It can depend on factors such as the nature and severity of the condition being treated, the treatment plan proposed, and the terms in your policy.
When you work with BreakThrough by BasePoint below, our admission specialist can verify your insurance coverage and help you understand the benefits of limitations outlined in the documentation. Understanding some of the key insurance terms is helpful and supports your ability to receive the maximum benefits under your insurance plan.
Most insurance companies begin with an underwriting assessment of the risk the employer-sponsored health plan has insuring you. This data is gathered and delivered to an actuary. An actuary evaluates the data and determines the level of premiums that should be charged to help reduce the financial risk to the company.
Your policy may include an endorsement or umbrella policy, which expands coverage in your plan. These typically include a higher monthly premium. It might also include an exclusion, which may lower the cost of your insurance plan. Once a claim has been submitted for payment, it goes to an insurance adjuster who evaluates the liability and loss to the company and then determines the appropriate settlement.
Each of these steps is designed to balance savings for the insurance company while ensuring you have access to quality healthcare to meet your needs. We understand how difficult it is to consider day treatment for addiction recovery or mental health care. Taking that brave first step to calling BreakThrough by BasePoint at 972-325-2633 can be the best decision you’ll make to address your mental health concerns and protect your future and quality of life.
Dallas Mental Health PHPs That Take UMR Insurance Plans
BreakThrough by BasePoint works with UMR partial hospitalization program coverage in Dallas to provide treatment for young adults with various mental health conditions. We recommend you call or contact us today to learn more about our day treatment services and to verify your insurance coverage.
- Arlington, TX: 3900 Arlington Highlands Blvd Suite 237B Arlington, TX 76018
- Forney, TX: 713 W Broad St Suite 100 Forney, TX 75126
- Frisco, TX: 8275 Judges Way, Suite 100F, Frisco, TX 75036
- McKinney, TX: Virtual Mental Health Treatment
Arlington, Texas, is a vibrant city located between Dallas and Fort Worth. The city is well known for its entertainment and sports attractions, including AT&T Stadium, Globe Life Field, Six Flags Over Texas, and Hurricane Harbor. It is home to the University of Texas at Arlington and boasts a growing arts community with a mix of recreation and education.
- BreakThrough by BasePoint - Arlington, Texas: 3900 Arlington Highlands Blvd, Suite 237B, Arlington, TX 76018, United States
Forney, Texas, is located in Kaufman County and boasts a rich history and active antique trade. The city offers attractions like the Spellman Museum of Forney History, showcasing local heritage from prehistory to post-World War II. They also feature the Gentle Zoo and host events such as Mustang Creek Music and Arts Festival, fostering a lively family-friendly environment.
- BreakThrough by BasePoint – Forney, Texas: 713 W Broad St, Suite 100, Forney, TX 75126, United States
McKinney, Texas, is approximately 30 miles north of Dallas and renowned for its vibrant historic downtown, one of the oldest in Texas. The city offers attractions like the Heard Natural Museum and Wildlife Sanctuary, a 289-acre preserve with diverse wildlife and educational exhibits. The city blends history with modern amenities, creating a welcoming community.
- BreakThrough by BasePoint - McKinney, Texas: 4733 Medical Center Drive, McKinney, TX 75069, United States
Frisco, Texas, is just North of Dallas and is renowned for its blend of sports, culture, and entertainment. It hosts major teams like the Dallas Cowboys' headquarters, FC Dallas, and the Frisco RoughRiders. The city also boasts attractions like the National Videogame Museum and the Texas Sculpture Garden, showcasing the area's commitment to art and innovation.
- BreakThrough by BasePoint - 8275 Judges Way, Frisco, TX 75036 Suite 100F
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Does UMR Insurance Cover PHPs for Mental Health in Dallas?
UMR, as a third-party administrator for employer-sponsored health plans, typically includes coverage for partial hospitalization programs that address mental health conditions for young adults. Many employer-sponsored health plans must meet federal standards to provide coverage for mental health conditions comparable to the level of benefits provided for medical and surgical care.
You can easily determine the specifics of your PHP coverage, including eligibility and duration, by calling BreakThrough by BasePoint at 972-325-2633. Our admissions specialist is adept at working with UMR and can help verify your coverage and answer your questions about your policy’s benefits and limitations.
Does UMR Insurance Cover Dual-Diagnosis PHPs for Mental Health Disorders Near Me?
UMR usually offers coverage for day treatment centers with programs designed to address dual diagnosis. A dual diagnosis is a condition where you experience a mental health disorder and substance use issues simultaneously. These specialized programs must use integrated care to treat conditions concurrently since they typically exacerbate each other, making treatment more complex.
Treatment at a day treatment center typically includes individual and group counseling, medication management, and skills-building workshops. Your coverage specifics will depend on your individual plan and employer provisions and dictate your out-of-pocket expenses. You can easily and quickly determine the details of your plan as well as receive an estimate of your potential out-of-pocket expenses by calling BreakThrough by BasePoint at 972-325-2633.
Our admission specialist can describe our partial hospitalization program center options, which include in-person and virtual treatment. They can also offer a free and confidential assessment with treatment recommendations so you have the necessary information to make an informed treatment decision.
Does UMR Insurance Cover Mental Health Therapy and Counseling PHPs in Dallas?
Yes, typically, UMR covers therapy and counseling within a partial hospitalization program that provides mental health treatment for young adults in Dallas and throughout the state. This treatment option allows you to receive an intensive and structured day treatment program while allowing you to return home in the evenings.
However, the coverage specifics of your policy, which can include eligibility, duration, and out-of-pocket costs, depend on your plan and your employer provisions. BreakThrough by BasePoint can determine the exact details of your insurance coverage and identify documentation that may be required for reimbursement, including prior authorization and medical necessity. When you call us below, we can help you access the appropriate level of care to support your mental health journey.
Do UMR Plans Cover Evening PHPs in Dallas, Texas?
UMR is a third-party administrator for employer-sponsored health plans and generally provides coverage for partial hospitalization programs that treat mental health conditions for young adults in Dallas. Most PHP options occur during the day hours, since the intensive level of treatment takes more time than what could be offered in the evenings.
However, some day treatment for adults may offer evening hours to accommodate work or school responsibilities. To determine the details of your PHP coverage, call BreakThrough by BasePoint at 972-325-2633. Our admission specialist can verify your insurance coverage details and help you understand the benefits and limitations in your policy that affect your out-of-pocket expenses. This step helps reduce the potential that you’ll be surprised by an unexpected medical bill.
Do UMR Plans Cover Day Treatment in Dallas, Texas?
Yes, UMR, as a third-party administrator for employer-sponsored health plans, usually offers coverage for day treatment programs in Dallas, Texas. These provide intensive and structured therapy during the day, while allowing you to return home in the evenings. However, your coverage specifics depend on your plan and provisions in your employer’s health insurance policy.
To determine the details of your day treatment benefits, call BreakThrough by BasePoint at 972-325-2633. We can verify your insurance coverage and offer further clarity on the services that your UMR plan covers. We can identify in network provider status and prior authorization requirements, so you receive the maximum benefits under your insurance plan. Each of these steps is important in the admission process and begins your mental health recovery journey.
Day treatment programs provide a level of care you don’t typically find in an outpatient program, including individual, group, and family counseling, medication management, and skills-building workshops throughout the week. Partial hospitalization programs can provide a bridge between residential care and traditional outpatient programs, or may be your initial point of care, depending on your symptom severity and need for 24/7 supervision.
Do UMR Plans Cover Online Mental Health PHP Treatment in Texas?
Yes, most UMR-administered employer-sponsored health plans provide coverage for online day treatment programs in Texas. Virtual PHPs provide the same level of intensive, structured therapy throughout the day but allow you to engage in treatment from home. Online coverage may have different requirements and out-of-pocket costs, depending on your plan and employer provisions.
When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can review your UMR plan, verify your coverage, and explain the benefits and limitations that affect your out-of-pocket expenses. This helps reduce the potential you will receive an unexpected medical bill. When prior authorization is required before beginning treatment, we will assist you in gathering the necessary documentation and communicating with the insurance company to take care of as much as possible.
Insurance companies make payment and benefit decisions based on medical necessity. This means they only pay for treatment that matches your diagnosis and symptoms. Prior authorization helps establish medical necessity, often by including documentation of your diagnosis, prior treatments, results, medication, and psychiatric evaluations when available.
The first step to getting Aetna insurance to pay for your virtual mental health therapy in Texas is to verify your plan details and understand what virtual counseling services are covered. Start by contacting BreakThrough by BasePoint at 972-325-2633. Our admission specialist will review your policies and benefits for mental health services, including online treatment and remote psychotherapy.
They will also determine if prior authorization is required before you begin treatment and if we are in network with your Aetna plan. Our admission specialist can handle specifics of verifying coverage, estimate your potential out-of-pocket expenses, and offer a free assessment with treatment recommendations so you have the necessary information you need to make an informed decision about receiving virtual mental health services at BreakThrough by BasePoint.
- The percentage of Texan adults reporting their mental health was not good for more than five days in the past 30 days rose from 18.3% in 2015 to 29.3% in 2023. Yet, over 80% of Texas counties are classified as mental health professional shortage areas.
- People with borderline personality disorder experience wide mood swings and display a great sense of instability and insecurity. However, treatment can be effective. When borderline personality disorder is left untreated, it creates chaotic personal relationships, difficulty keeping a job, increased risk of divorce, and legal and financial problems.
- Partial hospitalization demonstrates a significant decrease in symptoms in people with borderline personality disorder. Patients had a reduction in suicidal and self-mutilatory acts, lower inpatient days, and better social function, which continued until the study ended.
- Data from one study showed 92% of people in an acute partial hospitalization program improved, and only 5% were admitted. The data showed that those with greater mental health impairment had lower levels of improvement and may have benefited from residential care.
- A 2023 study demonstrated there were significant effects and improvements in young adults when an intensive-level PHP treatment was delivered over a brief period.