UMR (United Medical Records) Behavioral Health Insurance Treatment Coverage in Palm Desert, California

California Behavioral Health stands out among the numerous UMR behavioral health treatment centers in Palm Desert, California. Our rehabilitation facility focuses on addiction recovery and offers dual diagnosis treatment if you’re battling co-occurring mental health disorders. Our comprehensive UMR behavioral health services are tailored to help you attain sobriety.

CA Behavioral Health Accepts UMR Insurance

Our UMR behavioral health residential treatment centers provide same-day assessments, verify your insurance benefits, and facilitate prompt admissions. On this page, you will discover how our UMR-integrated behavioral health services guide you through every phase, from detoxification to aftercare planning.

Understanding UMR Behavioral Health as a Private Insurance Plan Provider

UMR health insurance for addiction rehab coverage

UMR Insurance, founded in 1983 and later a subsidiary of UnitedHealthcare, specializes in third-party administration (TPA) of employer-sponsored health plans, processing claims for various healthcare providers, including indemnity insurance. Emphasizing cost management, flexibility, and inclusive care coordination, UMR provides access to wellness initiatives, mental health resources, and employee assistance programs (EAPs).

UMR behavioral health services include substance abuse treatment, counseling, and digital mental health resources. The insurance company significantly focuses on member engagement, provider flexibility, and cost transparency. It also offers a variety of dental, vision, medical, and wellness programs.

What Is UMR Insurance Coverage for Behavioral Health Treatment Programs?

UMR insurance offers extensive coverage for behavioral health treatment centers, including services for substance abuse and mental health. UMR often provides a range of behavioral health services, such as individual therapy, inpatient care, virtual telehealth therapy, intensive outpatient programs (IOPs), medication management, and group therapy sessions.

An assessment will be conducted through underwriting and an actuary to determine your premium rates, policy conditions, and eligibility. When you, as the insured under UMR Insurance, experience a medical loss due to an unexpected peril, the company evaluates the associated risk of your claim. An insurance adjuster will review your claim to confirm coverage, ensuring no exclusions in the policy apply. If the claim is valid, UMR will reimburse your medical expenses. In some instances, an endorsement may alter the terms of the policy, and UMR might shift some of the risk to another insurer through a reinsurance agreement.

Furthermore, if a third party is accountable for the loss, UMR may seek subrogation to recover its costs. You might receive additional coverage beyond your standard health plan if you have an umbrella policy. After completing all evaluations, the claim will be finalized, and the appropriate payment will be issued.

More Information on UMR’s Brands, Product Offerings, and Services

UMR is a third-party administrator (TPA) that concentrates on self-funded health plans. It creates adaptable solutions for businesses to oversee healthcare costs and secure high-level care for members. Here are some of the main brands, product offerings, and services offered by UMR:

  1. Self-Funded Health Plan Administration
  • Tailored plan designs to cater to employer requirements.
  • Cost management is achieved through data analytics and network optimization.
  • Efficient claims processing and customer support for a smooth experience.
  1. Medical Management Services
  • Utilization management aimed at promoting cost-effective care.
  • Case management is tailored for high-risk members with intricate conditions.
  • Disease management initiatives for chronic illnesses such as diabetes and hypertension.
  1. Provider Network Access
  • Comprehensive nationwide and regional networks offering competitive discounts.
  • Collaborations with UnitedHealthcare’s extensive provider network.
  1. Pharmacy Benefit Management (PBM) Coordination
  • Integration with top PBMs to control prescription expenses.
  • Support for specialty medications and formulary management.
  1. Wellness & Preventive Health Programs
  • Health coaching, biometric screenings, and lifestyle improvement programs.
  • Incentive-driven wellness initiatives designed to promote healthy habits.
  1. Member Engagement & Digital Tools
  • Online portals and mobile applications for plan management and claims tracking.
  • 24/7 customer support complemented by self-service options.
  1. Stop-Loss Insurance Solutions
  • Financial safeguards for employers against high-cost claims.
  • A range of stop-loss coverage options to reduce risk.

Behavioral Health Treatment Stats in Riverside County

In Riverside County, behavioral health issues are a significant concern, reflecting a broader trend seen throughout California. In 2022, around 1,482,612 people in Los Angeles County sought addiction recovery services, underscoring the urgent need for enhanced support. Each year, substance abuse-related hospitalizations in Los Angeles County exceed 139,000, which includes individuals seeking assistance for both mental health and addiction.

Accessing behavioral health care, particularly for substance abuse and mental health disorders, involves complex obstacles that disproportionately affect the uninsured, underinsured, and communities of color. The Kaiser Family Foundation revealed that in 2022, 28.5 percent of California adults exhibiting symptoms of mental health and addiction disorders expressed a need for treatment but were unable to obtain it. These challenges are especially pronounced in Riverside County, where economic disparities and limited access to care hinder you if you require services. Furthermore, a 2022 report from the CDC indicated that Sacramento County faced a notably high overdose death rate of 3.7 per 100,000 residents, highlighting the critical need for comprehensive addiction recovery and mental health support across the state.

What Is a Behavioral Health Rehabilitation Treatment Program?

Group therapy for mental health and substance addiction at a behavioral health treatment facility

A behavioral health rehabilitation center addresses substance abuse like drug addiction and alcoholism, mental health disorders, and co-occurring conditions. These rehab facilities create a structured environment that minimizes distractions, enabling you to develop coping skills and enhance your physical and mental well-being.

Typically, these recovery centers adopt a holistic approach to care and offer a wide range of services, such as motivational interviewing, family counseling, support groups, crisis intervention, life skills training, relapse prevention, substance abuse treatment, medication management, and behavioral therapies like cognitive behavioral therapy (CBT).

Behavioral health rehab treatment centers provide customized recovery programs tailored to your needs, including residential inpatient care, outpatient care services, partial hospitalization programs (PHPs), and intensive outpatient programs (IOPs). At CA Behavioral Health, we offer UMR behavioral health inpatient treatment for substance use disorders (SUDs), mental health issues, and comorbid conditions.

California Behavioral Health

An addiction is lonely, scary, and difficult. A recovery partner can help you take back control of your life and find the path to sobriety. Call or message us now to start your recovery journey today.

37066 Bankside Drive, Cathedral City, CA 92234

Admissions Inquiry Form

Fill out our online form to find out about our treatment programs, check your insurance or to request a callback.

    Some Health Insurance Providers We Accept

    Do UMR Health Insurance Plans Cover Integrated Behavioral Healthcare?

    UMR health insurance encompasses integrated behavioral healthcare services, including medical, behavioral, and pharmacy care programs aimed at enhancing physical and mental health. Your policy will cover both residential inpatient care and outpatient care services. To reduce out-of-pocket expenses, it’s recommended to choose in-network rehabilitation facilities.

    Before starting your behavioral healthcare treatment, you must fully understand your coverage, including any possible out-of-pocket costs, to grasp your liability and financial responsibilities fully. You may need to pay certain deductibles, copayments, premiums, or coinsurance. If you need help verifying your insurance benefits, contact us at CA Behavioral Health.

    Does UMR Insurance Cover Behavioral Health Addiction Rehab in California?

    UMR insurance often covers behavioral health addiction treatment in California. Before beginning treatment, verifying your coverage details with your health insurance provider and the rehabilitation center is essential. This step will help you avoid unexpected out-of-pocket costs, particularly if you select a provider outside your network.

    Many treatment facilities accept UMR insurance for behavioral health addiction treatment, particularly recovery. Typically, covered services include drug and alcohol detoxification, behavioral health therapies such as cognitive behavioral therapy (CBT), support groups, relapse prevention, and aftercare support. Contact us at California Behavioral to learn more about our UMR behavioral health services.

    Does UMR Insurance Cover Inpatient Behavioral Health Treatment Centers in Palm Desert, CA?

    UMR health insurance usually includes coverage for inpatient behavioral health treatment programs in Palm Desert, California. According to the Affordable Care Act (ACA), most insurance plans must offer substance abuse and mental health services as essential health benefits. Working with network providers and obtaining prior authorization before beginning treatment is vital to maximize coverage.

    Our UMR inpatient behavioral health treatment program takes a holistic approach to addressing addiction and mental health issues. For more details about our rehabilitation center, please contact us and speak with a counselor about our admissions process.

    California Behavioral Health Treatment Center in Greater Palm Desert That Takes UMR Insurance Plans

    Various behavioral health treatment programs in the Greater Palm Desert accept UMR insurance plans, including those from California Behavioral Health. Our committed team is ready to assist you in quickly verifying your insurance and exploring payment options if you’re uninsured. This ensures you receive the essential care you need. Contact us at (888) 355-1676 to begin your recovery.

    Located in Cathedral City, our rehabilitation center is dedicated to tackling addiction, mental health issues, and co-occurring disorders. We adopt a holistic approach to inpatient care, encompassing medical detoxification and behavioral health practices such as cognitive behavioral therapy (CBT), motivational interviewing, and support groups. We also prioritize relapse prevention and the development of aftercare plans.

    • 37066 Bankside Drive, Cathedral City, CA 92234
    California Behavioral Health
    37066 Bankside Dr, Cathedral City, CA 92234, United States

    Can I Travel Out-of-State for Behavioral Health Treatment Programs with UMR Insurance Policies?

    You can explore out-of-state behavioral health treatment programs that provide insurance coverage. Many UMR plans offer benefits for these services outside your state. The specifics of your coverage will vary based on your plan and whether you select an in-network provider. Verifying your coverage benefits is crucial to ensure the required care is included.

    To do this, contact the rehabilitation center to confirm their participation in your network, which can significantly reduce your costs. However, you may need prior authorization; otherwise, your care might not be covered, putting you at risk for unexpected challenges.

    California Behavioral Health Programs Covered by UMR Insurance in Palm Desert, California

    Various UMR behavioral health services and programs, including those from CA Behavioral Health, are offered in the Greater Palm Desert area. Although this list is not comprehensive, some options include inpatient care programs, partial hospitalization programs (PHPs), and intensive outpatient programs (IOPs). For additional details, feel free to contact us at CA Behavioral.

    UMR Insurance Plan Coverage for Inpatient Programs

    Inpatient care offers a supportive and safe environment crucial for the healing process. These programs feature a structured daily schedule to foster stability and concentrate on recovery objectives. Medical professionals are on hand 24/7 to ensure your safety throughout detoxification. You will benefit from a customized treatment plan that caters to your needs and focuses on developing skills for lasting recovery.

    Assessing the financial implications of residential inpatient care is essential. UMR insurance often includes coverage for inpatient care programs; however, selecting an in-network facility can help reduce out-of-pocket costs. Prior authorization might be necessary, so consulting your insurance provider is advisable. While coverage is generally comprehensive, potential costs and limitations could impact the length of treatment or restrict access to advanced therapies.

    UMR Insurance Plan Coverage for PHPs

    Partial hospitalization programs (PHPs) for behavioral health provide a flexible outpatient care option as an alternative to inpatient care treatment. You can enjoy substantial support while experiencing the comfort of returning to your bed each night.

    PHPs include medical and psychiatric care, a diverse array of treatment options, structured daily or weekly schedules, and opportunities to develop coping skills and prevention strategies, all enhanced by community engagement. Typically, PHPs gain approval from UMR when a healthcare provider determines that the treatment is medically necessary. It is also crucial to confirm that the rehabilitation facility accepts UMR insurance.

    A man listens as a therapist explains addiction treatment programs that insurance covers

    UMR Insurance Plan Coverage for IOPs

    Intensive outpatient programs (IOPs) are an excellent choice for individuals who don’t need the constant supervision of inpatient care but require more support than standard outpatient services offer. These programs provide behavioral healthcare for issues such as substance abuse and mental health disorders. They are cost-effective, easily accessible, and particularly beneficial if you have recently moved on from residential treatment.

    IOPs enable you to balance your daily responsibilities while engaging in therapeutic activities. You will gain skills to manage triggers, cravings, and stress, create support networks, access medication-assisted treatment (MAT) if necessary, and formulate a personalized aftercare plan. If deemed medically necessary, UMR insurance may cover IOPs, provided that the facility is in-network. Also, prior authorization may be required, and some out-of-pocket expenses could still be.

    What Is the Average Cost of Behavioral Health Treatment in Riverside County With UMR Insurance Plan Coverage?

    When UMR insurance covers it, the costs for behavioral health treatment in Riverside County can vary based on the type of treatment, the rehabilitation center, and your specific insurance policy. Inpatient care can cost between $15,000 and $60,000, but insurance can significantly lower these expenses. The copayment per session typically ranges from $0 to $75 for outpatient care.

    As a UMR member, choosing in-network providers will significantly decrease your out-of-pocket costs. However, you may still be responsible for out-of-pocket expenses, such as copayments, deductibles, and coinsurance. If you need assistance confirming your insurance coverage, please contact us at CA Behavioral Health.

    What Is the Average Cost of Behavioral Health Treatment in Palm Desert Without UMR Insurance Assistance?

    The expense of behavioral health treatment in Palm Desert can fluctuate based on the specific type of care and services received, especially if you’re without health insurance. For example, a 30-day inpatient program can range from $15,000 to $60,000, while outpatient care typically costs between $100 and $300 per session.

    If you lack insurance coverage, we provide payment plans to enhance access to our UMR behavioral health services. Contact us at CA Behavioral, and one of our admissions counselors will be more than happy to clarify the total costs associated with your care.

    Checking UMR Insurance Policy Coverage at California Behavioral Health

    Office in California Behavioral Health

    Please follow these important steps to confirm your coverage for UMR behavioral health services at California Behavioral. Begin by verifying provider participation. You can check your benefits by contacting one of our admissions counselors at (888) 355-1676. It’s also essential to obtain prior authorization, as certain services, such as inpatient care and intensive outpatient programs (IOPs), may require it.

    After verifying your coverage, ensure you know which costs and any possible out-of-pocket expenses will be covered. We recognize that navigating insurance can be complicated, and we are here to assist you in understanding your coverage benefits and answering any questions about our UMR-integrated behavioral health services in Palm Desert, California.

    How to Get UMR to Pay for the Cost of Behavioral Health Treatment Greater Palm Springs, CA

    The initial step is to verify your coverage to ensure that UMR covers behavioral health treatment in Greater Palm Springs, California. You can accomplish this by calling the number on the back of your insurance card or checking your policy details online. Ensure your health plan includes out-of-state behavioral health treatment and that prior authorization requirements.

    Remember that your plan may involve copayments, deductibles, or coinsurance. It’s essential to know your total potential expenses before beginning treatment. After submitting all required documentation, retain copies for your records. Rehabilitation centers such as California Behavioral Health can assist you with the approval process. If your coverage is denied, you have the legal right to appeal. Furthermore, if you have completed your behavioral health treatment, you can request a claim settlement to recover any incurred costs.

    How Many Times Will UMR Pay For Behavioral Health Treatment in SoCal?

    Your UMR insurance policy influences the frequency of coverage for behavioral health treatment in Southern California, along with the required treatment and its medical necessity. Continuous care, such as counseling, therapy, and additional services, will rely on medical evaluations and your specific coverage benefits.

    Understanding the insurance processes and protocols for UMR behavioral health services can be overwhelming and challenging. At CA Behavioral, we are committed to helping you confirm your coverage benefits and its limitations so that you can focus on your recovery.

    Behavioral Health Treatment Stats and Information in Riverside County

    • Between 2017 and 2019, the number of facilities in California providing residential care for behavioral health treatment grew by 68%, and the number of facilities providing hospital inpatient care more than doubled.
    • About 2.7 million Californians met the criteria for substance use disorder in 2022, but only 10% received any treatment.74% of adults participating in a behavioral health treatment program started their alcohol or drug use before the age of seventeen.
    • The Kaiser Family Foundation (KFF), a nonprofit organization headquartered in San Francisco, California, shared that among adults who required mental health and addiction dual diagnosis treatment, the uninsured, underinsured, and communities of color faced many barriers when trying to access care. In 2022, out of all adults in California exhibiting symptoms, 28.5% said that they needed treatment but did not get it.
    • The National Alliance on Mental Illness in California shared that 9.5 million United States adults experienced substance use and mental health disorders in 2019.
    • In 2022, approximately 1,482,612 individuals in Los Angeles County required behavioral health addiction recovery.
    • The CDC shared that the overdose death rate in Sacramento County was 3.7 per 100,000 residents in December 2022.
    • The Public Health Department of Los Angeles County shared in April 2024 that annually in Los Angeles County, there are 139,179 substance abuse-related hospitalizations, including behavioral health addiction treatment.

    Palm Desert, California and Its Local Attractions to Visit

    The Greater Palm Desert is the epicenter of Southern California’s Coachella Valley. Majestic mountain ranges and picturesque desert landscapes envelop this stunning region, which showcases several vibrant cities, each offering its unique charm. To the west, Palm Springs captivates with its mid-century contemporary design, luxurious resorts, and lively arts scene.

    Rancho Mirage is a center of relaxation and elegance, celebrated for its outstanding golf courses and fine dining. Moving east, Indio hosts the renowned Coachella Valley Music and Arts Festival, drawing music lovers worldwide. Desert Hot Springs is recognized for its natural mineral waters, offering rejuvenating spa experiences, while Cathedral City features a thriving cultural landscape and family-friendly attractions. Together, these cities create a dynamic and diverse area that effortlessly blends luxury, entertainment, and natural magnificence, making the Coachella Valley a must-visit destination.

    Licensed and Accredited Provider throughout California: