United Medical Resources (UMR) Insurance for Mental Health and Primary Care

Introduction to UMR Insurance Provider and Behavioral Health Plans

UMR, a leading insurance provider, offers comprehensive behavioral health plans designed to address mental and emotional health concerns as well as substance use issues. Through UMR, members can easily look up specialists and find detailed information about their benefits, guaranteeing access to quality care.

Behavioral health care under UMR allows patients to find mental health providers for various treatment options, including therapy and substance use treatment. Members can review their specific plan benefits, such as the Bronze Plus, Silver, Gold, or Platinum plans, to understand coverage details, copayments, and other services fit to their needs.

Tennessee’s Most Visited Local Attractions and Landmarks

Tennessee is home to some of the most popular attractions and landmarks, especially in Middle Tennessee. Iconic spots like the Grand Ole Opry, Ryman Auditorium, and Bridgestone Arena offer rich cultural experiences. The Country Music Hall of Fame, Nashville Zoo at Grassmere, and Cheekwood Botanical Garden and Museum of Art are perfect for families.

History buffs can explore Andrew Jackson’s Hermitage, Belle Meade, and Oaklands Mansion. Nature lovers will enjoy Percy Warner Park, Montgomery Bell State Park, and Old Stone Fort State Archaeological Park, while art lovers can visit the Frist Art Museum. Middle Tennessee’s blend of culture, history, and nature makes it a top destination for visitors.

Will I Be Reimbursed by UMR For Seeing A Mental Health Professional in Middle Tennessee?

Yes, you may be reimbursed by UMR for seeing a mental health professional in Middle Tennessee, depending on your specific policy. Reimbursement typically involves submitting a claims process, which may require you to meet your deductible and pay any applicable premiums or out-of-pocket costs.

To ensure a smooth reimbursement process, it’s essential to understand your policy details, including coverage limits, liability provisions, and any specific requirements for mental health services. Additionally, review the underwriting criteria to make sure your chosen provider is within the UMR network. This will help maximize your benefits and reduce out-of-pocket expenses associated with mental health treatment.

UMR Insurance: What’s the Difference Between a PPO and a HMO?

UMR Insurance offers both PPO and HMO plans, each with distinct features. The primary difference is that PPO plans provide greater flexibility in choosing healthcare providers and do not require referrals for specialists, while HMO plans typically require members to choose a primary care physician (PCP) and get referrals for specialized care.

PPO plans allow members to visit any doctor or specialist, even outside of the network, though higher costs may apply for out-of-network services. In contrast, HMO plans focus on preventive care and often have lower premiums and out-of-pocket costs, making them an attractive option for those who prefer coordinated care through a primary provider. Understanding these differences can help you select the best plan for your healthcare needs.

What Behavioral Health Plans Does UMR Offer?

The Bronze Plus, Silver, Gold, and Platinum plans offered by UMR represent different levels of health insurance coverage, each with varying premiums and out-of-pocket costs. The Bronze Plus plan has the lowest monthly premiums but typically comes with higher deductibles, making it suitable for healthy individuals.

In contrast, the Silver plan offers moderate costs and is a popular choice for many due to its balance of premium and coverage. The Gold plan features higher premiums with lower deductibles, ideal for those who anticipate frequent medical visits. The Platinum plan has the highest monthly premiums but provides the lowest deductibles, catering to those seeking maximum coverage. Choosing the right plan depends on your health needs, budget, and expected healthcare usage.

Primary Care Services with UMR Coverage

Freeman Primary Care offers a wide range of primary care services at our Nashville location, all covered by UMR insurance. Our primary healthcare includes family medicine, general practice, and internal medicine, ensuring comprehensive care for patients of all ages. We emphasize patient-centered care and continuity of care, providing outpatient care for individual needs.

Our dedicated team of primary care physicians (PCP) and general practitioner (GP) focuses on preventive care, routine check-ups, and health screenings to promote health maintenance and early detection of potential issues. Our primary care clinic is committed to delivering quality primary health services, allowing you to manage your health effectively while minimizing out-of-pocket expenses through UMR coverage.

Mental Health Therapy and Treatment with UMR Coverage

Freeman Mental Health provides an array of mental health therapy and treatment options covered by UMR insurance. Our services include individual and group therapy, counseling, and psychotherapy that address various mental health conditions such as anxiety, depression, and trauma. The team of licensed mental health professionals is dedicated to creating personalized treatment plans that align with your distinct needs.

Additionally, Freeman Health Partners focuses on patient-centered care, ensuring that you receive the support and guidance necessary for your recovery, starting with our free assessment. By emphasizing evidence-based practices and a compassionate approach, you can navigate your mental health challenges effectively. With UMR coverage, accessing these vital mental health services becomes more affordable and manageable.

Dual Diagnosis Treatment and Therapy with UMR Coverage

Freeman Health Partners offers specialized dual diagnosis treatment and therapy covered by UMR insurance, handling both mental health and substance use disorders concurrently. This integrated approach ensures that you receive inclusive care fit to your unique needs, facilitating recovery from co-occurring conditions such as depression and addiction.

Our team of experienced professionals utilizes evidence-based practices to create personalized treatment plans, combining therapy, counseling, and medication management as necessary. Emphasizing patient-centered care, the Freeman Mental Health Program supports you on your journey toward healing, helping you develop coping strategies and life skills for sustained recovery. With UMR coverage, accessing dual diagnosis services becomes smoother, allowing you to prioritize your mental health and well-being effectively.

Anxiety Disorders

Anxiety disorders include a range of conditions characterized by excessive fear or worry that can interfere with daily activities. Common types include generalized anxiety disorder, panic disorder, and social anxiety disorder. Symptoms may include restlessness, difficulty concentrating, and physical manifestations like increased heart rate. Effective treatment options include psychodynamic therapy, medication, and lifestyle modifications for improved mental health.

Depression

Depression is a mood disorder that affects how a person feels, thinks, and handles daily activities. Symptoms can include persistent sadness, loss of interest in previously enjoyed activities, fatigue, and changes in sleep or appetite. It can be triggered by various factors, including genetics, environment, and trauma. Treatment options often include therapy, medication, and support groups.

ADHD

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder displaying persistent patterns of inattention, hyperactivity, and impulsivity. People with ADHD may struggle with focus, organization, and time management, impacting academic and social performance. Treatment typically involves behavioral therapy, counseling, and medication to help manage symptoms, improve functioning, and enhance overall quality of life for those affected.

Mood Disorders

Mood disorders, such as major depressive disorder and dysthymia, involve significant disturbances in a person’s emotional state. Symptoms may include prolonged feelings of sadness, hopelessness, or irritability, impacting daily functioning. These disorders can be triggered by various factors, including stress, genetics, or trauma. Treatment often includes psychotherapy, medication, and lifestyle changes to improve emotional stability.

Bipolar Disorder

Bipolar disorder is a mental health condition characterized by extreme mood swings, including emotional highs (mania or hypomania) and lows (depression). These fluctuations can affect energy levels, sleep, and behavior, impacting daily life and relationships. Effective treatment typically involves a combination of medication, therapy, and lifestyle management to help you achieve mood stability and improved functioning.

Obsessive Compulsive Disorder (OCD)

Obsessive-Compulsive Disorder (OCD) is a mental health condition marked by persistent, intrusive thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) performed to alleviate anxiety. Common obsessions may include fears of contamination or harm, while compulsions often involve excessive cleaning or checking. Effective treatments include cognitive behavioral therapy (CBT) and medication, helping you manage your symptoms.

Post-Traumatic Stress Disorder (PTSD)

Post-Traumatic Stress Disorder (PTSD) is a mental health condition that can develop after experiencing or witnessing a traumatic event. Symptoms may include flashbacks, nightmares, severe anxiety, and uncontrollable thoughts about the trauma. PTSD can significantly impact daily life and relationships. Treatment often involves therapy, such as cognitive-behavioral therapy and medication to alleviate symptoms and promote healing.

UMR Insurance Covered Medication Assisted Treatment (MAT) 

UMR insurance covers Medication Assisted Treatment (MAT) for people struggling with substance use disorders, providing a comprehensive approach to recovery. MAT combines medications, such as buprenorphine or methadone, with counseling and behavioral therapies to address addiction effectively. This evidence-based treatment helps manage withdrawal symptoms and cravings, supporting you on your journey to sobriety.

Freeman Mental Health offers MAT services to meet each client’s needs, emphasizing a patient-centered approach. By incorporating therapy and support, MAT helps improve the overall quality of life for people battling addiction. With UMR coverage, accessing these vital services becomes more manageable, allowing you to focus on your recovery and long-term well-being.

UMR Insurance Supported Psychiatric Services: CBT, DBT and Holistic Therapy Programs 

UMR insurance supports a range of psychiatric services, including cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), Interpersonal Therapy (IPT), and holistic therapy programs. CBT helps identify and change negative thought patterns and behaviors, making it effective for various mental health conditions. DBT, a specialized form of CBT, emphasizes emotional regulation and interpersonal effectiveness, particularly beneficial for those with borderline personality disorder and emotional instability.

Additionally, holistic therapy programs incorporate mind-body approaches, such as mindfulness, meditation, and art therapy, addressing mental health from a comprehensive perspective. By covering these diverse psychiatric services, UMR insurance facilitates access to custom treatment options that support emotional well-being and foster long-term recovery for patients in need.

Family Practice in Middle Tennessee Covered by UMR Insurance

UMR insurance provides coverage for family practice services in Middle Tennessee, ensuring comprehensive healthcare for you and your family. Family practice physicians offer a wide range of services, including preventive care, routine check-ups, immunizations, and management of chronic conditions such as diabetes and hypertension. These services focus on maintaining overall health and wellness for patients of all ages.

Freeman Primary Care emphasizes patient-centered care, fostering lasting relationships between patients and their healthcare providers. By integrating primary care with mental health services, UMR-covered family practice promotes holistic health approaches. This accessibility allows families to prioritize their health and receive coordinated care, making it easier to navigate both physical and mental health needs effectively.

Counseling and Therapy Programs Covered by UMR 

UMR insurance covers a variety of counseling and therapy programs designed to support those facing mental health challenges. These programs include individual therapy, group therapy, and family therapy, addressing a wide range of issues such as anxiety, depression, trauma, and relationship difficulties.

Freeman Health Partners offers free assessment, evidence-based therapeutic approaches, including CBT and solution-focused therapy, which emphasizes goal-setting and practical solutions. Additionally, UMR coverage facilitates access to specialized therapies, such as art therapy and play therapy, catering to diverse needs and age groups.

Primary Care Programs with UMR Coverage in Dickson, Tennessee

UMR insurance provides extensive coverage for primary care programs in Dickson, Tennessee. Freeman Primary Care offers a variety of primary care options, including routine check-ups, preventive care, and management of chronic illnesses. By focusing on patient-centered care, these services promote overall health and well-being, helping patients maintain their health through regular health screenings and education.

In addition to standard primary care services, UMR coverage in Dickson includes access to specialists, laboratory services, and diagnostic imaging as needed. This comprehensive approach ensures that you receive coordinated care, encouraging continuity of care and inspiring proactive health management. With UMR insurance, you can prioritize your health and access the resources necessary for a healthier future.

Transcranial Magnetic Stimulation (TMS) Programs Covered by UMR Insurance

UMR insurance covers Transcranial Magnetic Stimulation (TMS) programs, an innovative treatment option for people with treatment-resistant depression and other mental health conditions. TMS is a non-invasive, FDA-approved procedure that utilizes magnetic fields to stimulate nerve cells in the brain, alleviating symptoms of depression and improving overall mood. It’s particularly beneficial for patients who have not responded well to traditional treatments.

Freeman Health Partners offers TMS therapy in a supportive and patient-centered environment. Each treatment session is typically brief and well-tolerated, allowing you to integrate this advanced therapy into your daily life.

Info and Statistics on Mental Health Insurance Claims in Tennessee

• Tennessee was below the national average (53.3% vs 59.6%) for adults with any mental illness who had private insurance, according to KFF.org
• 71% of TN youth with major depressive disorder did not receive health services, per TN.gov
• 404,068 clients were served by the Tennessee SMHA system in 2021, according to SAMHSA
• Per NAMI.org, Of the 231,000 adults in Tennessee who did not receive needed mental health care in 2023, 38.5% did not because of cost
• In 2022, 91% of Tennesseans had health insurance, per sycamoretn.org
• In Knox County, lack of knowledge of available services rated as the 2nd-most commonly reported barrier to finding mental health services, per knoxcounty.org