You’re balancing work, family, and your recovery journey, and you need care that fits your schedule and budget. Outpatient therapy with UMR coverage makes it possible to get the mental health and addiction support you deserve without taking a leave of absence from your daily life. At The Hope House, you can access a spectrum of outpatient levels of care—from partial hospitalization programs to medication-assisted treatment—all within UMR’s in-network benefits.
Whether you’re attending group sessions after work or meeting your counselor via video conference between business calls, our tailored treatment programs ensure you receive comprehensive care and the support necessary for lasting recovery. In this guide, you’ll learn how UMR’s behavioral health benefits work, explore flexible outpatient options, see how to integrate treatment into a busy life, review evidence-based therapies, and navigate your insurance details step by step.
Understand UMR behavioral health benefits
In-network provider network and benefits
UMR partners with more than 3,000 behavioral health providers, so you can find a qualified therapist, counselor, or physician close to home or work. Staying in network helps you:
- Lower out-of-pocket costs
- Ensure coverage for diagnostic exams and medication management
- Simplify billing and claims
UMR’s network includes psychiatrists, psychologists, master’s-level clinicians, and licensed social workers who specialize in addiction recovery and mental health conditions, giving you access to a supportive environment of professionals.
Covered outpatient services and structure
Under UMR’s outpatient mental health benefits, you can receive:
- Talk therapy and behavioral diagnostic exams
- Group counseling and family therapy
- Medication-assisted treatment for opioid use disorder
- Teletherapy sessions when in-person isn’t feasible
Outpatient care means you’re not admitted to a hospital or residential facility. You’ll come in for scheduled visits and return home at the end of the day, maintaining normal routines and family connections [1].
Cost-sharing, deductibles, and copays
Outpatient mental health visits under UMR typically involve:
- A deductible ranging from $250 to $5,000 per person, depending on your plan tier [2]
- Copays of about $20 to $30 per therapy session
- Coinsurance for certain services and medications
You can reduce costs by choosing in-network providers and confirming assignment acceptance. If you have questions about specific fees, our billing specialists will work with you and UMR to clarify any charges before you start treatment.
Explore outpatient treatment options
Partial hospitalization program (PHP)
PHP is a step-down level of care that offers daily structure without overnight stays. You’ll attend four to five days a week, engaging in:
- Individual therapy
- Group workshops on relapse prevention
- Psychiatric evaluations
- Family education sessions
This program bridges the gap between inpatient care and standard outpatient services, giving you robust support as you transition home. UMR covers PHP when it’s medically necessary, helping you maintain momentum in recovery.
Intensive outpatient program (IOP)
IOP provides three to five weekly sessions, each lasting three hours or more. You’ll benefit from:
- Peer support in group therapy
- Skills training in cognitive behavioral techniques
- Stress-management and mindfulness practices
IOP allows you to balance treatment with work and family commitments. UMR’s in-network coverage applies here as well, so you can focus on healing rather than on logistics.
Standard outpatient therapy
When you’re ready for ongoing support, outpatient therapy offers maximum flexibility.
Individual sessions
One-on-one counseling lets you explore personal triggers, develop coping strategies, and set recovery goals with your therapist.
Group therapy
Participating in peers’ stories fosters accountability and reduces isolation. You’ll gain insights and encouragement from others facing similar challenges.
Family counseling
Involving loved ones strengthens your support system. Sessions teach communication skills, boundary setting, and ways to rebuild trust.
Medication-assisted treatment (MAT)
For opioid addiction, MAT combines FDA-approved medications like suboxone with counseling:
- Suboxone stabilizes brain chemistry and reduces cravings
- Counseling addresses behavioral and emotional components
- UMR covers MAT as an essential benefit under parity laws [3]
Outpatient MAT lets you maintain daily routines while receiving medication management and therapy in a comprehensive plan.
Integrate treatment with your life
Flexible scheduling and telehealth options
We recognize that 9-to-5 jobs, school pick-ups, or caregiving duties can make consistent attendance challenging. That’s why we offer:
- Early morning, evening, and weekend appointments
- Secure video-based therapy [2]
- Phone check-ins with counselors
This flexibility ensures you never have to choose between your responsibilities and your wellness.
Coordinating with employer and insurer
Many employers support employee health initiatives and leave options:
- Talk to your HR department about FMLA or ADA accommodations
- Work with our intake team to verify benefits before your first appointment
- Our administrative staff can handle prior authorizations and claim submissions
This coordination minimizes surprises and helps you use your UMR benefits effectively.
Managing responsibilities and support
Recovery thrives on connection. To involve your support network:
- Invite family members to educational workshops
- Consider peer-led alumni groups for shared accountability
- Use digital tools—apps or online portals—to track symptoms and homework
Building a reliable circle of support at work and home bolsters your commitment to lasting change.
Evidence-based therapies and supportive environment
Cognitive behavioral and dialectical behavior therapy
CBT helps you identify and reshape unhelpful thought patterns, while DBT focuses on emotional regulation and distress tolerance. These structured approaches:
- Enhance self-reflection
- Teach practical coping skills
- Reduce relapse risk
Both are core components of our tailored treatment programs, ensuring you learn tools you can use long after formal therapy ends.
Holistic and peer-support components
Beyond talk therapy, we integrate:
- Mindfulness meditation and yoga to promote wellness
- Nutrition and exercise planning for physical recovery
- Peer-facilitated groups to foster camaraderie
This holistic approach addresses the whole person, not just symptoms, creating a nurturing environment for growth.
Individualized plans and ongoing assessment
Your recovery plan evolves as you progress. We conduct regular check-ins to:
- Measure symptom relief and goal attainment
- Adjust therapy intensity or medication dosages
- Transition you seamlessly to a lower level of care when you’re ready
This comprehensive care model ensures you always have the right level of support.
Navigating your UMR coverage
Verifying benefits and pre-authorization
Before your first session, our intake team will:
- Contact UMR to confirm covered services
- Obtain any required pre-authorization for PHP, IOP, or MAT
- Explain any estimated copays or coinsurance
This upfront clarity helps you plan financially and mentally for treatment.
Working with billing specialists
If questions arise about claims or EOBs, our financial coordinators will:
- Review your UMR plan details
- Advocate on your behalf with the insurer
- Set up payment plans for any remaining balance
You can focus on healing, knowing billing is handled professionally.
Transitioning to step-down or aftercare
As you progress, you might move from PHP to IOP, then to weekly therapy. UMR benefits typically extend across these levels, so ongoing care—like alumni meetings or referral to community resources—remains accessible under your plan.
Coverage for other major insurers
The Hope House also partners with leading providers so you can choose the plan that fits your needs. Explore your options below:
Take the next step toward balanced recovery
You don’t have to choose between your responsibilities and your well-being. With tailored outpatient care under your UMR plan, The Hope House delivers the structure, flexibility, and support necessary for lasting change. Reach out today to verify your benefits, schedule an assessment, and start crafting your individualized plan. Your path to healing can fit right alongside your life.
