If you or a loved one holds a UMR health plan, you may have coverage for addiction treatment — including residential rehab, detox, and ongoing therapeutic care. UMR is the nation’s largest third-party administrator (TPA), managing self-funded employer health plans for millions of members across the United States.
Because UMR administers benefits on behalf of individual employers, coverage for substance use disorder treatment can vary from plan to plan. Many UMR plans include meaningful behavioral health benefits, covering services such as medical detox, inpatient rehabilitation, individual and group therapy, and medication-assisted treatment.
At The Ohana, we work directly with UMR to verify your specific benefits so you can understand your coverage before committing to treatment. Our admissions team can review your benefits, explain your options, and guide you through the insurance process so you know exactly what to expect — with no surprise costs and no added stress during an already difficult time.
UMR-administered plans often include benefits for a wide range of addiction treatment services, including:
Coverage may vary depending on your employer’s specific plan, so our team offers free, confidential insurance verification to clarify what is included for you.
At The Ohana, we combine evidence-based addiction treatment with a luxury setting on the Big Island of Hawaii. If you hold a UMR-administered plan, you may be eligible for coverage of your stay — including detox, residential treatment, and therapeutic programming.
Our clinical team provides whole-person care that goes beyond traditional rehab. In addition to proven therapeutic modalities like CBT, DBT, and trauma-informed therapy, residents experience adventure therapy, Hawaiian cultural programming, gourmet chef-prepared meals, and private accommodations in a serene three-acre setting in Kailua-Kona.
Our team helps you maximize your benefits while ensuring your treatment is never compromised. Our goal is to make world-class rehab both accessible and life-changing. Call now to speak with our admissions specialists and take the first step toward healing.
Because UMR administers self-funded employer plans, each plan’s network and out-of-network benefits are determined by the employer. Many UMR plans include out-of-network benefits that may cover a significant portion of treatment at a facility like The Ohana.
Under the Affordable Care Act (ACA) and the Mental Health Parity and Addiction Equity Act, most health plans are required to cover substance use disorder treatment at a level comparable to medical and surgical benefits. This means your UMR plan may provide more coverage for addiction treatment than you expect.
Our admissions team is experienced in working with UMR plans and can help you navigate the benefits verification and prior authorization process. We handle the paperwork so you can focus on what matters most — getting well.
