Alcohol And Drug Rehabs That Accept Magellan Healthcare

Medically reviewed by

Dr. Gerardo Sison

April 23, 2019

If you or a loved one is struggling with a substance use disorder, seeking treatment is the best decision that can be made. Unfortunately, the cost of treatment prevents many people from getting the help they need and deserve.

Luckily, there are several options available to help cover the cost of addiction treatment. One of these is health insurance coverage, such as that provided by Magellan Healthcare.

Magellan Healthcare provides a number of different healthcare solutions. These include specialized employee assistance programs that provide addiction treatment programs and services.

Does Magellan Healthcare Cover Drug And Alcohol Addiction Treatment?

Magellan Healthcare partners with a variety of health insurance providers to offer maximum behavioral healthcare coverage. They also provide customized health plans for state and federal employees as well as supplemental insurance programs like Medicaid.

Magellan Healthcare is one of the leading providers of addiction treatment that emphasizes recovery from both mental health and substance use disorders. Magellan places an emphasis on dual diagnosis treatment, which works to treat the mental, emotional, and physical aspects of addiction.

In addition to dual diagnosis treatment, Magellan Healthcare also provides coverage for mental health disorders and drug and alcohol addiction separately. The amount of coverage you will receive will depend on the state you live in and the Magellan plan you have.

Drug And Alcohol Addiction Treatment Services Covered By Magellan Healthcare

Each Magellan Healthcare plan will provide a different level of coverage for addiction services. The out-of-pocket costs and copays for treatment will also vary from plan to plan.

Som Magellan insurance plans may require a medical assessment or prior authorization before coverage will be provided.

Common drug and alcohol treatment services covered by Magellan include:

• medically supervised detox programs
• intervention programs
• medication management
• counseling
• dual diagnosis treatment services
• mental health and substance use disorder diagnosis
• drug testing

Many Magellan Healthcare plans provide coverage for more intensive addiction treatment programs. These may include inpatient and outpatient treatment.

Inpatient Addiction Programs

Inpatient treatment is often seen as one of the most successful forms of treatment for drug and alcohol addiction. An inpatient program requires patients to live residentially at the rehab facility for several weeks or months. The exact amount of time will depend on the person’s condition and needs.

Inpatient programs provide intensive and daily addiction treatment. Many programs offer customized plans of recovery for each individual. These programs may include medication-assisted treatment (MAT), various forms of therapy, and support groups.

Many Magellan insurance plans offer some form of coverage for inpatient treatment. Your plan may only cover a specific amount of time in inpatient treatment, such as 30 days. Out-of-pocket costs and copays will depend on your specific plan.

Outpatient Addiction Programs

There are several different types of outpatient programs offered for the treatment of drug and alcohol addiction. Partial hospitalization programs (PHP) are the most intensive form and typically consist of daily therapy for several hours. Intensive outpatient programs (IOP) are less intensive and require therapy several days a week.

Outpatient programs are generally recommended for people with less severe substance use disorders. They can also be used as an aftercare program following inpatient treatment.

This form of treatment is typically covered at a higher rate by Magellan Healthcare. Many Magellan plans will simply require a copay for each outpatient session. Exact coverage will vary from plan to plan.

Using Your Magellan Healthcare Plan To Cover Drug And Alcohol Treatment

There are a number of things to consider before using your Magellan insurance plan to cover addiction treatment. Speaking with a Magellan representative can help answer any questions you may have and help you better understand your plan.

Common questions to consider before using your Magellan plan for addiction coverage include:

• Does my plan provide coverage for drug and alcohol addiction treatment?
• Is a medically supervised detox program covered by my plan?
• Are medications used throughout treatment covered?
• Does my plan cover inpatient treatment? Is my coverage limited to a set amount of time?
• Does my plan cover outpatient programs?
• What are my copays or out-of-pocket costs for each type of treatment?
• Do any addiction programs require prior authorization before I’m eligible for coverage?
• Do I need to submit any paperwork to receive coverage from Magellan?

Knowing which questions to ask your Magellan representative can help you be as prepared as possible for addiction treatment. This will also allow you to avoid unexpected costs when seeking treatment.

How To Find A Treatment Program That Accepts Magellan Healthcare

Understanding your insurance plan and what it covers is an important first step to seeking treatment for a drug or alcohol addiction. Using your plan can help reduce costs and ease any financial stress you may be experiencing as it relates to treatment.

Additionally, speaking with a treatment specialist can help you determine which treatment services are best for you. A treatment specialist can also help you find a rehab program that accepts your insurance.

To learn more about alcohol and drug rehabs that accept Magellan Healthcare, contact a treatment specialist today.