More About Rehabs Accepting Magellan
Magellan Health offers healthcare solutions for employers, states, and federal agencies.(1) If you have Magellan Health, some or all of the costs associated with substance use disorder (SUD) or dual diagnosis treatment could be covered.(2) Read on to learn more about Magellan Health coverage for rehab and how to use insurance to start your journey.
What Is Magellan Health?
Magellan Health is a healthcare solutions provider, offering multiple services, including behavioral health coverage, employee assistance programs (EAPs), pharmacy programs, and specialty health plans.(1) It collaborates with employers, government agencies, and other organizations to improve access to quality care.(1) With over 50 years of experience, Magellan Health offers a person-centered approach to behavioral health and overall well-being, emphasizing evidence-based solutions and quality outcomes.(1)
Does Magellan Cover Addiction and Mental Health Treatment?
Yes, Magellan Health covers treatment for mental health disorders, including substance use disorder (SUD), also known as addiction.(2)
You can receive support for SUD treatment as part of Magellan’s behavioral health services.(3) Under the Affordable Care Act (ACA), all marketplace health plans must cover essential health benefits, including addiction and mental health care.(4) Still, your Magellan Health coverage for addiction treatment can vary based on your specific policy.(4) Understanding your insurance benefits is essential to make informed decisions about your healthcare options and prevent unexpected costs.
What Types of Addiction and Mental Health Treatment Does Magellan Cover?
No one treatment approach will work for everyone.(5) Several levels of care are available to meet your unique needs.(5) Depending on your situation, your treatment plan can include multiple interventions and settings.(5) For example, you may start treatment in detox before transitioning to inpatient or outpatient care. Magellan Health coverage might vary based on the appropriate level of care for you. Here are some common types of addiction treatment a rehab covered by Magellan Health may offer:(5,6,7,8)
- Medical detox: This first treatment step involves withdrawal management under medical supervision to help you stop using substances as comfortably and safely as possible.
- Inpatient drug and alcohol rehab: Short- and long-term inpatient programs offer a highly structured living environment with 24/7 care and evidence-based therapeutic interventions.
- Outpatient addiction treatment programs: Standard outpatient rehab is the least intensive level of care where you live at home and participate in similar interventions as inpatient rehab.
- Intensive outpatient addiction treatment programs: The next step up from traditional outpatient rehab, an IOP offers a minimum of 9 hours of weekly treatment.
- Partial hospitalization rehab programs: PHPs are an intensive form of outpatient treatment, providing about 6 hours of daily, highly structured care.
- Aftercare: Following a formal treatment program with aftercare services, such as sober living homes, ongoing counseling, or 12-step programs, can promote long-term recovery.
Magellan may also cover medication-assisted treatment (MAT) if it’s considered medically necessary. MAT (sometimes called medications for opioid use disorder (MOUD) or addiction treatment with medication) combines FDA-approved medications, including buprenorphine and methadone, with counseling and behavioral therapies to support long-term recovery from alcohol or drug use.
Does Magellan Cover Co-Occurring Disorder Treatment?
Many experience mental health conditions, like anxiety, depression, or post-traumatic stress disorder (PTSD) at the same time as an SUD.(9) Some develop mental health conditions resulting from prolonged substance misuse.(9) Others may attempt to self-medicate with substances to alleviate mental health symptoms.(9)
Regardless of onset, mental health professionals recommend treating all disorders in tandem to promote the most positive outcomes.(9) Patients may benefit from an individualized treatment plan with evidence-based interventions, including cognitive-behavioral therapy (CBT), psychoeducation, contingency management, and more.
How to Use Magellan for Addiction or Mental Health Treatment
When using Magellan Health coverage for rehab, learning more about your benefits is crucial. Choosing an in-network provider can reduce out-of-pocket costs and ensure you receive the maximum coverage under your plan. There are many ways to check your benefits and find an in-network SUD treatment provider:
- Check your insurance coverage: You can verify your Magellan Health coverage for addiction treatment by logging in to your online patient portal or contacting member services. Understanding your coverage is vital as benefits differ based on your employer and policy.
- Network providers: Magellan’s provider network connects you to licensed and credentialed mental health professionals specializing in SUD treatment. Just visit the website and select the provider search to get started.
- Contact the treatment center: If you’re considering a specific facility, reach out to them directly. Most rehabs can verify your insurance benefits and provide cost estimates.
Sources:
- Magellan Health. (n.d.). Home.
- Magellan Health. (n.d.). Substance use disorder.
- Magellan Health. (n.d.). Behavioral health.
- Healthcare.gov. (n.d.). Health benefits & coverage.
- National Institute on Drug Abuse. (2018). Principles of drug addiction treatment: A research-based guide (third edition).
- Substance Abuse and Mental Health Services Administration. (2015). Detoxification and substance use treatment.
- Substance Abuse and Mental Health Services Administration. (2021). Clinical issues in intensive outpatient treatment for substance use disorders.
- Substance Abuse and Mental Health Services Administration. (2020). TIP 47: Substance use: Clinical issues in intensive outpatient treatment.
- National Institute on Mental Health. (2024). Substance use and co-occurring mental disorders.