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Magellan Health Insurance For Drug Rehab

Magellan insurance coverage for drug rehab

Article Contents

Drug and alcohol rehab can become very costly if you’re planning to cover all of your treatment costs on your own. Luckily, many rehab centers in the United States accept insurance plans provided through companies like Magellan Health.

Magellan Health is one of America’s largest behavioral healthcare companies. They offer many behavioral health plans and partner with other insurance companies to expand affordable access to treatment for medical and behavioral health conditions, including drug addiction.

At Recovering Champions, we accept insurance plans from many insurance providers, including Magellan Health. We can help you learn more about treatment services covered under your plan, and how to find the best treatment for yourself or a loved one struggling with addiction.

Magellan Healthcare Coverage For Drug And Alcohol Rehab

Many health insurance plans offered by Magellan Health include mental health and substance abuse coverage as essential health benefits. 

The amount of coverage your insurance plan offers, and other eligibility requirements, will depend on the type of insurance plan you have.

Magellan Healthcare partners with many healthcare providers and insurance companies. Through these partnerships, they provide a range of behavioral health plans, which include benefits that can help cover the cost of drug and alcohol addiction services.

Behavioral health programs and services offered by Magellan include:

  • care coordination
  • substance use disorder treatment
  • inpatient treatment
  • dual diagnosis treatment
  • prescription drug coverage
  • outpatient rehab services
  • transitional care

Coverage limits, copay requirements, and other eligibility requirements for Magellan Health rehab coverage may apply.

Does Magellan Health Cover Detox?

Many insurance plans include medically necessary detoxification services as covered services. You may be required to get preapproval for detox before receiving coverage, depending on what type of plan you have, where you live, and your individual insurance policy.

Learn more about Detox Programs

Does Magellan Health Cover Inpatient Rehab?

Magellan health plans may offer behavioral health benefits that include coverage for inpatient treatment. Inpatient rehab programs are the most intensive form of treatment for substance abuse and mental health disorders.

Common inpatient rehab services include:

  • detox
  • individual therapy
  • group counseling
  • peer support groups
  • medication
  • medical care
  • psychiatric support
  • aftercare support

Inpatient rehab centers can provide people with the care, support, and tools necessary to get sober from addictive substances and begin the process of healing. Inpatient programs generally last 30 to 90 days on average, and require staying overnight at a rehab center.

Learn more about Inpatient Rehab Options

Does Magellan Health Cover Residential Treatment?

Residential treatment programs are similar to inpatient programs. However, some insurance plans distinguish between the two, and may only cover one or the other. 

Residential rehab programs offer treatment in a comfortable, home-like environment, while still offering intensive structure, supervision, and treatment. Some insurance plans cover short-term residential treatment for a certain length of time. 

Does Magellan Health Cover Outpatient Treatment?

Magellan Health plans offer coverage for many outpatient drug abuse services, such as behavioral therapy, family therapy, psychiatric services, peer coaching, and prescription medications.

Outpatient rehab programs that may be covered include:

  • day treatment: also known as partial hospitalization, this involves attending treatment at a rehab center for four to six hours a day, up to five days a week.
  • intensive outpatient programs: this type of program often requires attending treatment for two to three hours a day, up to three days a week.
  • outpatient programs: this type of program may involve attending counseling and other treatment services on a weekly basis. 

Outpatient treatment is most suitable for people who are sober and medically stable. Most people begin an outpatient program after receiving inpatient care, or following a relapse. 

Not all outpatient services may be covered under your insurance plan. Furthermore, you may be required to pay a portion of treatment costs yourself. Depending on the type of plan you have, choosing an in-network treatment provider may help reduce costs.

Learn more about Outpatient Treatment Options

Does Magellan Health Cover Opioid Addiction Treatment?

Many healthcare companies, including Magellan Health, recognize the need to ensure evidence-based care for opioid addiction is accessible and affordable. 

To this end, health plans offered by Magellan Health may help cover costs for many common treatments for opioid addiction, including:

  • medication-assisted treatment (e.g. Suboxone therapy, methadone maintenance therapy)
  • inpatient rehab
  • medically supervised detox
  • dual diagnosis
  • chronic pain management
  • aftercare services

Copays, out-of-pocket costs, and deductible requirements may apply. Coverage for opioid addiction treatment services will depend on the type of insurance plan you have and whether you’ve met eligibility requirements.

Learn more about Opioid Addiction Treatment

What To Know Before Using Magellan Insurance To Pay For Rehab

Having insurance coverage does not guarantee that your insurance will cover the full costs of treatment. You may be required to pay a portion of your addiction treatment costs out-of-pocket. 

Before planning to use your health insurance to pay for substance abuse treatment, there’s some important information you should know. You can find this information by checking your insurance policy or calling your insurance provider directly.

What to know before planning to use Magellan Health coverage for rehab:

  • Does your insurance plan cover the type of treatment you’re seeking?
  • Are you required to meet a deductible prior to receiving coverage?
  • Will you be responsible for copays or coinsurance fees? If so, how much?
  • Do you need to remain in-network to receive coverage for treatment?
  • How long will Magellan Health pay for full or partial treatment costs?

We understand that finding this information can be confusing and stressful. By calling our helpline, Recovering Champions can connect you with an addiction specialist who can explain your insurance coverage and available treatment options near you.

Verify Your Insurance With Recovering Champions

Recovering Champions is an accredited treatment facility in Massachusetts. We offer a range of treatment programs for drug abuse, alcohol abuse, and dual diagnosis. 

We serve the greater New England Region, including:

We accept many insurance plans at our rehab facility. Don’t wait to seek help. Contact us today to verify your insurance and learn more about our addiction treatment programs.

Written by Recovering Champions Editorial Team
This page does not provide medical advice.

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