Magellan Health Coverage for Drug & Alcohol Rehab

Discover how Magellan Health covers drug and alcohol rehab, including inpatient, outpatient, and medication-assisted treatments.

Magellan Health Coverage for Drug & Alcohol Rehab

Discover how Magellan Health covers drug and alcohol rehab, including inpatient, outpatient, and medication-assisted treatments.

Magellan Health is the parent of two companies: Magellan Healthcare and Magellan Federal. Both offer behavioral health and support services for clients. Magellan Healthcare serves health plans and employers along with states. Magellan Federal is focused on serving men and women in the military.

In 2022 Magellan Health was acquired by Centene Corporation. However the company continues to operate as a separate subsidiary and maintains their name and brand. Magellan employs over 5,000 people and their services impact millions of Americans.

Does Magellan Health Cover Drug and Alcohol Rehab?

Magellan Health provides behavioral health solutions and care management services to insurance plans and employers along with states and federal agencies. However Magellan doesn’t determine what is covered or how much coverage you have — the insurance plan determines that.

That’s why it’s so important to verify your coverage details before you start treatment. You may find that you need a doctor’s referral or preauthorization to get insurance coverage.

Also insurance plans focus on covering medically necessary care. Working with your doctor to create a treatment plan for your addiction diagnosis will not only give you direction on what programs to look for but will help prove medical necessity as well.

If you’re identifying potential rehab programs or clarifying insurance rules, you can learn more about rehab options to locate centers that align with your benefits.

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Addiction Centers That Accept Magellan Health

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    Banyan Palm Springs

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    0
    Top 10 Rehab In California
    4.7
    (255 reviews)
    Check iconClaimed
    Banyan Palm Springs is a luxury addiction recovery center ensconced in the serene, tree lined community of Cathedral City, California. They offer a complete continuum of care to support your success at every stage of the recovery journey, from medical detox to inpatient treatment to outpatient and aftercare. Banyan Palm Spring’s expert clinici
    View Website (561) 220-1814
    Banyan was fantastic! Great staff and facilities!
    Jacob Burns
    1 day ago
    My experience at Banyan was A+. I was so lost before coming to Banyan. I needed the extra help handling my addictions and I made the right choice coming here. They helped me get clean which was the first step. The staff was all wonderful during the progression of staying clean and helping me prepare to take on life again. I don’t know where I would be without Banyan. Thank you to all of the instructors, therapists, case managers, and BHT that supported me along this journey.
    Sam Casinelli
    1 week ago
    My experience at Banyan residential 30 day stay was an enlightening experience. I learned a lot about myself and the disease of my addiction. I have learned the tools to practice for further recovery. All and all its staff was very helpful and mindful for what struggles I was facing. Through therapy and group sessions made me feel at home. I recommend this place through my personal experience.
    Chris Riley
    1 week ago
    9
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    Top 10 Rehab In New Jersey
    4.9
    (442 reviews)
    Check iconClaimed
    Boca Recovery Center – Galloway is a drug and alcohol rehab in Galloway, NJ. They provide inpatient addiction treatment and medical detox. Boca Recovery’s New Jersey Drug & Alcohol Rehab, located in Galloway, New Jersey offers residential addiction treatment, medical detox, and medication-assisted treatment in an immersive treatment s
    I have never been in any treatment facility for my addiction and I am so grateful that I was sent to Boca. I was scared and nervous about being away from home but I was immediately put at ease by the staff. I had no clothes, Bridget came to my rescue with clothes. Sissy, the housekeep, loved on me like a mother with everything I needed to build my self esteem. Ashley, my Therapist, gave me so many tools to not pick up again and assisted me with many coping skills. Brianna, the case manager, assisted me with all things FMLA and pay related with was great because I didn’t know where to start. The chefs, Joseph and Tyron fed me amazing meals to regain my strength and stay healthy. Kevin, the alumni coordinator, has given me his direct contact in case I need anything sobriety related. Overall this has been a life changing experience for me and I am grateful to have had this opportunity and I know that I have truly made life long friendships at Boca.
    Sara Loper
    2 weeks ago
    Boca is the best rehab. The staff is amazing and this place will help you. And it’s very nice and clean.
    Michele Caroselli
    2 weeks ago
    Great facility
    Emanuel Rodriguez
    2 weeks ago
    Boca Recovery Center - Galloway NJ 8205
    7
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    Boca Recovery Center Galloway NJ, exterior with brand sign Boca Recovery in Galloway, NJ front door exterior Boca Recovery Galloway, NJ dining room interior
    0
    Top 10 Rehab In Florida
    4.9
    (313 reviews)
    Check iconClaimed
    Boca Recovery Center in Pompano Beach, Florida is located just 10 miles north of Fort Lauderdale. We provide comprehensive rehabilitation services ranging from medical detoxification and residential treatment to specialized programs that meet your unique needs. Boca Recovery Center in Pompano Beach, is an addiction treatment facility in Florida. Th
    I went to BRC thinking that I wasn't like the other patients there. That drugs and alcohol weren't really the issues I struggled with. Within two days into my recovery I began to let my guard down and accept not only skills they offer but accept the situation I'm in. I left there learning several things including how to deal with addiction, mindfulness, surrender, and gratitude. Thank you BRC for swiftly helping me find myself and providing me with the necessary tools for the ever-long journey ahead. A+ staff
    aj holmes
    1 day ago
    Oh man, I can not thank this place enough for literally helping me when I thought I had no where to turn. Every single staff member from housekeeping to the directors were unbelievably kind and caring for each and every client and our different needs. Every single staff member takes the time to always check in with you, even if you're having a down day and just need to rest your mind and body. The everyday groups became something I looked forward to going to. I loved hearing how there really are people JUST LIKE ME! I had some of the best laughs and made great memories here. I made friends for life. I learned so much about myself that I didnt even know was there. I truly love every single human at Boca and I can't ever thank them enough!
    Meaghan Edwards
    1 week ago
    I dragged what was left of me into Boca 3/4 of the way dead and I had completely given up on life. I've seen some very ugly things in my life and took some very heavy losses that year and decided I was going to crawl in a bottle and stay there until I was dead. It seems God and Boca had different ideas and if it wasn't for either one of them I wouldn't be here today writing this review the staff in Boca showed me love kindness and mercy when I needed it . It's not all about the clinical side of recovery there. The staff work through the heart I could actually see it in their eyes. And let me tell you I did not show them the same love kindness and mercy when I was there but they shouldered it anyway and took good care me I have nothing but love for the staff at Boca welll accept one guy there's always that one guy 😎
    Wade Riley
    1 week ago
    9
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    Boca Recovery Center Detox FL 33060 boca recovery pompano beach cafe boca recovery pompano beach gym boca recovery pompano beach exterior
    0
    Top 10 Rehab In California
    5.0
    (102 reviews)
    Design for Change is a drug rehab facility located in Lancaster, California. The center offers treatment for substance use disorder, alcohol use disorder, opioid use, chemical dependencies, and co-occurring mental and behavioral health disorders. Design for Change provides detox, medicated-assisted treatment (MAT), residential inpatient treatment,
    My name is Colin and I’m an alcoholic and needed to find recovery for a better state of lifestyle and health. Design for Change provided a structured environment and reliable access needed for recovery. The routine, resources, and accountability offered a stable foundation for developing healthier habits and clearer direction. Overall, my experience was consistent with what the program aims to provide. I was able to focus on my goals, maintain sobriety, and utilize the structure as a stepping stone for my continued personal growth. As of November 18, 2025 I have maintained my recovery and am over a year sober from alcohol. Design for Change saved my life.
    Colin Dunnet
    2 weeks ago
    I had an amazing experience at DFC! The Staff was caring, friendly and supportive! The facility was clean and welcoming! I was very pleased with my treatment it was successful and I now have a second chance! I can’t wait to start my new beginning! Thank you all at DFC!
    Kim Miller
    3 weeks ago
    This has been an incredible journey from start to finish. I came in broken and in need of help. This is more than just rehab, it's truly life changing with great structure, compassionate staff, laughter, and healing. I'm forever grateful to the owner, the lead counselor, and the rest of the staff for helping me find myself and helping me find a life free of pain, depression, and uncontrollable addiction and alcoholism.
    Jacob Hutton
    3 weeks ago
    Design for Change CA 93535
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    The facilities at Design for Change in Lancaster, CA 1 The facilities at Design for Change in Lancaster, CA 2 The facilities at Design for Change in Lancaster, CA 3 The facilities at Design for Change in Lancaster, CA 4

    Boca Recovery Center – Bloomington Alcohol & Drug Rehab

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    0
    Top 10 Rehab In Indiana
    4.9
    (209 reviews)
    The Boca Recovery Center is a luxury alcohol and drug rehab center for adults in Bloomington, Indiana. They specialize in cutting edge addiction treatment provided in a residential setting. One unique part of this alcohol and drug rehab in Indiana is the peaceful, secluded setting. If recovering in a clinical hospital setting doesn’t sound very a
    View Website (930) 203-1400
    Its a great place
    Andrea Youngblood
    2 weeks ago
    I had a wonderful experience at Boca recovery center they helped me with a lot of things, they gave me a lot of tools and resources that I currently continuing to work with.They have helped me in my recovery journey as I continue to be mindful of my triggers to prevent relapse. To all that are reading this may God of the universe continue to guide you on your recovery journey as well Amen! ☺️🙏
    Diamond Louis
    2 weeks ago
    Staff was amazing. Very comforting and friendly. Made me feel at home while going through a difficult time. Thank you Boca Recovery Center
    Mandy Jo
    3 weeks ago
    Boca Recovery Center Bloomington IN
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    boca recovery bloomington side entrance Boca Recovery Bloomington kitchen area food prep boca recovery bloomington bedroom boca recovery bloomington lounge
    0
    Top 10 Rehab In Indiana
    4.8
    (76 reviews)
    Check iconClaimed
    Boca Recovery Center is a luxury drug treatment facility in Huntington, Indiana. The company started in Florida in 2016 and quickly moved into three additional locations to address substance disorders and co-occurring mental health issues. They accept most major insurances and will check your coverage options days before you enter treatment. Howeve
    Exceptional staff and facility. Definitely one of a kind tailored treatment for people struggling with substance abuse!!
    Charlie Hite
    3 weeks ago
    The staff and clients at boca are incredible. Joe leads the most incredible meetings; I wish I could virtually sit in on them. Bri was such a strong supporter. If you have an opportunity to go here, give it a chance and go!! It works!
    Krista Calabrese
    1 month ago
    This place was amazing! The staff has also walked in shoes similar to my own so it made relating to them much easier! I was able to get a good head start in sobriety here! The residents were also amazing! If I had to refer anyone needing help I would definitely refer them here! It’s a great place to start your sober journey!
    Edmenyon Williams
    1 month ago
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    A simple patient room at Boca Recovery Center Huntington, featuring a bed, two nightstands, and a colorful world map artwork on the wall. The room has soft blue walls and a window with blinds. Spacious theater-style seating arrangement in Boca Recovery Center Huntington, designed for group sessions or presentations. Recreation room at Boca Recovery Center Huntington featuring foosball, ping pong, and seating for relaxation.
    0
    Top 10 Rehab In Texas
    4.7
    (189 reviews)
    The Windmill Wellness Ranch is an inpatient rehab and recovery center located close to San Antonio in Canyon Lake, Texas. Here, they treat adults with substance use and co-occurring (dual diagnosis) disorders. If you’re a veteran then it’s good to know that the center is in-network with TRICARE insurance. They also accept most major insurance.
    Sadly, Windmill now is allowing previous employees to post reviews. This troubles me. My initial review was heartfelt and honest. It upsets me that Windmill is doing this. Windmill used to be better than this. Perhaps it has to do with the new ownership.
    Paul Marshall
    1 month ago
    I had the most amazing experience of my life! WWR saved my life in many ways. I tackled multiple addictions and took advantage of every service they offer (which there are many!). The counselors and recovery advocates are incredible. While I now have the tools to go back to the real world, I will miss this place in my soul. I would recommend WWR to anyone needing to face addiction or any other mental challenge.
    Marsha Baker
    2 months ago
    Windmill is set amongst a beautiful scenery of trees and deers, that enables peace of mind and a healing quietness for the spirit. This serene atmosphere grows and shines in the people living there and the ones there providing us support through their smiles and patient caring for each other. I was able to learn again what it felt like to be human, sane, and a part of something. Fellowship being the heart of the strength built, I walked away with a community that stands as an army ready to fight together. You will be empowered. It works if you work it. As the windmill keeps turning, so shall we!
    Annemarie
    2 months ago
    Windmill Wellness Ranch TX 78133
    6
    6
    The facilities at Windmill Wellness Ranch in Canyon Lake, TX 1 The facilities at Windmill Wellness Ranch in Canyon Lake, TX 2 The facilities at Windmill Wellness Ranch in Canyon Lake, TX 3 The facilities at Windmill Wellness Ranch in Canyon Lake, TX 4
    0
    Top 10 Rehab In Oregon
    4.9
    (31 reviews)
    Tree House Recovery is a drug and alcohol rehab located in Portland, Oregon. They provide inpatient addiction treatment and sober living for men. Addiction-related services provided at Tree House include inpatient addiction treatment and sober living facilities for men. Residential Addiction Treatment Tree House uses treatment modalities that focus
    They get the job done
    Clarity 2733
    2 weeks ago
    When my younger brother finally decided to seek help for his alcohol addiction, I spent countless hours researching treatment programs. From the moment I came across the website for Tree House Recovery PDX, I knew this was something special. A truly unique program that stood out from every other rehab facility I had seen. Tree House’s focus on building a brotherhood grounded in mutual respect, compassion, and empowerment immediately resonated with me. My brother had spent years feeling isolated and disconnected, and I knew this kind of community could give him the sense of belonging he’d been missing. The combination of strength training and mindfulness yoga was unlike anything I had come across before. Replacing harmful habits with physical strength and mental resilience was exactly what my brother, once an athletic, active teenager, needed to reconnect with a version of himself that existed before alcohol took hold. The program’s one-on-one, group, and writing therapy, combined with the educational classes on the mechanisms of addiction, make it one of the most well-rounded and thoughtful approaches to recovery I have ever seen. In just three months, the transformation in my brother has been remarkable, not only in his body but in his voice, his confidence, and his spirit. Tree House has given him tools to cope with disappointment and setbacks, develop healthier reasoning skills, and rediscover the strength that comes from brotherhood, from leaning on and lifting up others walking the same path. He’s learned how to have fun without substances and surround himself with people who genuinely care about his well-being. Initially, I worried Tree House might not be an option for us financially. But then I saw the words at the bottom of their website: “We strive to make sure that Tree House is an option for everyone.” It felt like they were speaking directly to me. When I reached out, Matt was incredible. He listened with genuine compassion, spoke with both my brother and me, and over the next week and a half worked tirelessly with the team, including the program director and finance department, to make sure my brother could be admitted. He arranged detox admission, transportation, and housing. Thanks to Matt, Brandon, Emma, Esther, and Rob, my brother was given a real shot at recovery. Tree House Recovery PDX hasn’t just helped my brother get sober, it has transformed his outlook on life. He’s now enrolled in school, exploring meaningful work, and, most importantly, has hope again. Our family will forever be grateful to the entire Tree House team for their compassion, creativity, and unwavering belief in the potential for change.
    Elizabeth Gary
    2 months ago
    Our lives we had built over almost 40 years together were failing. We were scared, we were desolate and drowning, our family was tapped out, ashamed of our choices and finally desperately seeking help from anyone that would listen. No one was listening. We had waited too long thinking it was no problem, not really, we weren’t like “those people”, we knew that we could quit, he hadn’t relapsed he had had surgery and a month long hospital stay, we would easily just get a job, move in with family till we were on our feet, we’d done it many times before, he had been sober 17 out of 25 years, snap no worries….. we were so wrong about it ALL. Weeks later and my husband had been in detox for around 10 days in Eugene, the farthest place away my boys could find that would take and keep him, I had been making as usual, call after call, text chat after text chat, day after day, page after page, talking to each rehab, each place that said no, sent by them always to try another few and when they said no the search online would lead me to more. All of them said no for whatever reason, mostly full beds and even if there were available beds, they wouldn’t take our insurance since the Covid exceptions are all expiring. Or they would take our insurance but only for detox which he is already in. The luxury, lol, rehabs all offered self pay ofcourse, thousands upon thousands and we had no money. I had almost given up any hopes we once shared and I got a text back from someone. Not wanting to hear no again after pouring out our story through tears, I was frustrated and angry and I got to the point, “do you take our insurance or not?” No answer but they said I’d be chat contacted soon. Sure. Sure. Then I was, his name was Matt from Tree House Recovery, and he listened. I couldn’t believe he listened. My husband is 60, he is lost. I am lost. Matt gave me hope. Tree Houses Website and videos and links to YouTube gave me hope. Matt asked me if My husband was tired of self medicating and being in life long pain, were our lives unmanageable, were we on the bottom. We were way past that and we were going to die. He still was listening. We have nothing but we will give anything just to have a chance. Matt fought for us, fought for that chance, and through the Grace of God and everyone involved at Tree House, his chance at a NEW LIFE, his DAY ONE there, is this week. I promised to get my husband to the door, any door that said yes, he had to walk through it….. thanks to Matt listening and truly caring he is, and he will learn, and grow and rebuild his mind, body and spirit one minute, one hour, one day at a time. Our family is grateful and humbled and blessed. Thankyou isn’t enough.
    Kirby
    2 months ago
    Tree House Recovery OR 97217
    3
    The facilities at Tree House Recovery in Portland, OR 1 The facilities at Tree House Recovery in Portland, OR 2

    Asana Recovery: Drug & Alcohol Rehab In California

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    0
    Top 10 Rehab In California
    4.7
    (114 reviews)
    Check iconClaimed
    Asana Recovery has many locations, including the outpatient clinic on Pomona Avenue in Costa Mesa, California. That location is only a 12-minute drive to Balboa Pier at the beach. Their outpatient treatment for adults includes a partial hospitalization program (PHP), and an intensive outpatient treatment program (IOP). These programs are for adu
    View Website (949) 763-4175
    ⭐️⭐️⭐️⭐️⭐️ Exceptional Care, Life-Changing Experience at Asana Recovery My journey with Asana Recovery has been nothing short of transformational. Walking through their doors, I wasn’t just another patient entering a treatment center—I was a person in need of compassion, structure, and genuine guidance. From the very beginning, the team at Asana made me feel seen, heard, and supported in a way that very few treatment centers truly deliver. After just two months in recovery, I was given the incredible opportunity to become a house manager, which was a breathtaking experience. Not only did it deepen my recovery, but it allowed me to support others walking the same path. That chance to step into responsibility and service was life-changing, and it’s something I will always carry with me. What sets Asana apart is the people. Jonathan and Linda, in particular, are shining examples of what makes this place extraordinary. Jonathan’s ability to connect with individuals on a deeply human level created a sense of trust that allowed me to open up and truly engage in the process. His wisdom, steadiness, and encouragement gave me tools that I will carry for the rest of my life. Linda’s presence is like a beacon—warm, nurturing, and absolutely unshakable. Her kindness and dedication went far beyond a “job”; it was clear she cares about every single person who comes through Asana’s program as if they were family. And it isn’t just them—the entire Asana team embodies that same commitment. Whether it was the counselors guiding me through difficult conversations, the medical staff ensuring I was safe and cared for, or the support staff who brought positivity into every interaction, each person played an important role in making recovery feel possible. They created an environment that blended professionalism with heart, where structure and accountability were balanced with compassion and encouragement. I’ve been to other facilities and spoken with countless people who have gone through recovery in different settings, and I can say without hesitation that Asana stands in a class of its own. Their approach is holistic, their community is genuine, and their impact is lasting. To anyone considering Asana Recovery—whether for yourself or a loved one—know this: you will not just find treatment here; you will find hope, healing, and a family that will walk alongside you every step of the way. I am deeply grateful to Jonathan, Linda, and the entire Asana Recovery team for helping me reclaim my life.
    Brad Barton
    3 months ago
    Amazing residential home! Or at least the one I was at in Huntington beach. Love the food, staff, nd they also helped me get a job towards the end of my treatment!!
    Cassie Lee
    8 months ago
    Definitely recommend this treatment center !!
    Brittany Jefferson
    8 months ago
    13
    13
    0
    Top 10 Rehab In California
    4.7
    (297 reviews)
    California Prime Recovery Drug & Alcohol Rehab Orange County in Fountain Valley, California, has earned The Joint Commission Gold Seal of Approval for Behavioral Health Care. They provide a wide range of treatment for substance use disorders, addiction, and co-occurring mental health conditions. The outpatient treatment program includes three level
    Really enjoyed my stay, i completed CPR a few months ago and it was difficult being away from my home in NC but it turned out to be the best thing that happened to me. I now have 6 months of sobriety and I'm enjoying being back with my family and living this new way of life. My favorite part about being here was the staff, community and the great living near the beach. Much love CPR.
    Alonzo Moreno
    1 week ago
    My experience was so amazing here at California prime not only did it help in my recovery but my confidence to give my self a better life! I want to thank all the staff but give me a new life tho I’m not done in my recovery each day I work on it, I’m going to be cherishing and using all my new tools to my life and again I want to thank yall for being amazing and helpful yall help save my life! God bless you Sincerely, Todd Blackwolf
    Todd Blackwolf
    2 weeks ago
    When I think of California Prime it instantly fills me with so much peace! I came into the program a couple years ago I was a lost, scared, insecure broken woman with addiction issues that were ruining my life. . Through out my stay I learned so many skills to change my life. The facilitators and staff are genuine, caring, compassionate, and informative. Today I have my life back! I'm a mother involved in my kids life, I manage a hair salon, I have a strong relationship with God, and thanks to Cali Prime i have coping skills to work through life's hard times that I will use the rest of my life. I'll forever be grateful for this program and everything they did for me💗 If you or someone you love needs help reach out you won't regret it. Life is so good today!
    Autumn Morphew
    2 weeks ago
    The facilities at California Prime Recovery in Fountain Valley, CA 1
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    Frequently Asked Questions

    What Insurance Services Does Magellan Health Offer to Clients?

    Magellan Health offers a wide range of insurance solutions that are tailored to each client’s needs.

    For health plans Magellan offers behavioral health services that include coordinated care for anxiety and depression along with substance use disorder and autism and more. There are digital behavioral health services as well.

    Other services that health plans can use include care management assistance and a pharmacy program to make it easier to provide prescription medications to members. They also have a program called Magellan Autism Connections® to help families care for children with autism.

    Employers can take advantage of Magellan’s eMbrace employer solutions. This includes Employer Assistance Programs (EAPs) along with behavioral health care. They also have specialized solutions that augment those programs by giving additional support to young adults and adolescents along with parents and caregivers and more.

    For states Magellan provides behavioral healthcare and children’s services. They also give state programs access to peer support for recovery.

    Finally for federal agencies and the military Magellan Federal offers mental health and substance use services and care management along with family support services and administrative support.

    Does Magellan Health Cover Mental Healthcare?

    All of Magellan Health’s solutions include behavioral health services which includes mental healthcare. However Magellan doesn’t decide exactly what is covered or how much coverage is available — your insurance plan does that. So it’s important to talk to your insurance company or employer’s benefits specialist to get the details of your plan before you begin a program.

    Mental health services include crisis support as well as therapy and counseling. You may be able to get peer support from those who have gone through the same issues. Whether you struggle with depression or anxiety or other mental health concerns most insurance plans will provide at least some coverage.

    One thing to keep in mind is that many people with substance use disorders also have mental health diagnoses. Having both together is called a co occurring disorder or a dual diagnosis. If you have a dual diagnosis is essential to get integrated treatment that addresses both issues so you can maximize your chance of long term recovery.

    What Inpatient Addiction Treatment Does Magellan Health Cover?

    Because insurance companies focus on medically necessary care, you must have a treatment plan created by your physician from the beginning. Your doctor may rely on the ASAM criteria to determine whether inpatient treatment is best.

    As you go through the detoxification process, it’s often safer to do it under the care of a physician and additional healthcare workers. Inpatient treatment allows you to medically detox safely as the first step to your recovery. Magellan Health has many resources for inpatient treatment, but the treatment available is based on your specific plan, so it’s always a good idea to talk to someone about your policy.

    After detox you may have inpatient or residential treatment where you live at the treatment facility and focus fully on your recovery.

    What Outpatient Rehab Does Magellan Health Cover?

    Outpatient rehab comes in several forms. The most intensive is a partial hospitalization program or PHP. This option allows you to live at home while still receiving treatment. It’s ideal for those who need more than a regular therapist or doctor can offer but don’t need 24-hour care.

    The next level is intensive outpatient programs or IOPs. This is a comprehensive, intense form of treatment that still allows you to meet outside obligations to things like work and family. You generally have treatment three hours at a time, a few days a week.

    Outpatient treatment focuses on psychoeducation, relapse prevention, group and individual counseling, and teaching coping and recovery skills.

    Before you commit to any type of treatment plan, make sure you discuss the specifics with your insurance company.

    Does Magellan Health Cover Methadone & Suboxone (MAT)?

    Some providers will recommend medication-assisted treatment, also known as MAT. This occurs when medication is combined with traditional forms of rehab, like counseling, to increase the chances of success.

    Two medications often used in this process are methadone and suboxone. They are often used to treat opioid addiction and help reduce cravings while blocking highs that come from mood-altering substances. Specialists have found medication to be a valuable tool in the arsenal used to treat addiction.

    If your doctor recommends any type of MAT, speak to your insurance company to ensure it’s covered before you start because coverage amounts and requirements vary per policy.

    How Long Will Magellan Health Cover Rehab?

    Recovery usually consists of a combination of things. Your doctor will determine your treatment plan and how long it should last. Every case is individualized to help every patient have the best chance of success.

    The first step may be detox. The second step may be inpatient or outpatient treatment. The third step is often a program that allows you to integrate back into society slowly. The final step is aftercare and upkeep.

    Every step is just as important as the one before it and to reach long term recovery you’ll need to complete each one.

    Insurance plans each have their own limits and requirements for treatment. You’ll want to make sure you understand your full plan benefits to ensure you get coverage for your full medically recommended treatment plan.

    Does Addiction Treatment Need to Be In Network?

    Many plans don’t cover providers that are out of network. Even if the plan covers some costs, the deductibles and copayments are usually higher for the patient. It’s best to stay in-network if possible when choosing a treatment center or provider.

    If you prefer an out-of-network provider, discuss the costs extensively before you enter treatment. Magellan Health has providers for specific services, but your individual insurance plan defines the overall medical network.

    How to Verify Coverage With Magellan Health

    You can check the details of your insurance policy by logging into your online account, contacting a customer service representative, or discussing your options with a specific treatment center you’re considering. Because there are a wide variety of plans, make sure you know your specific plan name.

    Always verify your overall insurance details and the benefits available so you have a complete picture. If you are prepared to go into treatment with all the information, your chances of recovery greatly increase.

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