Magellan Health Coverage for Drug & Alcohol Rehab

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

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Magellan Health Coverage for Drug & Alcohol Rehab

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

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Addiction Centers That Accept Magellan Health

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    Mark Behavioral Health

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    Lantana, FL
    4.8
    (30 reviews)
    Mark Behavioral Health is a residential rehab in Lantana, Florida and offers care for substance use disorders and mental health conditions. The program accepts voluntary admissions only and residents must be at least 18 and medically stable. They accept patients from across Florida with airport transfers from PBI. Dual Diagnosis Care Mark Behaviora
    View Website (561) 645-7572
    Mark Behavioral Health has no reviews yet. Leave a review.
    4
    1
    Top 10 in Magellan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    9.45 / 10
    4.6
    (89 reviews)
    Recovery Unplugged offers a full suite of outpatient substance use recovery for adults and adolescents in the DC Metro area of Annandale, Virginia. They offer general outpatient and top-rated intensive outpatient care (IOP) alongside partial hospitalization programs (PHP). Each of these levels of care may incorporate medication-assisted treatment (
    I have been in and out of treatment for 15 years, and this is by far the best recovery center I have ever been to. The staff genuinely care about every client and their well-being. They aren’t just out for money or treating people like another number—they truly want to see you heal, grow, and succeed. I have felt supported, understood, and cared for throughout my time here. Recovery is not easy, but this center has given me hope and the tools I need to build a better life. I’m incredibly grateful for this place and would recommend it to anyone who is ready to make a change.
    Tara R.
    1 month ago
    I would not be where I am today without the help of Recovery Unplugged. I had two 30 day visits with them back in 2019 before moving on to a 90 program in Arizona. Everyone was friendly and you felt like you actually mattered. The musical component of it all was life changing and is still a huge support in my life today. It's outside of the box recovery and if you are looking for a place to start, this is it. I'm coming on six years of sustained recovery and now hold a masters in divinity while thriving in Tucson. AZ. None of this would have been possible without Recovery Unplugged and I could not be more grateful for all they provided in early recovery.
    Jay Newman
    2 months ago
    The program and support is great, but once you finish no resources are provided. No follow-up with patients. They are all about profit. The providers can't even provide outside resources. This should be a warning sign they are out to make money.
    Jamie Guy
    4 months ago
    The facilities at Recovery Unplugged - Northern Virginia in Annandale, VA 5
    5
    5
    The facilities at Recovery Unplugged - Northern Virginia in Annandale, VA 1 The facilities at Recovery Unplugged - Northern Virginia in Annandale, VA 2 The facilities at Recovery Unplugged - Northern Virginia in Annandale, VA 3 The facilities at Recovery Unplugged - Northern Virginia in Annandale, VA 4
    2
    Top 10 in Magellan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    9.39 / 10
    4.7
    (508 reviews)
    Bracebridge Hall is an inpatient facility located in Earleville, Maryland under the umbrella of Recovery Centers of America. It’s on 560 acres with a view of the Sassafras River. They offer substance use disorder (SUD) treatment and mental health treatment for co-occurring disorders. They accept and are in network with most major insurance plan
    Hi I’m beau Crispen I jsut checked out of in patient care at bracebridge hall, I stayed for 33 days, my “first” day I was scared of what was going to happen and go on daily, until a buddy showed me around and got me well adjusted in just a few minutes, the staff was very friendly when I arrived which improved my terrible mood, my first full day I was starting to understand everything very well, throughout the course of my stay I got to get to know almost every single person in the facility very well, patients and staff, I enjoyed the talks I had with my therapist Mr. Grapes, my mental health was addressed and my addiction was addressed, I got more out of that program than I have in almost everything I’ve done in my life, I am fully onboard with being in recovery for as long as I live, I’d only come back to bracebridge hall to speak, or work, I would love to shoutout Dan, Bryan, Gus, Tammy, Barbara, Chris, Brandy, Rachel, Heather, Nurse Ashley, Shabon, Christine, Alexis, honestly all of the staff for nursing, RSS, all of the group facilitators, I feel as if I can truly express my emotions safely and in a way where I know real feeling words, near the end of my stay, I got worried and scared of what was going to happen to me when I returned to my command, my therapist and other patients that were having the same feeling helped me not be so scared, I got real true help from great people who actually care and treat me like a genuine human who has emotions, this facility works miracles in ways I can’t even explain, if you’re looking for a rehab this is the place to go, but you truly have to give it your all, listen, go to classes, find a higher power, treat yourself with kindness, give yourself daily positive affirmations, I’m only 21 my “drinking life” barely began but I’ve struggled with addiction and alcohol since I was 15, my first sip was 5 years old, my first vape puff was 8, my first cigarette was 10 my addiction didn’t really start until I found certain substances that helped fill a void in me, now being sober there’s only a void recovery can fill and I learned all of it at bracebridge, most days you need to take the cotton out of your ears and put it in your mouth which means shut the hell up and listen, what you think might not help may just save you down the line in recovery, the love I have for this place is out of this world, most times I would say words cannot describe something but only words can get the message across and this facility deserves all positive words from me, thank you for helping me get clean and sober as well as lead me on a long road to recovery hoping for a lifetime, can’t wait to come back as alumni and hit some meetings!!!
    Kevin Frost
    1 week ago
    Outstanding support, staff, and facilities. Went above and beyond to help me begin my recovery!
    Kevin Palensky
    2 weeks ago
    My Wife received her treatment at Rca Bracebridge. I wish I could give more stars! This was a very hard time for our family. Rca employees made the entire process so comfortable. I was able to get updates& contacting staff was so easy. The light that came back in my wife’s eyes during the visits.That is a joy, she’s still sober- that I can not thank RCA enough for. We are so grateful Even when you walk out the doors your time doesn’t end there. The Alumni and Dan are just amazing! Thank you again RcaBracebridge!
    Michael Beemer
    2 weeks ago
    The facilities at Recovery Centers of America - Bracebridge Hall in Earleville, MD 4
    5
    5
    The facilities at Recovery Centers of America - Bracebridge Hall in Earleville, MD 1 The facilities at Recovery Centers of America - Bracebridge Hall in Earleville, MD 2 The facilities at Recovery Centers of America - Bracebridge Hall in Earleville, MD 3 The facilities at Recovery Centers of America - Bracebridge Hall in Earleville, MD 5
    3
    Top 10 in Magellan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    9.30 / 10
    4.7
    (72 reviews)
    Gallus Detox Center, in Scottsdale, Arizona, is a luxury alcohol and drug rehab for adults. They specialize in inpatient medical detox and aftercare planning and support, including dedicated services for pregnant and postpartum women, polysubstance abusers, and persons with co-occurring addiction and mental illness. As one of the top rated inpatien
    Lisa with admissions is absolutely amazing! Helped me get through an easy transition. Very kind young woman. Thank you Lisa!! đź’ž
    Jenny L
    2 months ago
    These people run a great place - referred a friend and they are doing great - some of the best people around. They really care. If you find yourself or a loved one in a tough position - Courtney and her team will go above and beyond. Addiction is a tough thing. It’s hard on everyone who is involved and if you have to go through it, that is the place you want on your side. 10 stars.
    Steve Romano
    2 months ago
    Detox can be a daunting and dangerous experience. I’m so glad I found Gallus Detox Phoenix. I felt safe and protected the entire time. The facility was impeccably clean and provided me with all the necessary medical, personal and nutritional needs. Most importantly, the staff, to include the physician, clinicians and administrators were knowledgeable, compassionate, kind, and confidential. Without hesitation, I can give Gallus Phoenix, my highest recommendation.
    Wayne H
    3 months ago
    Gallus Detox Center AZ 85251
    5
    5
    The facilities at Gallus Detox Center in Scottsdale, AZ 1 The facilities at Gallus Detox Center in Scottsdale, AZ 2 The facilities at Gallus Detox Center in Scottsdale, AZ 3 The facilities at Gallus Detox Center in Scottsdale, AZ 4

    Banyan Telehealth Florida

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    Pompano Beach, FL
    Our Telehealth Intensive Outpatient Program (IOP) provides structured, evidence-based addiction and mental health treatment to individuals throughout the state of Florida in a fully virtual setting. Designed to offer the same level of clinical support and therapeutic guidance as traditional in-person outpatient care, this program allows clients to
    View Website (833) 618-2307
    Banyan Telehealth Florida has no reviews yet. Leave a review.
    3
    A patient speaking with a doctor through a telehealth call A woman waves to her doctor through a telehealth call
    4
    Top 10 in Magellan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    9.27 / 10
    4.6
    (390 reviews)
    Recovery Centers of America at Westminster is an addiction treatment facility in Westminster, Massachusetts. The programs they offer are residential inpatient, outpatient addiction treatment, and medication for addiction treatment. Individuals can also participate in the alumni association which provides recovery meetings and activities. Here at o
    After having the courage to walk through the doors I had the most positive experience with the Rescu unit. The staff, counselors and all the supporting roles from kitchen to housekeeping made my stay amazing. I walked away with clarity and the tools to conquer the next step in life. Thanks to all for being compassionate and showing up to do good things for a person that was on the down and out.
    Michael Packard
    3 weeks ago
    I have been to RCA Westminster on a couple of occasions. The staff has always treated me well and the care team was great. The rooms are very comfortable with showers and queens beds for most of the rooms with just one roommate. I was very please with the accommodations and the plan that was set forth by the care team while I was there and my exit plan upon discharge. I would recommend RCA Westminster to anybody that is interested in starting their journey of recovery.
    Daniel Buckingham
    3 weeks ago
    RCA is a great comfortable place the staff is amazing. It's a great place to take the first steps into your recovery journey
    Michael Martini
    3 weeks ago
    Recovery Centers of America at Westminster
    5
    5
    The facilities at Recovery Centers of America at Westminster in Westminster, MA 1 The facilities at Recovery Centers of America at Westminster in Westminster, MA 2 The facilities at Recovery Centers of America at Westminster in Westminster, MA 3 The facilities at Recovery Centers of America at Westminster in Westminster, MA 4
    5
    Top 10 in Magellan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    9.18 / 10
    4.7
    (231 reviews)
    The Blanchard Institute is an outpatient rehab in Charlotte, North Carolina. Accredited by CARF and the Joint Commission, they strive to provide high-quality, comprehensive care with your unique situation in mind. You can access substance abuse and co-occurring disorder care that integrates essential recovery elements, like peer support and family
    I have really appreciated Drew's hard work and dedication to helping us as individuals and a community outside of being in groups or a program. I know from personal experience the time and effort that went into keeping me connected to alumni. Making sure my needs were met with any aftercare AND answering any questions about recovery! Hes been a great support during and after I graduating my program!
    cassie grammel
    1 month ago
    In my life I have been blessed to meet amazing people who have made an impact on my recovery journey. Drew Roesch is one of those men. He has dedicated his life to helping those in need by meeting them where they are at. He shows compassion and wisdom when speaking to me and I would recommend The Blanchard Institute to anyone whom is in need of life transformation in their recovery. Today can be the day you draw a line in the sand and say I love myself, family and friends enough to stop this disease that is trying to take me out!
    Daniel Radovich
    1 month ago
    For those suffering from addiction, there is hope! Healing is available. When I was struggling with addiction, I tried to deal with it on my own unsuccessfully. But once I reached out for help and surrendered it to God. I was set free! I would recommend The Blanchard Institute for anybody struggling to try to beat addiction by themselves. Reach out. Get help like I did.
    Michael Beasley
    1 month ago
    The Blanchard Institute NC
    6
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    The facilities at The Blanchard Institute in Charlotte, NC 1 The facilities at The Blanchard Institute in Charlotte, NC 2 The facilities at The Blanchard Institute in Charlotte, NC 3 The facilities at The Blanchard Institute in Charlotte, NC 4
    6
    Top 10 in Magellan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    9.18 / 10
    4.9
    (210 reviews)
    The Summit Wellness Group – Roswell Alcohol and Drug Rehab in North Atlanta is a drug and alcohol rehab in Roswell, Georgia. One of the top-rated outpatient rehabs in Georgia, this 7,000-square-foot facility is located close to North Fulton Hospital and provides various therapies and programs to address substance abuse. The Roswell facility h
    Summit Wellness in Roswell gave me the structure and honesty I needed at a point when I really needed it. The clinical staff were the difference, masters-level therapists who actually knew what they were doing and treated me like a person, not a case file. If you’re looking at outpatient options in the Atlanta area, start here.
    Richard Morrison
    2 months ago
    Incredible experience. The staff is incredibly welcoming and informative, productive and relevant groups and super efficient for recovery. Amazing!!
    Evan Pombier
    3 months ago
    The staff is very nice and knowledgeable. The facility is very clean and cozy.
    Kavidha Joseph
    3 months ago
    The facilities at The Summit Wellness Group - Roswell in Roswell, GA 4
    5
    5
    The facilities at The Summit Wellness Group - Roswell in Roswell, GA 1 The facilities at The Summit Wellness Group - Roswell in Roswell, GA 2 The facilities at The Summit Wellness Group - Roswell in Roswell, GA 3 The facilities at The Summit Wellness Group - Roswell in Roswell, GA 5

    Banyan Telehealth Pennsylvania

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    Langhorne, PA
    Our Telehealth Intensive Outpatient Program (IOP) provides structured, evidence-based addiction and mental health treatment to individuals throughout the state of Pennsylvania, in a fully virtual setting. Designed to offer the same level of clinical support and therapeutic guidance as traditional in-person outpatient care, this program allows clien
    View Website (833) 618-2307
    Banyan Telehealth Pennsylvania has no reviews yet. Leave a review.
    3
    A patient speaking with a doctor through a telehealth call A woman waves to her doctor through a telehealth call
    7
    Top 10 in Magellan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    9.13 / 10
    4.9
    (48 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
    Coming into Treehouse PDX I was missing the mental tools needed to treat my trauma that led to my drinking. I didn’t know how to cope and realized that I wasn’t like normal people who drink. I drank to fill a hole. However with being in the PHP program, I got a lot of the help I was looking for. With great leadership and counseling they helped me get back to a place where I can heal. Where I can now use these tools and build a life that I can call healthy and be inspired by. The house itself is a lot nicer than what I think people may expect. The Facility itself for me is great! (I don’t go to the gym so I don’t have much to compare to, so it feels top notch to ME). We work out for about 4 hours every weekday. Running, Yoga (aka “Joga”), MMA padwork, pickleball and more. The counseling is amazing. The team definitely makes you feel like you’re getting 1 on 1 care, even considering the amount of clients they have. This is my first and I believe last treatment center I will be attending. But I think this is the BEST. I’ve heard from other people in the sober community who have had more experience than I do and they never fail to tell me about what a privilege I have in being in Treehouse. Thank you to Treehouse Staff, My Brothers and Team! I’m happy to say I’ve made lifelong connections while on this lifelong journey of healing.
    Anthony Cash
    1 month ago
    My time at treehouse recovery changed my whole trajectory in life. It’s rare that anyone give themselves a chance to hit stop and spend 3 months dedicated to only growth and healing from the past. I will always look at treehouse as the pivotal point when I decided to do what I needed for myself. I can’t stress enough how amazing this program is. I have seen so many men come in different stages of spiritual decomposition and leave glowing and empowered with new purpose and strength. 100/10.
    Kaleb Megarity
    2 months ago
    Going to Treehouse is one of the best decisions I have ever made. It will make you the best version of yourself. If you are thinking about going do your self a favor and just go
    Seth Thienes
    3 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
    8
    Top 10 in Magellan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    9.04 / 10
    3.8
    (99 reviews)
    The Hazelden Betty Ford Treatment Center operates a Teen Drug Rehab Center in Plymouth, Minnesota. This facility provides treatment to teens, young adults, and their families who are struggling with addiction and co-occurring disorders. The age range they treat is from 12 to 25 years of age. The levels of care offered here are detox, residential, p
    This review is gonna make very little sense to most of you, but you're the sole reason one of the best story series exists on YouTube. Thank you for allowing Nicholas campana to be there, even if he did misbehave at first
    HYDRA999
    2 months ago
    The nutritionist there is HORRIBLE. I personally am lactose intolerant and when I was admitted my liver was bad, so I needed a diet tailored to helping me recover. She told me if I can’t find anything to just eat from the salad bar. I stood my ground and she let the kitchen staff know I was lactose intolerant and couldn’t eat fried stuff but that is ridiculous I should not have to argue with her. Then my roommate had ARFID so she needed dietary help, and the nutritionist told her to eat bread. That’s a sad and pathetic excuse for a nutritionist. Staffs great but they should certainly fire her.
    Maribee Thornton
    8 months ago
    Very caring staff and a very welcoming environment. Food is very good. Could not have gotta sober or gotten through withdrawals with out coming here. If you or a loved one are struggling this is the best program I have ever attend. It saved my life!
    noah larson
    8 months ago
    Hazelden Betty Ford Foundation MN 55441
    6
    6
    The facilities at Hazelden Betty Ford Foundation in Plymouth, MN 1 The facilities at Hazelden Betty Ford Foundation in Plymouth, MN 2 The facilities at Hazelden Betty Ford Foundation in Plymouth, MN 3 The facilities at Hazelden Betty Ford Foundation in Plymouth, MN 4
    9
    Top 10 in Magellan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    9.08 / 10
    4.6
    (36 reviews)
    Check iconClaimed
    Sandstone Care Reston in Reston, Virginia, is a drug rehab and treatment facility that works with teens, young adults and their families. They provide outpatient care if you're struggling with a substance use disorder. They also offer a four week partial hospitalization program (PHP) and a 12 week intensive outpatient program (IOP). You'll work wit
    LOVED GOING HERE, the care here was great and i learned a lot from this place. everybody was so nice, all of the staff were very flexible and understanding and it was super fun, i had a good time. I’m so happy i had the chance to be here. jenni, the iop therapist is really nice and helpful. php and iop really helped me socialize and all the people i met here were so supportive and great. This place truly helped me become more social! i would really recommend coming here if you need any support.
    plant
    2 months ago
    Marcy was amazing to talk to! Kind, patient and super caring. Thank you!
    Evelina Koubayati
    4 months ago
    Marcy’s professionalism and superb customer service was greatly appreciated! Thank You!
    Bo Bloomer
    4 months ago
    The facilities at Sandstone Care  - Virginia in Reston, VA 1

    Banyan Heartland

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    Gilman, IL
    4.2
    (193 reviews)
    Check iconClaimed
    Banyan Treatment Centers Gilman is a private drug rehab center specializing in treating drug and alcohol abuse in Watseka, Illinois. This addiction treatment center provides individuals with fully customized and uniquely comprehensive levels of care to help with recovery. Banyan Heartland is a Joint Commission-accredited residential treatment cen
    View Website (779) 244-6557
    Banyan Heartland has no reviews yet. Leave a review.
    9
    9
    The facilities at Banyan Treatment Centers Gilman in Watseka, IL 1 The facilities at Banyan Treatment Centers Gilman in Watseka, IL 3 The facilities at Banyan Treatment Centers Gilman in Watseka, IL 4 The facilities at Banyan Treatment Centers Gilman in Watseka, IL 5
    10
    Top 10 in Magellan
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.91 / 10
    4.7
    (80 reviews)
    Located in Moundridge, Kansas, Valley Hope of Moundridge has set its sights on helping people who are distressed under the grip of alcohol and drug addiction. They have several locations around the country, but here we’ll be focusing on this Kansas location, which offers residential treatment. This means that you’ll be receiving round-the-clock
    Making that choice to come to Valley Hope in Moundridge Ks , was the best choice I ever made in my life . The staff are amazing and genuinely care from the kitchen to nurse station to the counselors and corporate THEY CARE. Breck , Steve , ED , and many others have been there done that and teaching ppl how to get there life back and For that I’ll be for ever greatful and it’s a place I can actually say I felt at home around ppl that really cared. Thanks to all staff there , your awesome.
    Mac Watkins (efe MaC)
    4 weeks ago
    Thanks for everything
    Kasey Ellis
    1 month ago
    Warm and caring staff good food and very clean facilities. Vaping and phones allowed
    Scott Engstrom
    1 month ago
    Valley Hope of Moundridge KS 67107
    6
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    The facilities at Valley Hope of Moundridge in Moundridge, KS 1 The facilities at Valley Hope of Moundridge in Moundridge, KS 2 The facilities at Valley Hope of Moundridge in Moundridge, KS 3 The facilities at Valley Hope of Moundridge in Moundridge, KS 4
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    Frequently Asked Questions

    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.

    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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