Magnacare Health Insurance for Drug & Alcohol Rehab
Explore MagnaCare’s services for addiction treatment, including inpatient and outpatient options, mental health support, and telehealth.
Magnacare Health Insurance for Drug & Alcohol Rehab
Explore MagnaCare’s services for addiction treatment, including inpatient and outpatient options, mental health support, and telehealth.
MagnaCare was founded in 1990 to help labor unions reduce healthcare costs by providing access to a low cost network of diagnostic professionals. They quickly started offering physician networks and hospital access as well. In 2014 the company was acquired by Brighton Health Group and continues to operate as a separate subsidiary.
Today MagnaCare is a third party administrator (TPA) licensed in all 50 states. They help employers and brokers along with self insured plans and other organizations with custom health insurance plans. MagnaCare offers medical networks and health plan management along with add on benefits that plans can offer to members. Clients can also access case management and chronic care services along with wellness programs for their members.
The company focuses on giving patients the best possible care based on their medical needs while supporting healthcare payors with administration and technology solutions to help them manage costs.
Does MagnaCare Cover Rehab?
MagnaCare provides high quality medical networks to insurance plans and organizations. However the insurance plan is the one that determines what services are covered and how much coverage there is so it’s important to talk to your benefits specialist for full details.
Not all employer insurance plans are required to cover the 10 essential health benefits listed in the Affordable Care Act (ACA) but many will offer some coverage for important health concerns such as mental health and addiction treatment. It’s important to understand your plan before you start treatment to ensure you get the coverage you expect and don’t have any surprises.
All insurance plans focus on covering medically necessary care so it’s important to work with your doctor to create a treatment plan to help you break free of substance misuse. The treatment plan will help you know what programs to look for and will serve as proof of medical need for insurance.
While narrowing down treatment choices or understanding plan requirements, you can learn more about rehab options to scan facilities suited to your insurance.
2 years later and I definitely got my moneys worth. Treatment is the easy/fun part... the hard part is following up on what they teach you here, when you leave.
My Channel
1 week ago
I had a wonderful experience at Beachway. Highly recommend. They helped me in so many ways and I am forever grateful for the experience
Chloe Davis
3 weeks ago
Beachway Therapy Center supported someone dear to me as they navigated personal challenges with genuine care and patience. The staff made them feel safe and supported from the start. I’m deeply grateful for the kindness and professionalism at Beachway.
The staff is very helpful and makes my visit very easy every time.
Eva Conley
7 months ago
From the 1st day I walked in Brightview I felt welcome. Each and every staff member treats you like you’re an old friend. They show compassion, kindness and you’re always greeted with a smile. I’m so thankful I came to Brightview!
I didn't know what to expect when I showed up at Restore. I was scared and hating life. I ended up having a great adventure. Did everything run smoothly, no. But you show me a place that does and I will still call you a liar. I met empathetic, warm hearted and determined people who wanted to help me and see me get better. I have been through TX before so I had expectations, but after looking back at my time there, it was exactly what I needed. I am forever grateful that Restore answered the call when I needed help and hope the most. Thank you :)
Renae Dougherty
1 day ago
Restore taught me that relapse isnt failure its data about what needs to change next time.
Blanca Vaughn
1 day ago
My counselor saw my potential when I was at my absolute worst thats real love right there
my experience at relevance was great and thoroughly helped me in my mental health journey. the community of people that is built here helps you grow so much as a person and the clinicians/staff are incredible. All of the clinicians are so knowledgeable and helpful in managing anything you’re going through and it’s a beautiful environment to learn new skills to regulate your emotions and thoughts. I would highly recommend.
deanna barbagallo
3 weeks ago
I can to Relevance feeling discouraged and hopeless. Throughout my time here I’ve learned a lot about my self and my ability to overcome. I am so grateful for Relevance! I am actually in a good place in my life. When I first got here I did not think I could be happy but I am. The staff is great. They truly care about me and my success. I would definitely recommend this program to someone struggling with mental health or addiction.
Kianah Sapp
1 month ago
The new owners, Patrick and Michael, are some of the most genuine, caring people I’ve met. They have both been part of the recovery community and understand the needs of patients to provide the best care possible.
I wouldn’t hesitate to recommend anyone who is in need of a professional recovery center.
The team at Tranquil Shores is amazing. My clients get great treatment, and their families get consistent communication. The facility is beautiful, clinical staff and programming are legit. As an industry pro for 15 years, I'm happy to share that Tranquil is great.
Darren Hobbs
3 weeks ago
Excellent program, clinicians and staff are top notch!
Clover
2 months ago
Wonderful therapists, nursing, support staff, and fantastic location! Truly I cannot over-hype this team of professionals. If you value your time, and are looking for help with your troubles, Tranquil Shores provides a holistic approach that just cannot be matched. 5/5 stars, thank you again!
I've been going here for 6months and before that I was at the VA. There's a few differences between them both but most of all I can tell the Care. I have had 2 Counselors which is understandable considering the work load they have. Since the begining I have been happy and impressed how easy they made my transferring. I started just where I left off at the VA.The only thing I don't agree with or understand is when getting an increase u have to pick up for 3days before getting ur tak homes. I can understand this policy when u a starting out. But it doesn't make much sense after that. I can also say when there was a problem with my pick up (ther Mistake) my councler fixed and had all my bottles in 30mins. All I can say is If u work the program it works. Thank you
Kevin Armstrong
10 months ago
I love my counselor here at Pinnacle treatment center FCCR Radford. I feely counselor Lauren is amazing she's does everything she can possibly do for. Shes supplies me with wonderful advice, wonderful resources and everything else a counselor should do. My panic attacks got to such a bad point that she gave me her cell phone number in case I need to message or call when I need her. FCCR RADFORD SAVED MY LIFE!!!
Sarah Marie
1 year ago
This is the only MAT program clinicnive ever been to but they have been amazing. If you are serious about your recovery they most definitely are going to help you. I've had a couple friends go to other clinics and from what was said FCCR is more strict and that's so important. Especially if you are serious about your recovery and do really want to better yourself and your life. The office staff is amazing there. The nurses are wonderful. I've had 3 different counselors due to 2 of them moving on to better their lives, but every counselor I have had has been wonderful. Very helpful. Easy to talk to. Thank you FCCR for being there and helping me better myself and my life. "It works if you work it"
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction
Adult ProgramLGBTQ ProgramYoung Adult Program
Private InsuranceSelf-Pay Options
Can someone answer the phone? I'm not even getting a voicemail. It just keeps ringing
Moms Just Want to Have Fun
3 months ago
I called Transformations by the Gulf today looking for help I needed. Taylor was so amazing on the phone and provided support and detailed answers to my questions. I cannot recommend this place or Taylor highly enough!
Chris Sussman
5 months ago
June 2023, I attended Transformations and had a wonderful and very healing experience. I recently have celebrated 600 days sober from alcohol, which is what I went into rehab for. The staff was knowledgeable, respectful, and supportive. The living accommodations were top notch! It was a true home away from home feeling. I would not be where I am today without Transformations!
I came here for courtesy dose in August and again in November. They are great there! If I move out here this is the clinic I definitely would go here.The price for just 7 days of methadone was $140!! This is the 2 nd time I paid this price for a week. We don’t have much money we are trying to get our lives back and this is a life or death medication for us.
The methadone is way overpriced here, while it is not an expensive drug from the pharmacy.
Andy S.
1 year ago
FIRST AND FORMOST I COULDN'T BE HAPPIER..FROM THE VERY FIRST DAY MEETING EVERYONE I WILL SAY EVERYONE THERE ALWAYS GREETS YOU WITH A SMILE AND ALWAYS ASK HOW YOUR DOING AND HOW YOUR FEELING TODAY..AND THEY SAY IT WITH TRUE CONCERN.ITS NOT JUST A JOB THERE DOING .U CAN FEEL THE CONCERN.FROM THE FRONT DESK TOO THE BACK WHERE THE DOCTORS AND COUNSELORS ARE .I WOULD HIGHLY RECOMMEND THIS LOCATION.WHOEVER GAVE THE EMPLOYEES THERE TRAINING DID A EXCELLENT JOB .CUZ THEY MAKE YOU FEEL SO COMFORTABLE AND WELCOME ..THANK YOU EVERYONE AT Aegis treatment center ..god bless all of you for ur kind and warm hearts ..
Choice point was such an amazing place to focus on my recovery they helped me so much to focus on my recovery helped me stay clean and also helped me become a better person I will definitely miss this place ❤️thank u to my counselor melisssa Darrien and my peers in group and all the counselors and staff at choice point for helping me be me again ❤️best rehab I ever been too ❤️thank u so much
Yahaira Medina
1 month ago
Helpful and great experience overall couldn't have asked for a better program. They gave me all the tools needed to continue my life in the right path. Forever grateful.
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Frequently Asked Questions
What Products and Services Does MagnaCare Offer to Insurance Plans?
MagnaCare offers a variety of services ranging from medical networks to administration services to technology solutions.
One of the primary products is their PPO network. What makes their network unique is that it’s divided into tiers. While members can access any in network provider they can save money on out of pocket costs by using higher value provider options. This helps members make smart decisions about their medical care which saves both them and the insurance plan money.
They also offer ancillary benefitsthat help their clients offer additional benefits to their employees and members. Clients can offer MagnaCare vision and dental coverage as well as affordable pharmacy benefits. They also have an employee assistance program (EAP) that can support members with mental health and work life balance issues along with financial and legal concerns and addiction recovery.
MagnaCare also has medical management programs such as case management and utilization management. They can also help clients with chronic care management and wellness programs. They can also connect employers and organizations with telehealth options that allow better access to care at a lower cost.
What Inpatient Addiction Treatment Does MagnaCare Cover?
When you’re trying to find out what addiction coverage you have, keep in mind that the company that is using MagnaCare’s network has the final say in what’s included in their service offerings. Also, keep in mind that large employers and other self funded plans might not be required by law to cover addiction treatment. That said, many choose to do so despite it not being legally required.
If your company covers addiction treatment then they will want to make sure to match your needs to the right level of care. This will be a major factor in determining what your company will cover. Through MagnaCare they will likely ask to see the level of care assessment that you receive from a clinician before you get referred to treatment.
If you’re at risk of going into withdrawal when you decide to seek treatment then the right level of care for you may be inpatient detox. With medical inpatient detox, staff monitor and treat your withdrawal symptoms to prevent and treat the negative health consequences of coming off certain substances.
Residential rehab is the right level of care for people who are physically healthy enough to attend a full day of group therapy and who can benefit from living in a structured and controlled environment. It’s usually the right intensity of care for people who feel like they can’t stop their addiction despite wanting to and despite the danger it’s putting them in.
What Outpatient Rehab Does MagnaCare Cover?
Depending on your needs, there are different outpatient services that your company may choose to include in their care network. As with inpatient services it’s important to verify your insurance coverage before committing to a program or service to avoid surprises. Also consider checking if your insurance provider imposes any limits on the number of days or sessions you can access.
The most intensive outpatient service type is a partial hospitalization program (PHP). In many ways a PHP is similar to residential rehab but instead of staying overnight you go back to your own home in the evenings and on weekends. This is a good option for people with supportive home or sober living environments who need intensive treatment to help them stop using.
If you’re in early recovery but are still able to keep working you may do well at an intensive outpatient program (IOP). These programs are usually two to three days a week for a few hours each time. During the time you spend there you can expect to attend groups where you learn and practice relapse prevention skills. The sessions generally have morning and evening options so you can fit them around your work or school schedule.
Standard outpatient treatment involves seeing an addiction counselor on a recurring schedule and sometimes a psychiatric medication prescriber if it’s needed. This can be a good place to start when you need addiction treatment. If you need more intensive treatment, they can refer you to the right place.
Does MagnaCare Cover Methadone & Suboxone (MAT)?
MAT refers to medications that can treat substance use disorders. Methadone and Suboxone are the most well known medications in this class but there are a few others. If your insurance covers these treatments they can be very effective in getting you to recovery. If it doesn’t, you may be able to find affordable cash based options.
Both Suboxone and methadone are commonly used as maintenance treatments for opioid use disorder. These medications take the place of the opioids that you may be dependent on. You remain physically dependent on opioids with these medications but they don’t get you high and you can safely obtain them — thereby avoiding the dangers associated with drug use. Many primary care and psychiatric providers now prescribe Suboxone so if your insurance covers these services you may be able to get Suboxone that way. Methadone can only be obtained at specialty clinics but many offer affordable services.
Suboxone can also be used to help you detox from opioids completely. People who choose a full detox are more vulnerable to death by overdose if they relapse because they often use the same amount they did before but their body isn’t used to it anymore. Therefore this approach is usually best used in a secure setting and with a patient who is fully committed to abstinence. People who are in professions where they cannot test positive for methadone or Suboxone may sometimes choose this strategy.
Medical detox usually happens in a residential setting. If your insurance covers detox then it is likely to cover the medications they would be using such as Suboxone.
Does MagnaCare Cover Other Mental Healthcare?
Your company determines if your plan offers mental health coverage. Many do but not all. It’s important to verify your coverage — including maximum limits on treatment length — ahead of time to keep from getting surprised about costs. These are some of the treatments a plan that offers mental health coverage may provide.
Inpatient psychiatric hospitalization is sometimes necessary for people with acute mental illness. The average length of stay is between three days and a week.
Some emergency departments include a partitioned area called a crisis unit. There is a lot of variety in how these look and function, but generally, they function as a mental health emergency department within the general emergency department.
You can often get one on one mental health treatment with a therapist to address issues like depression and anxiety along with trauma and other issues.
PHPs and IOPs are options for both mental health and substance use treatment. They can often help people who are dealing with both problems at the same time, which is known as a co occurring disorder.
More and more mental health and addiction services are becoming better able to treat people with co occurring disorders. It’s very common to suffer from mental health disorders and addiction at the same time. Treating co occurring disorders together dramatically increases your chances of success.
Does Addiction Treatment Need to Be In Network?
You may be able to go out of network for care if your insurance provider uses MagnaCare’s network. However, it’s important to be aware of the extra costs you might incur if you do. These costs can be very high in some cases. Take careful note of the differences in your deductible and copay when you go out of network before deciding on this option.
What to Do if MagnaCare Won’t Cover the Cost of Rehab
If your insurance plan doesn’t cover addiction services you still have options. You may be able to get addiction treatment that’s part of another covered service or through an Employee Assistance Program (EAP). You may also be able to find affordable treatment options where nobody is turned away for lack of funds. Some services exist that are free of charge.
Many primary care clinics have integrated addiction treatment into their services. If your insurance covers primary care services at such a clinic you may be able to get outpatient addiction treatment covered under your primary care coverage. Your primary care clinic may also have case managers who are familiar with local resources that are low cost or free so this is often a good place to start.
Many states have programs that help make substance use treatment services accessible for people who don’t have insurance coverage. It may be worthwhile to look at your state’s addiction treatment plan. Some states offer resources at the county level so also consider doing research into what your county offers for substance use treatment.
Many addiction treatment centers have non profit foundations that fund treatment for people who can’t afford it. You can find out if an addiction treatment center you’re interested in takes people who can’t afford treatment by looking at their webpage. If it doesn’t keep looking. You may have to try several times before you find one, but they’re out there.
You may also want to consider organizations that offer a faith based approach to addiction recovery. Many times these organizations will help you for free. The Salvation Army has many free faith based addiction recovery centers throughout the country.
How to Verify Coverage With MagnaCare
If your plan is through your employer your first point of contact would usually be your benefits manager. This person is often someone in the human resources department. If you have received a customer service number for MagnaCare you can try calling that number as well. They may be able to help advise you about what treatments your plan covers.
Keep in mind that employer plans with MagnaCare are unique so a treatment center won’t be able to easily verify your coverage. It’s best to stick with your benefits manager or call Magnacare directly.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
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