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.
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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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.
The first phone call i had was an intake with Allison. She is the one who convinced me to come to Rise. She is amazing. She is there from the beginning to the end if you need anything.
The first person I met at rise was Nam. He is the man he’s there for you all the time he works 20 hours a day. The man is amazing.
Next, I met Zac the nurse he’s such a cool dude and listens to you and takes whatever concerns you have and it gets it fixed for you.
As far as nurses Daisy, David and Nina were great.
If you have real medical issues, I would not go there
Dr.Raskin is a first class clown. The first time I met him, he spoke to me in the kitchen for 30 seconds and ran away. The next time I saw him was on Zoom for about 60 seconds and he got off. I had a lot of medical issues and he was not there for me. I was very disappointed in that. I refuse to see him after that that’s one of the few bad things about Rise is the doctor. If he was my employee he’d be fired. I complained about him a lot.
The counselor Michael, Josh And Beth were great they listen to you and make you feel like they are helping you out.
A special shout out to Cat My hippie dippy friend she is the one who does yoga and meditation. I never did that in my life before I’m an older man and she was amazing.
I’m from the East Coast. The food was not that great. I was disappointed in that they have a private chef. James was the best chef
That’s the only thing I could say about the food. Very disappointing.
That being said, I would definitely go to Rise. They save my marriage and they save my life. Thank you to the team if I left anybody out, I’m sorry.
Marc K
6 days ago
There are very few people in life who truly believe in you when you’ve completely lost belief in yourself. For me, one of those people has always been Ron and the entire team at Rise in Malibu.
I’ve known Ron for a while , and through every chapter, he has remained someone who genuinely cares, shows up, and sees the person beneath the struggle. That kind of authenticity is rare. His leadership and heart are reflected throughout the entire program and staff.
Dr. Mark, Sheri, and everyone at Rise create an environment that is compassionate, professional, supportive, and deeply human. They don’t treat people like problems to fix they treat them like people worth fighting for. That distinction matters more than words can explain.
What makes Rise special is that it never felt transactional to me. It felt personal. Real care, real connection, real support, and people who continue to stay connected long after treatment ends. That says everything.
And for me personally, recovery wasn’t something that necessarily “landed” the very first time. Sometimes the spiritual experience happens when it’s truly ready to happen. What I can say today, sitting here over 16 months sober, is that Rise helped give me the tools, foundation, support, and perspective that allowed that change to finally take root in a real way. When the moment came, I knew how to move forward because of what I had learned there.
That’s something I’ll carry with me for the rest of my life!
I can honestly say I would recommend Rise in Malibu to anyone looking for genuine help, guidance, and people who truly care about recovery and human beings as a whole. Five stars isn’t enough for the impact they’ve had on my life.
Thank you, Ron, and thank you to the entire Rise family!
B P
1 month ago
Going to Rise was the best decision of my life. Allison was a godsend to me at a dark point in my life and was able to get me into Rise’s treatment program with short notice. The team there is unparalleled. I wish I could name everyone that were members of my treatment team at Rise, but a few shoutouts to Nam for driving my sad sack self to Rise, baking amazing bread, and being an amazing support from Day 1, Shari & Zach from nursing for the care, fun, pep talks, and compassion, Dr Mark for his wisdom and pragmatic approach that I really resonated with, and numerous others (the chefs are next-level good, Tessa, Luke, Saber, Destiny, Cesar, Cat, Michael, Terry, Adrian, etc).
Outside of the fantastic staff, I’ll add that the house is gorgeous, the groups are varied and enriching, there’s a good balance between free time & groups, the rooms are comfortable and spacious, and they do a great job of ensuring that you have access to outside appointments - for example, I was able to go to Passover services while at Rise without having to go through a lot of hoops/bureaucracy.
The amenities are fun and obviously appreciated, but the heart of this place is really why I would recommend it to a loved one or friend in a heartbeat.
Thank you so much, Rise team!!!
This place saved my life! I only was going for
Detox but decided to stay for 30 days. Now I am 31 days sober! One day at a time! I have my life back! Thank you RCA!
cherie manning
4 weeks ago
Bracebridge was and is a lifesaver for me. Not only is the staff 100% invested and amazing, the campus, the food, and facilities definitely contribute to making the tough time a little more bearable. Special shoutout to Tammy who was my Primary Therapist. She pushed and supported me during my stay and I am eternally grateful for her. Another shoutout to Dan, the alumni coordinator. While the entire staff is amazing when you're on the inside, Dan keeps the alumni engaged and active once you leave campus. While it sucked HAVING to be there, I absolutely loved the experience and in hindsight, I have Bracbridge to thank for giving me the tools to have my life back. I'd give 10 stars if I could.
Connie Meyers
1 month ago
My time at RCA Bracebridge Hall truly changed my life. I spent 30 days there, and it was one of the most meaningful and transformative experiences I’ve ever had.
The program was incredibly informative and gave me the tools I needed to move forward with confidence. What stood out the most, though, was the level of support. The staff genuinely care, you can feel that they have big hearts and are fully invested in helping each person succeed. They made sure I felt prepared for life after leaving, which made a huge difference for me.
I also met some amazing people during my stay, and those connections meant a lot. The facility itself is beautiful and in a peaceful location, which really helped me focus on my recovery.
One of the most valuable parts of the experience has been the alumni support group. Staying connected after leaving has been so important, and the program they’ve built is truly special. Dan, in particular, has done so much for the alumni community, and I’m incredibly grateful for his dedication and support.
I feel very blessed to have had this experience, and I would highly recommend RCA Bracebridge Hall to anyone seeking help and a fresh start.
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.
I cannot thank DFC enough for my recovery experience. I've been to rehab before and nothing compares to the tools and recovery that Joseph and the entire staff at DFC was able to offer me. I feel confident moving forward that there will be much light in my life ahead. If you are seeking help, I strongly recommend Design For Change. Thank you for everything.
Jennifer Webster
1 month ago
The staff was amazing. Tamara was especially awesome Joe the owner is absolutely wonderful. I had a wonderful experience and I’m on my way to recovery.
Charles Stevens
3 months ago
Design for change has a good counselor support system. They do the 12 steps daily and show a good insight about addiction and how to recover. This is my third time at treatment but first time here and believe I may have found the last piece that Will set me free. I appreciate the time that was spent to better my life
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Look no further! SoberLife/Healthy-U provides an amazing mix of treatment modalities administered a variety professionals with a remarkable range of experiences to assist you in getting to the place you want and deserve.
Atown Smith
6 months ago
I have struggled with alcohol abuse for the last three years and this was the ONE place out of 23 treatment centers that finally worked. Nobody ever thought they would see me sober, but today I can say I am, thanks to Sober Life. I was a frequent relapser, just barely making it by, and when I decided to seek treatment through Sober Life a whole new world opened for me. The team at Sober Life cares. I felt valued, I felt empowered, understood and heard. After being in and out of so many treatment centers I found myself fatigued, but through my process with Sober Life I actually wanted to continue my program as long as I could. I WANTED to be there and I've learned a life I never knew possible thanks to the team there. I can say that this program likely saved my life, and showed me a new life that I could never have imagined. The support and understanding was beyond belief. I felt so safe there. I've made friendships with a lot of my peers from groups as well. Which I never wanted to do before. Recovery can be difficult to begin, scary to start, but Sober Life feels SAFE. I'm not the type to write reviews, but I know how hard I struggled and for anyone reading this or questioning a start, I highly recommend this team. I am eternally grateful for my experience there.
Jennifer Segura
11 months ago
Sober life has been one of the best experiences in my life! I came in not really sure what I wanted out of treatment and scared to really connect with people and have them see me in my weaker moments. All of the staff at sober life loved me through these issues and helped me get to a place where I felt safe and comfortable enough to communicate what was really going on with me, and gave me the tools I needed to be able to deal with things as they came up on a daily basis. Anytime I was a little off or lost any amount of momentum, they noticed immediately and did whatever they could to make sure I continued my progress and that even though addiction is a lonely disease, it became a lot easier to believe I wasnt alone and recovery is possible. It wasn't complicated at all, they handle the insurance stuff for you so you can focus and prioritize your recovery over anything else. Kimberly, Dan, Ashley, and Kelley have all been huge grounding stones in my recovery, showing up every time and helping me make solutions out of chaos. Having all of these amazing, kind, and extremely dependable people in my life has kept me steady and also taught me what having people around who genuinely love you, want the best for you, and who celebrate your achievements and help you through your downfalls looks like. Like any recovery program, you have to want it and put in your own effort, but they make the weight just lighter enough that it seems much more attainable.
Tree House Recovery PDX saved my life. I hit a new rock bottom during the holidays. I was reluctant to going to a typical, 30-day, institutional rehab center like I did over the summer because that didn't work. But then I saw that Tree House was a three month program with a focus in physical exercise, writing, and learning to work as a team. My expectations weren't met -- they were exceeded. I recently graduated on April 3rd and am a better man now than I was before I started using and drinking. I've learned how to be empathetic, hold myself and others accountable, find gratitude in my daily life, lean on my teammates during times of struggle, and how to celebrate little and big wins in my life with healthy pride.
The staff is amazing too. Rob, Nevin, Doug, Bryan and Kevin are all great men who are now role models in my life. They challenged me, listened to me, and gave me advice and suggestions I have taken to help me soar.
If you're struggling, you don't have to do it alone. I would highly recommend this program for any man who is having trouble with addiction and needs to turn his life around.
Thank you, Tree House.
Pat Rademacher
1 month ago
My decision to attend treatment was one of the most important decisions of my life and I could not have made a better choice than Treehouse Recovery. This was my first time in treatment and I was terrified while researching places to go. From the very first phone call, the staff at Treehouse made me feel heard, supported, and helped to ease my mind that help was available and change was possible. I could tell from the initial conversations on the phone that was a place that truly cared for each and every client. That same empathetic and welcoming attitude was expressed and carried on at every other step of the process. Embarking on the treatment journey was a time in my life marked by fear and uncertainty but with Treehouse, I knew I had the best support possible and was certainly in great hands.
Before Treehouse, I was living a miserable and isolated life and desperately needed help to get back on track. Throughout the course of the program, I was able to find a strong sense of discipline, integrity, and perseverance and as a result, rebuild myself into the best version of my self that has ever existed. Treehouse’s wholistic approach to treatment empowers each client and arms them with the skills and tools needed to sustain a lasting recovery.
If you are ready to work hard and make some lasting changes to better your life, Treehouse is the best possible choice you can make.
Edward Hearn
1 month ago
Recovery is rarely a straight path. For me, it was marked by multiple attempts—each one beginning with hope and ending in frustration. I wanted sobriety, but wanting it and sustaining it were two very different things. Each setback carried shame, doubt, and the quiet fear that maybe lasting change just wasn’t meant for me.
Six years ago, everything shifted—but not for me at first. It was my husband whose life was saved by Treehouse. At a time when things felt beyond repair, they stepped in and gave him not just support, but a real chance at living again. Watching his transformation planted a seed in me, even if I wasn’t ready to fully act on it yet.
When I finally completed my own inpatient program, I was fragile but hopeful. Through my husband Treehouse met me right where I was offering suggestions for a straight transition into sober living for women, giving me a safe and structured environment where I could begin to rebuild. For a full year, I worked on myself in ways I never had before. During that time, Treehouse didn’t just check in—they actively supported my growth through their family program facilitating weekly therapy sessions that helped me understand myself, my patterns, and my path forward.
Their presence didn’t end there. Years later, Treehouse was still standing beside our family during one of the most challenging chapters of our lives—our court-mandated reunification. They ensured our son had access to therapy, advocating for healing not just individually, but as a family. Their continued support reminded us that recovery is not a moment in time—it’s an ongoing journey, and no one should have to walk it alone.
Today, I can say with certainty that Treehouse has been an integral part of our success. They didn’t just help us get sober—they helped us build a life beyond what we ever thought possible. A life grounded in stability, growth, and connection.
Some organizations provide services. Treehouse became something much more. They became our support system, our foundation, and ultimately, our family.
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.
I can’t say enough wonderful things about Gallus Detox and their IOP program. From my first day in the virtual program, I felt supported, respected, and truly cared for. The entire team creates a safe, welcoming environment where healing and growth feel possible. Their program is incredibly well-structured, educational, and compassionate, helping people not only through detox but also through the deeper emotional and mental aspects of recovery.
A very special thank you to Allison Johnson, who is truly a top-notch therapist. Allison was caring, knowledgeable, patient, and completely free from judgment. She has an amazing ability to make people feel heard and understood while also providing meaningful education, guidance, and support. Her compassion and professionalism made such a difference in my experience, and I genuinely felt empowered after working with her.
If you or someone you love is looking for a place that genuinely cares about recovery and treats people with dignity and compassion, I highly recommend Gallus Detox and their IOP program. They are changing lives.
Kelli Altmyer
1 month ago
This place is amazing. Don’t know where i would be if it wasn’t for the people that run Gallus!! Highly recommend
Brad Gill
1 month ago
Gallus treated me with the utmost respect and grace. The team working were all very helpful and polite. Going through a hard time like detox I felt safe and comfortable. A+
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This place helped me get sober and is top notch rehab to get yourself clean at I'm very please with it.
Robert Gomez
4 months ago
I got nothing but love for this place,this program has shown me a different approach of life and the staff there is loving and kind they treated me like family and will always be a part of my family,I will forever be grateful to windward way this is where my journey in recovery began ,Thank you windward
Juan Ramirez Diaz
4 months ago
My brother received treatment there and has made great progress. Thankful for this facility and its facilitators for all you have done. KtG
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.
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
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I came here at a very low point in my life so I wasn't expecting a whole lot..they were going thru a transition at the time but they were trying to make the process work. The staff were the absolute best though. Cindy Kendra, Kate jj were the high point of my stay. Starr in that kitchen had me always anticipating something good she would be putting together. BREA is the best counselor ever!!!!!
Michael Brunson
4 months ago
DPR was truly an amazing experience. They genuinely care about you and your recovery journey. Lucus pours his heart into this place and it shows. Cindy, TJ and JJ were extremely supportive and personable. The nurses, Amanda, Kenya, Bradie, and Kate were so kind and helpful. And of course Drew and Star were a highlight with the awesome food they prepared and had really great insight. It is truly a gem in the recovery community.
Lakyn Discher
8 months ago
The facility, staff and overall program was first rate. I cannot recommend Discovery Point enough to those seeking help with learning to control an addiction and living a clean healthy life.
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.
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
7 months 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
7 months 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!
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This program has changed my life. Bill is the main facilitator at the Cypress location and his way of thinking/teaching/counseling makes it easier to learn. I appreciate his knowledge and patience.
Dianne LeMay
1 month ago
This place was my saving grace! I didn’t think I would actually enjoy getting sober, but their program is so interesting and I couldn’t have asked for a better place to go through this journey. The counselor’s are first rate! Thank you for giving me my life back!!
Monica Deason
1 month ago
It was wonderful!! I learned so much ,loved the small group size, and really enjoyed Bill as the lead counselor. Positive Recovery is Blessed to of found him. He truly the best!!!
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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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