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.
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This place is amazing. Amazing staff. Attractive facility. Very therapeutic. Attention to everyone's needs. Highly recommended. I wish I knew about this place 4 treatments ago.
Marco Hernandez
2 months ago
My experience at Banyan was great ,nurses and staff are great and the food is excellent 👍🏽.
My wife had an incredible time at your facility, She was able to get the detox assistance she needed and then counseling to help her want to stay sober. Thanks to her being in your care for 60 days and making life changes to better herself she has been sober for 70 days now !!
Matt Talsma
2 months ago
The facility are awesome, thank you for saving my life.
Elijah Boyd
4 months ago
So 4 outta five is high for me. This place is far from perfect. But if you think there’s a perfect treatment center out there, it’s time to snap back. Let’s be honest, for those of us looking for places like this online, our lives are far from perfect. Typically we’re looking for excuses why not to go rather than reasons to go. I never read the reviews because someone always has an ax to grind. Instead of grinding axes, I’ll just say this time was different. 6th trip in 2&1/2 yrs to treatment. Places I’d rate higher. But it was Windward Way where I was able to find the missing pieces of my puzzle and my hidden secrets that were keeping me sick. You only get out of treatment what you put in. I entered detox with the gift of desperation. It wasn’t amenities and luxuries that made the difference. It was a frontline staff that lives and breathes recovery and genuinely cares about the clients. All the BHTs, group facilitators, my therapist, case worker, & med staff pour their souls into this work. Their love and concern overrides any complaints I could muster. I’m the hardest of cases. The breath in my lungs is a legion of miracles. But the fact that I’m happy joyous and free today is a testament to the effort, care, and concern of people like Mark, Tony, Ottis, Jerald, Sina, Andrew, Saul, Kenny, Andria, Adam, Kelly, Nick, Shaina, Didi, Casa, Thomas, Sarah, Emily, Bryce, John AKA Pouter, Josh, Matt (still got hair envy bro), Gauge, Armand, of course Javon, PA Shapiro (I hope that’s right because his management of my PAWS was spot on) and a few other angels whose names allude me at the moment.
Go meet them. It just might save your life, family, job, freedom, and/or many other things. Give yourself a break. Check your pride at the door, stop making excuses and let these people show you a better way live. Besides, there are worse places to get clean and sober than Orange County, SoCal!!!
What y’all thought I wouldn’t have good stuff to say?! I’m SOBER not stupid. Now anyways. Thanks Windward Way!!!
Witnessing a loved one hit rock bottom is a scary and heartbreaking experience, especially when you hadn’t realized they were struggling with addiction. Then having to suddenly research treatment facilities was a raw mix of emotions. Thankfully we found Tree House Recovery PDX to help guide our entire family through the treatment journey, starting with my brother who was struggling with alcoholism.
Tree House Recovery PDX is a holistic addiction treatment program for men. When first visiting their site, I immediately noticed their empowering voice mixed with an emphasis on team-focused, complete recovery — not to mention MMA, Yoga, and Writing Therapy. Tree House treats the mind, body, and spirit for sustainable recovery, by building strength through fitness, addiction education, writing, 1:1, group sessions, etc. The more we learned about their holistic approach, the more we were ready to contact an admissions counselor — and ultimately my brother made the decision to enter the program.
Privacy is of the utmost importance at Tree House Recovery PDX, so I don’t want to disclose too much, but know that the entire team treats everyone with care, respect, and professionalism. Clinical Director Karen Willock's monthly family group sessions were particularly impactful, and Nevin Andrews was incredibly responsive and kind throughout my brother’s 5-month treatment. Everyone continues to be supportive, too.
As a family member of a program graduate, I would wholeheartedly recommend Tree House Recovery PDX.
Stephanie Derham
6 months ago
Where to being. Treehouse is the very first place that comes to mind when I think about where I would send a loved one struggling. I went through PDX and it absolutely gave me a foundation to actually build a life. The program design, team, staff, culture allowed me to get to a place of healing that had eluded me for years. I’ve been to 15-20 rehabs in my journey. Detoxes, inpatient , outpatient, Salvation Army, the million dollar mansions in SoCal, and every SUD/ PTSD program the VA has- but none of them got CLOSE to getting me to the place that treehouse has. I am truly grateful for life I live today and I owe a tremendous amount of thanks to Treehouse as a whole#PDX
Billy Evans
7 months ago
Very detailed with offering there services/opportunities⭐️⭐️⭐️⭐️⭐️⭐️
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As a professional who regularly refers clients to Sandstone in Virginia, I can confidently say their communication is top-notch and the quality of care they provide is exceptional. Truly a trusted partner in client care.
Jakob Stone
3 months ago
Getting help for your substance use is very personal and personalized. Everybody is gonna have different experiences. While asking for help and following through is not easy or necessarily fun, the team you work with is going to help you a lot. Sandstone helped me with the building blocks I needed to be alive today. Find the therapist and ppl who genuinely care and are serious. Addiction is not your fault but indeed your responsibility.
ana r-c
5 months ago
Thoughtful and accessible care, really helped me learn and grow.
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This is my first time seeking sobriety. As soon as I walked through the doors, I felt calm and welcomed. The staff are easy to approach and talk to. My peers are welcoming and my new family.
Jesse Bellinger
1 month ago
Boca is a very good experience staff is awesome and very helpful and know what you’re going through.
kyle boyd
1 month ago
Boca was really life changing for me.i learned a lot more here than just about my drug addiction my mental health physical health and more the staff are so motivated to get us better the groups are magical... better than 6 flags itself food is awesome therapist nurses staff and case management r amazing i came in here a sad had nothing going 22 year old 30 days later leaving happier than ever and i learned so much knowledge wisdom from the whole family here at Boca this place is truly a blessing 😭💯🥰🥰.I recommend this place to anyone it's amazing I could really go on forever.........once u go Boca addiction will be remembered but erased from ur life....go team Boca👌🤘
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Boca Recovery was my saving grace. I was given the ultimatum that if couldn’t get clean from alcohol and marijuana, then I would be removed from my children’s lives and have no chance of getting custody back. As an addict I just didn’t see me able to do this alone. I Google searched top rehabs in Oklahoma, and came across Boca Recovery. When I spoke to a recruiter they informed me that the facility was not in Oklahoma, but he told me not to panic. If I was ready, then all I had to worry about was making sure I was going to board on my scheduled flight. It seemed too good to be true, but sure enough they delivered and made sure I made it there safely. As soon as I stepped foot into the facility the staff treated me with the best care. Not only that, but the facility was very well maintained. You’re seen by a nurse the first day, and they set you up with everything you’ll need for the detox process. All therapist and case managers work together to build the best treatment plan that suits the patient/client. Not to mention the food they provide is amazing! Thanks to Boca recovery I have passed every UA since I’ve been out, and am able to be involved in my children’s lives again. Before arriving to Boca I didn’t see any of this being possible. Highly recommend to anyone struggling with addiction!
Mayra Vasquez
1 month ago
BOCA saved my life. It offered me safety, stability, and daily expectations that I needed desperately. From the first day of entering the program the techs were welcoming, understanding, and supportive which eased my anxiety and allowed me to relax. The clinical staff I worked with is amazing and they helped me begin to understand why I needed to be there and pushed me to see that I also deserved happiness and peace of mind. The community that was created during my stay is one that is with me for life. Lifelong friendships have been created and we stay in touch to this day which has been critical for my sense of belonging. Thank you to BOCA in the city of Bloomington, Indiana; you are the starting point to my path of recovery.
81 days and counting.
Aimee
1 month ago
Very understanding and helpful staff. Actually care about you and your recovery. Highly recommend.
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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
4 months ago
Definitely recommend this treatment center !!
Brittany Jefferson
4 months ago
This residential treatment has honestly helped me so much to be a better person. Everyday is a struggle but this place really helped start me on the right path. The techs are amazing and go out their way to help me out. Admission was quick and easy and had so much patience. Thank you so much
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I learned a lot of coping skills to help me with my recovery. the fellowship the I found as well really helped as well. Great staff and great people.
Adrian Delgado
2 months ago
This was my first time in treatment and I will say I am very grateful for the opportunity to be in treatment. I found my authentic self and I will never be anything but. Thank you for giving me the opportunity to grow and continue to grow.
Donn Wilson-Greiner
Donald Wilson-Greiner
2 months ago
Great experience. Got plenty of tools to keep me sober. And a great out patient option that'll work for me when I head home. Thank you very much to the staff and my case manager. I greatly appreciate all that was done for me♥️
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Excellent staff , amazing treatment center, very helpful and professional. I did a 180 change in my life , I believe in myself now.
William Maupin
1 month ago
The staff was both caring and professional! The other clients were friendly and welcoming. The facility is clean and well maintained. I simply can't say enough great things about my experience at CBH!
I left having been given all the emotional tools and training needed to enjoy a sober life. My family and I are finally able to enjoy all of the wonderful things together that had been missing.
Thank you CBH for giving me a new lease on life!
Bud Runner
1 month ago
The therapists and nursing staff are very caring and supportive. Marty is the bomb.
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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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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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