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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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 week 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 week ago
Very understanding and helpful staff. Actually care about you and your recovery. Highly recommend.
Five-Star ReviewChoosing this design for change treatment center was one of the best decisions I ve ever made. From the moment I walked through the doors, I felt a sense of safety, support, and genuine care that I hadn t experienced anywhere else. The facility is beautiful and peaceful, but it s the people who make this place truly special.One of the standout individuals on the team is Tiffany, one of the directors. Her compassion, professionalism, and unwavering dedication to every individual s recovery journey is something you rarely see. Tiffany doesn t just talk the talk she truly walks with you through the process. Whether it was a rough day or a breakthrough moment, she was there offering insight, encouragement, and a calming presence that made all the difference.The program is thoughtfully designed, blending evidence-based therapy with holistic practices, and the staff are all incredibly knowledgeable and supportive. You re never treated like a number here you re seen, heard, and deeply respected.If you re looking for a place that s not only committed to helping you heal but also to empowering you long after you leave, this is it. I m beyond grateful for my experience, and for people like Tiffany who pour their hearts into the work they do every single day.
salim halabi
2 months ago
Deciding to go and stay at DFC was the best thing that happened too me. The staff and counselors are world class. The education and treatment I received changed my life. Care, compassion, & understanding of my disease from the staff kept me focused on my recovery. I owe my future to this program - and it is looking bright!
Angela Simpson
2 months ago
Wonderful and knowledgeable staff. Nick and Adam are substance abuse counselors who really truly care and their experience was invaluable. This place is truly unique within the recovery community.
Great facility! Nikki was tha absolute best! And still is I’ve been to multiple treatment centers and Nikki is the only one who consistently checks up on me to make sure I’m ok! Would recommend any one who’s thinking about getting clean to start there journey here!
Troy Fauteux
4 weeks ago
When I decided to go into detox , I was ashamed and embarrassed for having gotten to the point of needing it, and intimidated by getting it. The minute I arrived at Boca Recovery Center, all of that went away. The entire staff, from Case Workers to Doctors, Nurses, Coordinators, Therapists, - everyone-- was so professional, kind, friendly, caring , informative, supportive , and helpful. I was so comfortable and my condition improved everyday. It was one of my best decisions to go there and be guided by them to better health. I haven't felt this strong and healthy in 5 years. I thank the people at Boca Recovery Center with all of my heart. Love and mercy to everyone.
Duane.
Hello im Ashley and im an addict. My whole life has been filled with chaos and trauma. Some from my own doing and some that wasnt my fault. There is not a single bad word i can say abouy my experience at Beachway Therapy Center. My time there was cut short thanks to my own self-sabotaging behavior. Even then Beachway still treated me with compassion and the desire to help me. My situation was a unusual one. I came into the trauma program with a clean date of April 16th 2014. So at 11 years clean i was dealing with bipolar disorder, intense anxiety, a very unhealthy toxic relationship and an intense desire to break generational curses for my children. My history is one that involves homelessness, street drugs and a street mentality. Beachway took on the challenge of helping me work thru that trauma. I opened up to the program and other woman like never before. I had an amazing counselor, amazing case manager, and amazing staff that were there anytime i had moments of high anxiety or worry. I am so disappointed i ruined my chances of having a chance at going thru a trauma program with Beachway. Just in the short time i was there i did gain a small sense of self back. If you were like me and worry about making friends with the other clients because they wont understand you or like you, that is not even close to true. I found a sense of community that i couldnt find anywhere else in my life. If i manage to find a magic lamp, one of my wishes would definitely be used on looking young forever after that id wish to feel the peace and serenity i felt at Beachway. Thanks to them i had just enough courage to get me and my kids out of my bad situation. Now my goal is to continue with trauma therapy. Do not be me and let your past dictate your future. No matter how clean you are from drugs that trauma will creep up on you and when it does use tools like Beachway to seek help instead of the alternative, and please for the love of your higher power get out of your own way and accept their help before you get kicked out like i did. I am forever grateful. Thanks for letting me share my expierence, strength and hope.
Ashley Wilburn
1 month ago
My experience at Banyan was very good. The staff was very helpful, the therapy was extremely beneficial , and the food was great! Like with all rehabs, it is what you make of it. If you go there thinking everything is perfect, you’ll be disappointed, it’s not. If you go for simply a social experience, it’s not a resort. If you go because you’re serious about your recovery, it’s a great place to take the first step !
Brian Koppen
1 month ago
Loved Beachway. I was extremely anxious with everyday panic attacks, and the medicine was no longer working. At Beachway I found a way to control my attacks and anxiety. It is not easy and sometimes I felt like it wasn’t going to work.
We worked through my childhood traumas and I learned techniques on how to defuse my anxiety.
Loved Dina’s honest and hardcore classes and also Gigi’s trauma class.
From the intake department, to the counselors, security, kitchen staff, Directors, Nurses and everyone that worked there I thank you. ❤️
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The staff are so Awesome, made me feel right at home! God bless everyone on this journey.
Travis Bollom
2 months ago
Postive Recovery, specifically Bill Alcorn, provided a very informative and helpful program for my needs. I appreciated Bill s openness with his past struggles as I and the others in the group face our own struggles. I am a better person for going through IOP with Bill and Positive Recovery.
Cade Murray
4 months ago
This program has taught me so much. Bill is so awesome!
Cpr has been a safe place with empathy they are attached to great sober livings .
They were always congruent. They have great outings Nate dog the surf class was awesome. The food was hit or miss but maybe they have figured out. Overall I would recommend this program. Plus its orange county the sobriety capital of the world.
Clint Johnson
2 weeks ago
California Prime Recovery is truly a top-notch facility that goes above and beyond in supporting their clients. The houses are always clean, well-maintained, and provide a comfortable and safe environment for recovery. The staff is exceptional—House Managers Shanon, Kurt, and Jeremy are caring, dependable, and always there when you need them.
Program Director Wilson leads with compassion and dedication, making sure every client gets the individualized attention they need. Case Manager Dani is incredibly supportive and attentive, helping clients navigate their recovery journey with empathy and professionalism.
The techs and group facilitators also play a huge role in making the program effective. Their knowledge, consistency, and encouragement create a strong foundation for personal growth and lasting sobriety. I’m truly grateful for the entire team at California Prime Recovery—they make recovery possible and sustainable. Highly recommend!
Robin BlackCloud
2 weeks ago
I've been here and it changed my life, from peer support to staff support, and programs w/ benefactors that help to support and assist with issues regarding substance or mental health. California Prime will forever be a highlight of my life. I have many friends from there that create a lasting bond of a lifetime. I love each and every counselor, staff member, and client that I have met or worked with. I love California Prime and if you are in recovery, or seeking sobriety help, this IS thee place for you!
Thanks to Luminous and the caring staff, I was able to get down to the core issues I went through in my adolescence, now I have the confidence and tools to begin a productive life.
They offer personalized treatment plan. That makes a huge difference.
Thomas Moody
1 month ago
I was at a place in Indiana that i thought was the best until I came to luminous. The support system and help they have n give there exceeds all expectations! I originally was going to a different program but couldn't wait for a bed n luminous took me the same day I called! By the grace of god I found this place because it's had a huge impact on my recovery. Getting sober is the easy part n recovery the real battle is STAYING sober n if u need help with the tools to doing so I suggest you call luminous. Scott (coach) runs amazing groups you can actually take from, Sean is a great therapists and doesn't miss a beat and Ed runs a great program. I'm not a bot and wasn't paid to leave this review lol I'm a resident who is just truly greatful to have had a chance to be in this program. Thank you guys at luminous I have a long journey ahead of me and I appreciate yal more than you know!! Wish I could explain more but trust me, from one addict to another you choose wat you get from a program and Theres a lot to take from this place. Thanks
MurcI MurcI
2 months ago
I think that luminous was great fit for me and would recommend it
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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
6 days ago
Boca is a very good experience staff is awesome and very helpful and know what you’re going through.
kyle boyd
6 days 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👌🤘
I am a born pessimist, so I spent a great deal of time looking into this place. First, I found nothing negative whatsoever, Secondly, I spent 60 days here and cried leaving. This place and ALL of it's staff saved my life. I can remember spending countless times in the nurses station, at the wellness advocates desk, and even in the Blanco hall, talking to the different staff about my days, my problems, my achievements, etc. And EVERY SINGLE PERSON TOOK THE TIME TO LISTEN AND HELP OR CHEER ME ON!! There's not a staff member in this place that doesn't care about each person. The therapy sessions are incredible and I can't thank them enough for showing me I wasn't hopeless and giving me all the tools I need to have a beautiful, healthy and sober life. I am 45 years old, and I never thought this was possible.
Gina Michelle Mullaley
2 months ago
After finishing treatment at Windmill Wellness Ranch I was confident in my ability to continue treatment for my Substance Abuse and Mental Health issues from home. The staff are awesome and very appreciated for all that they do this place is dog friendly and Leo loved it here!!
Jake Toepperwein
2 months ago
Windmill Wellness Ranch has truly changed my life in ways I never expected. I ve been to multiple treatment facilities over the last decade and felt that I was mentally, physically and spiritually hopeless. I felt I was a lost cause. I have had experience with 12 step programs before and assumed this experience would be like the others. I was wrong. Windmill Wellness Ranch and the staff they employ offer so much more than just a place to get sober and try twelve steps. From the admissions personnel to the wellness advocates, the therapists and the recovery coaches, I ve never met a team of people so willing to bend over backwards to help me reach my personal goals. Through WWR I was able to process a great deal of trauma successfully, while at the same time gain some phenomenal insight on how to grow in a life centered around permanent sobriety. The employees genuinely care about people and most are in recovery themselves. My time at Windmill Wellness Ranch has truly made a permanent positive impact in my life and in the lives of the people I love.
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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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