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.
Making the decision to go to Beachway was, by far, the most positive and impactful experience of my life. The entire staff was incredible, as was the community as a whole. I felt safe, seen, and supported throughout my stay, and even now, as I continue my healing journey at home. I was completely set up for success in my healing journey thanks to Beachway, and I will forever be grateful.
Beth Hagan
1 month ago
My experience at Beachway was a 100/10. The life skills I learned are priceless and that’s putting it lightly. Beachway was the third treatment center I had been to, following the sudden loss of a loved one. I had prior sobriety before beachway and was convinced that I was only there because of a death, and that that was why I was spiraling. The staff at Beachway saw I needed much more help than that. They all knew before I did that if that death didn’t happen, I probably wouldn’t have stayed sober anyway. There was still much more therapy to be done, and more to learn.
The staff took a genuine care in doing so, and looking back at their clinical process they are nothing short of a power house of a team. I never felt so cared for as a human being by people that just met me. The staff quickly became my family, cheering me on while also taking it extremely serious. They are unapologetically honest, which in my experience is the #1 thing needed in recovery. Many of the things they said to me during my time there still stick with me (a year later) and help me navigate life!
I tell anyone that has a loved one with Substance abuse or mental health issues about beachway.
There is no other place like it🤍
Patrick Kelly
1 month ago
I owe Beachway my life for sure. I won’t lie and say that I loved every minute of it because I didn’t. A lot of it was very painful, because confronting inner demons is painful. It was a lot of group therapy (especially given how afraid of people I was going in), but they truly helped me gain sobriety and face down my trauma. And they put up with a lot of my crazy behavior while I was going through withdrawals in detox. Like any rehab, you’ll get out of it what you put into it. Surrender to the process for best results. Rehab isn’t a magic wand that makes problems vanish. Rehab gave me the opportunity to accept the ways in which I cause my own suffering instead of blaming everyone around me, while surrounded by professionals who prevented me from hurting myself while my dried out, and helped me identify the underlying causes of my addiction. It will be tough. It will be scary. It will be worth it. I wish I’d gone sooner. The staff there are wonderful and don’t get enough credit. Thank you Beachway.
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.
Sean Pedersen
1 month ago
Relevance Treatment Center was a necessary step in my recovery to secure sobriety and live a life worth living. Their PHP, IOP programs helped me to regain tools and skills to support my mental & physical health. I have been struggling very much and when I arrived, I was met with the upmost respect, care, support and kindness. It is a comfortable & safe environment for those struggling with mental health issues, substance addictions, etc. and it is all owed to the loving staff. In their own respective manners, the amazingly sweet receptionist LeaAnn made the environment feel warm and friendly from the very beginning, she always said good morning and how is your day, truly caring about how you felt and being honest, it was hard for her not to make your day better. The technician and maintenance team involving the hilarious and comforting Joe & Rob would always find a solution to any of our needs and make us priority #1, yet would always have some time to talk and joke around with us during our groups in between groups. They are tremendous and I thank them for making rough days better. Words cannot describe the level of care and effort put by the clinical team, but Chelsea, Gracie, Henry, Monika, Josh, Julie & Victoria (Both case managers who helped individual clients with housing, financial, income, etc.) were monumental in my recovery and ability to cope with my issues in life. I am grateful for the work they do and their passion behind every intent. I felt validated everyday and I cannot thank them enough. The medical team including Dr. Paul Gazzara, nurse practitioner Latifah Oparison & Nurse Patty were incredibly helpful and understanding in the medications that were necessary for me in my beginning stages of recovery. Everyone in the admissions team including John, Gina, Dan & Tabitha made the initial steps very easy to grasp and helped throughout the way. They helped majorly ease any financial burden. Clinical directors Jess & Melanie deal with a lot of work and not often did I see them, yet they always made time for anyone to come and talk about any issues or just to have a conversation with them. They are incredibly kind and amazing at their field of work, they care and I am very grateful. Would definitely recommend for those who have or are currently with mental health/substance abuse. In my experience of rehab centers, detox, sober living, this has been one of the greatest.
vedant
2 months ago
Despite after reading some negative reviews, both my daughter, Elizabeth, and I cannot say enough about Relavance !
From the first phone call I received from Gina, & completing my intake with Leah Ryan, on 2/10/25, both my daughter, and I knew, this was the solution for me to get better.❤️🩹
From day one, everyone in this facility made me feel welcomed, important, and not to mention , safe enough to open up, share my heartaches, without being judge or embarrassed.
I have learned so much about myself, and for the first time, in a very long time, not only am I “Worthy,” but I am “Important,” and I don’t need a supplement of any kind to achieve this.
When people say, “First impressions mean the most,” what I experienced on my first day. It made all the difference to my world.
I have, and will continue to recommend Relevance House in Freehold New Jersey, to anyone who is seeking help.
“I’m not just a spokesperson, I am a client 😜” Did I mention most of the staff got my sense of humor.
Thanking you from the bottom of both my daughter, Elizabeth, and my heart ♥️
Annette Thornton
Excellent program, clinicians and staff are top notch!
Clover
1 month 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!
Ryoko Shaman
1 month ago
On April 17th, I celebrated 13 years of sobriety. Thirteen years ago this month, I was overwhelmed, struggling with addiction, a high-pressure career, and family life. I turned to Tranquil Shores for help. The 90-day program, the counselors, the groups, medical staff, and culture were simply amazing! The experience gave me back a new life with my family and my career. Thank you Tranquil Shores!
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
9 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
2 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
4 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.
11 months 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 ..
From the very beginning I’ve had such an amazing experience. My counselor Sam is beyond exceptional and the kindest person I know. She answers my calls and questions and has truly guided me through my journey. I would also like to give a shoutout to the front office coordinator who is so welcoming and supportive and has helped me so much as well. Thank you Sam and Leo for all you do!
Mohamed Laib
1 month ago
Choicepoint has been a really wonderful option for me after waiting to seek treatment for a long time. Since being in the program for 2 1/2 months, I can already see a lot of changes in myself that I didn't anticipate happening so quickly. The team is very knowledgeable and good at explaining medical terminology around addiction into easily understandable language that was easy for me to digest. The group sessions were particularly helpful as they provided an opportunity to share time with others who are going through the same experience, which is not something I have in my "real" life. I had Darien and Sam for group, and both are very kind and good at creating a safe and friendly atmosphere where people that start as strangers feel comfortable sharing private things about themselves. Darien took time out of his day to help advise me once on natural remedies for anxiety, and Sam has a great candor and humor which makes group a pleasant experience - something I never would have expected going into the program. Joanna, the nurse at Choicepoint, is very kind and takes time to explain to you different options for MAT without pushing you in one direction - she explains everything so well that you feel very confident in whichever option you choose. Gina, who I had as a counselor, also helped me process how I make decisions and the behavior behind my actions, which has helped me to understand myself better. It's been a great thing for me and I really recommend it to anyone.
Successfully completed IOP treatment with Ethan Green as my therapist. He was an amazing source of empowerment and strength in my recovery journey, his down to earth and human approach shatters any hesitation anyone may have to get treatment. I truly recommend this treatment center.
Luis Gonzalez
6 months ago
Treatment here was a great experience, the staff really cares about the clients!
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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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