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.
While narrowing down treatment choices or understanding plan requirements, you can learn more about rehab options to scan facilities suited to your insurance.
By Michelle Tavares
Michelle Tavares is a registered nurse with over 15 years of experience in mental health nursing. She has worked in inpatient and outpatient settings as well as in bedside and administrative roles. She is a fighter of stigma and an advocate for getting people the mental health services they need.
Medically Reviewed by Anna Spooner
Anna has 10 years of experience in insurance and has been a content and copywriter since 2011. She strives to make all of her writing approachable and easy to understand while drinking copious amounts of tea. Anna writes about accessing addiction treatment, insurance, and finance.
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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.
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
1 year 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
2 years 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"
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.
Id love to give these guys a 5 but recently I was dropped due to insurance. ( I have medicaid. Which makes me less fortunate then others who pay for there insurance) so after about a year and a half. Outside of that the groups are excellent the facilitators truely care, and the people who are the ones that really make the groups they are great. I thibk due to the telahealth aspect people are more willing to dig into there traumas and passed. I can only hope they 1 day accept medicaid again not only for me but all the other addicts and alcoholics who cant afford insurance to 1 day be able to receive treatment in the same manor I did.
Travis
7 months ago
Choice point was such an amazing place to focus on my recovery they helped me so much to focus on my recovery helped me stay clean and also helped me become a better person I will definitely miss this place ❤️thank u to my counselor melisssa Darrien and my peers in group and all the counselors and staff at choice point for helping me be me again ❤️best rehab I ever been too ❤️thank u so much
Yahaira Medina
9 months ago
Helpful and great experience overall couldn't have asked for a better program. They gave me all the tools needed to continue my life in the right path. Forever grateful.
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.
Staff were very attentive and organized. I felt calm having a discussions with the staff.
Alisha Delgado
5 months ago
Staff are very helpful and understanding. Always looking for ways that can help you achieve your goals on a day to day basis.
Danny Vega
5 months ago
The visit was superb I'm able to get through what I'm going through my consulor understands what I feel and I really appreciate her and all the staff everyone is very professional and has great personalities I thank Sun River health
And there staff
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.
Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary Program
Private InsuranceSelf-Pay OptionsMilitary InsuranceFinancial Aid
I came here barely alive, hopelessly alcoholic after years of heavy daily drinking. Going on 15 months sober. I wouldnt be here if it wasn't for them. I thought I'd need a 30-day program after, but i felt so much better by day 5 that I resolved to not drink again, and still havent. They have the drug cocktail down to a science, I barely felt any serious withdrawls. The nurses are very attentive albeit DMV-ish at times, which is a good thing in that context. The staff is very kind and caring, experienced and understanding. No nurse ratchet here. You will be frustrated by some of their institutional policies, but they do a good job explaining why those policies are in place without being overbearing or condescending.
The reasons I gave it 4 stars, not 5. This is not an indictment but constructive criticism, and a warning about what to expect if these issues matter to you:
The food seems to be mostly cooked off site and reheated. It's stale institutional slop, with processed food snacks left out. Nothing on the menu is fresh or natural. I had some food sensitivites and they had trouble wrapping their heads around it. I ended up mostly eating fruit cups and bagels with cream cheese. You cannot order food in. This policy is in place because people will try to sneak things in and this facility does take on patients who are there against their wishes via parents, employment deal, or court order.
If you're running a detox, you may want to consider serving healthier food? Fresh fruit instead of canned? some high fiber grains? real meat, not frozen food? I brought this up. Hopefully they fixed it.
There wasn't much to do there. They had a room full of movie theater seats with a flatscreen, a broken guitar, some supermarket books, AA stuff, and a set of chairs outside. Mostly you sit around and talk, watch tv, or sleep. It's a small property but you can walk laps.
There's no counseling at the detox. Some AA volunteer groups shows up once in a while to talk. It may be helpful for some. There should be an on site counselor that does that job full time. Everyone else has their own specific job and sitting down and talking to people 1 on 1 didnt seem to be part of the description. They seem to be focused entirely on the medical detox aspect of the process. If you need rehab, you do that after, or find a rehab that does detox on site.
y K
6 months ago
Briarwood is an amazing place with compassionate staff all the way up the chain! Briarwood has played a huge role in my journey and I am so grateful! I would recommend them for detox to anyone who needs it!
Brittany Debrauske
8 months ago
Great facility and team! They truly care about providing the best patient experience. Keep up the great work!
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.
Sunrise cherry hill was a godsend. The nurse Sydney is absolutely the sweetest person you'll ever meet. I went there over a year ago and and she remembered me and made sure my stay there was comfortable. Unfortunately I've stayed at quite a few other facilities and NEVER was treated with such respect and kindness that she treated me with. She deserves a raise lol!
On the other hand..I made a very good friend in my time staying there..we kept in touch and we were both struggling. I was trying to be a good girlfriend and put my own health aside waiting waiting for him. I now know know that I need further assistance than just detox . He's not even. Being a decent human being/and/or being nice about it. I tried called the Sterling location 5 times where my friend is. She told me there is in IN FACT beds available but the person on the phone wasnt so friendly..almost demeaning. He said "just because there's beds available doesn't mean there's beds available". I was very confused...almost like he didn't want to help me save my life. And he was just annoyed to be answering the phone. He told me over and over in an annoyed and stern voice as I was in tears to call back at 9am. Im just lucky im not someone who is WAY more fragile and sensitive amd nothing terrible happened 🥺
Sara Dunn
9 months ago
Supportive and non judgement staff at Brentwood location. Very clean and group sessions were great. They truly make you feel like a human being a person. I would absolutely recommend this place.
Kristen Ruocco
1 year ago
Absolutely the best facility and most caring people I’ve ever come across. Shout out to everyone at the nurses station for holding it down for me when I was at my lowest. I am not a fan of any facility whatsoever but these guys genuinely do it right. Can’t thank y’all enough. Best nursing staff ever
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.
Overall, my experience has been positive—attending the program at Relevance has been helpful for my treatment and personal growth.
ChosenRosen
3 months ago
Had an amazing experience with everyone here. From the admissions team all the way to the techs here everyone here is the sweetest and happy to help with whatever you need.
Bradley Glick
4 months ago
Relevance has been a huge help for me in my recovery, from individual sessions to group therapy relevance has helped me improve my mental health and recovery from addiction. The staff truly cares about every single patient and wants to see every one succeed and get better.
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’ve been a patient at Aegis Treatment Centers for a while now, and I really want to give a heartfelt thank you to the nurses there. Whenever I’m sick or not feeling well, they always step in right away and make sure I’m taken care of. It never feels like I’m just another patient to them. They genuinely check on me, help me through it, and make sure I’m as comfortable as possible.
All of the nurses work together in such a kind and supportive way, and because of that, I always feel really welcomed when I walk in. Even on rough days, I know I’m going to be met with patience, understanding, and care instead of stress or judgment.
It’s honestly a comforting place to go when I need help, and I’m really grateful for how consistently compassionate and attentive the nurses are.
God bless 🙏🏻
Michael
2 months ago
This is a well run treatment center. Good staff
Boats Nhoes
2 months ago
Super supportive staff and counselors. Their job is not easy, given the struggles of their clients and the complexities of social services systems, but they do a terrific job.
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 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
1 year 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
1 year 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!
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.
Saved my life. Went for a 90 day inpatient 12 years ago and haven't reentered another rehab since. Built great fundamentals to recovery and kept me long enough to get started. If I had only done 30 days I know I likely would have relapsed . I now am healthy and happy and have a trade skill, which is quite dangerous but I'm always clear of mind and haven't been injured for the entire 8 years I've been practicing my trade.
Crystal Kornell
3 months ago
The team at Tranquil Shores is amazing. My clients get great treatment, and their families get consistent communication. The facility is beautiful, clinical staff and programming are legit. As an industry pro for 15 years, I'm happy to share that Tranquil is great.
Darren Hobbs
8 months ago
Excellent program, clinicians and staff are top notch!
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.
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
1 year ago
Treatment here was a great experience, the staff really cares about the clients!
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Frequently Asked Questions
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.
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.
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.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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