Do Drug and Alcohol Rehab Centers Take Magellan Insurance?

Who is Magellan?

Magellan Health, Inc. is a healthcare management company headquartered in Scottsdale, Arizona. The company was founded in 1969 as a psychiatric hospital chain. It has since expanded to offer a wide range of healthcare management services, including behavioral healthcare, specialty healthcare, pharmacy management, and employer benefits services.

In addition, they offer various insurance plans and services, including behavioral health insurance, employee assistance programs (EAPs), and health advocacy services.¹

Magellan Health has several subsidiaries, including the following:

Magellan Behavioral Health: provides managed behavioral health services to health plans, employers, and government agencies
Magellan Complete Care: offers managed care services for Medicaid and Medicare beneficiaries
Magellan Rx Management: provides pharmacy benefit management services, like prescription drug plans

What is Magellan Rehab Insurance Coverage?

Magellan is a healthcare management company that provides various types of insurance, including rehabilitation insurance. Magellan rehab coverage for addiction treatment may include services such as detoxification, inpatient or outpatient rehabilitation programs, medication-assisted treatment, counseling, and support groups. In addition, Magellan rehab insurance coverage may consist of mental health services.

Does Magellan Cover Drug and Alcohol Rehab?

Yes, Magellan covers drug and alcohol rehab as part of its rehab insurance coverage. Magellan's coverage for substance abuse and addiction treatment may include various services, such as detoxification, inpatient or outpatient rehabilitation programs, medication-assisted treatment, counseling, and support groups.

The specific coverage for drug and alcohol rehab may vary depending on many factors, including your particular policy, location, and the type of treatment needed. Some plans may offer more comprehensive coverage than others, and certain limitations or exclusions may apply.

Magellan also has a network of providers specializing in addiction treatment, including both Magellan in-network inpatient rehab and outpatient care. Magellan has vetted these providers to ensure they meet specific standards for quality of care.

Check Your Magellan Insurance for Addiction Treatment

You can check your Magellan insurance coverage levels for drug or alcohol addiction rehab by calling us on 866-461-3339 or by using the form below.

Our admissions coordinators will interact directly with Magellan on your behalf, removing from your shoulders the burden of figuring out if your insurance will pay for your addiction treatment.

Does Magellan Cover Mental Health Rehab?

Yes, Magellan covers mental health rehab as part of its rehab insurance coverage. Magellan's coverage for mental health rehab may include a range of services, such as inpatient care or outpatient therapy, counseling, medication management, wellness programs, and other forms of treatment for mental health disorders.

The Magellan rehab provider network also has a vetted organization of mental health professionals specializing in treating various conditions, including anxiety, bipolar disorder, depression, and more. The Magellan network includes licensed providers, such as psychiatrists, psychologists, social workers, and other mental health specialists.¹

Inpatient and Outpatient Rehab Centers That Take Magellan Insurance

Virtue Recovery Center has been saving individuals from substance use disorders and rebuilding families for years with multiple treatment locations in several states. The Joint Commission accredits all our inpatient and outpatient centers in the Magellan rehab provider network. We are also HIPAA compliant and National Association of Addiction Treatment Providers (NAATP) members.

Below are links to all of the Virtue Recovery Center treatment centers:

How Much Does Rehab Cost With Magellan Insurance?

The cost of rehab with Magellan insurance will depend on several factors, including the specific policy and plan you have, the type and duration of treatment needed, the location of the treatment facility, and any deductibles, copays, or coinsurance requirements that may apply.

Magellan rehab coverage provides various plans, including both in-network and out-of-network options. In-network providers typically have pre-negotiated rates with Magellan, which can result in lower out-of-pocket costs for the insured. Conversely, out-of-network providers may not have pre-negotiated rates, which can result in higher out-of-pocket costs for the insured.

Inpatient treatment, which requires staying at a treatment center for an extended period, tends to be more expensive than outpatient treatment, which allows you to live at home while receiving treatment. A general estimate of the typical monthly cost of inpatient rehab with insurance is $5,000 to $25,000 or more, depending on several variables.² Additionally, on average, the cost of outpatient therapy, or receiving treatments without being hospitalized as a patient, can range from $1,400 to $10,000 for 30 days.

Again, however, the above are only averages that vary according to many factors. Therefore, these numbers may not accurately represent what you’ll pay for treatment with Magellan rehab coverage.

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How To Check My Magellan Insurance Coverage Levels for Rehab Treatment

We eliminate the difficulties and wait times associated with contacting your insurance provider. With our no-obligation, confidential online form, you can verify insurance coverage simply. Let our highly qualified staff members contact Magellan to verify your benefits and coverage levels for rehab treatment.

After you complete the form, we'll contact you to review your policy and discuss the next steps. Virtue Recovery Center is in-network with most major insurance plans, and we have all the answers to your question: "Does Magellan cover rehab?" In addition, you can be confident that any information you provide or discuss will remain confidential.

How To Get Magellan To Pay For Rehab Treatment

To get Magellan to pay for rehab treatment, you must follow the procedures outlined in your specific policy. Here are some general steps you can take:

Contact Magellan: Review your insurance plan to determine the coverage specifics for rehab treatment. Virtue Recovery Center can do this step for you.
Choose a rehab facility: Choose a rehab facility that is part of the Magellan rehab provider network, if possible. This will help to minimize your out-of-pocket costs. Also, ensure the facility offers the type of treatment you need.
Get pre-authorization: Obtain pre-authorization from Magellan for the treatment. Again, Virtue Recovery Center can help with this step.
Understand your costs: Understand your financial responsibility for the treatment, including any deductibles or copays.
Attend rehab: Attend the rehab treatment as scheduled and follow the program guidelines to ensure the best outcome.

How Many Times Will Magellan Pay For Rehab?

Depending on your particular policy, Magellan may cover treatment many times. Some plans can cap the number of covered rehab stays or a time limit on how long someone can receive treatment. As long as Magellan recognizes the therapy as medically necessary and acceptable, some plans could continue offering coverage.

Rehab Treatment and Insurance Statistics

2019 saw an estimated 21.6 million persons aged 12 or older needing substance use treatment, but only 4.2 million received it.¹
Magellan's proactive, care- and recovery-focused solutions have been demonstrated to dramatically lower behavioral healthcare costs by up to 12% by utilizing unrivaled experience, service, and patented technology.
Magellan's behavioral health sector provides services to over 40 million members. It is one of the largest providers of behavioral health services in the United States.
In 2019, an estimated 8.5% of the population had no health insurance coverage, which could make accessing rehab treatment more difficult.²
A study of insurance claims data found that individuals who received medical and behavioral health care had lower overall healthcare costs than those who only received medical care. The study also found that integrated care improved health outcomes and medication adherence.³
A study published in the American Journal of Public Health in 2020 found that the Affordable Care Act’s Medicaid expansion was associated with significant healthcare access improvements, particularly for low-income and uninsured populations.⁴

Check Your Magellan Insurance Coverage With Virtue Recovery Center

If you’re committed to recovery, submit a request to one of our professional admission coordinators today using the form below. Before discussing the next steps, a coordinator will address any inquiries regarding our programs, including interacting directly with your Magellan on your behalf to check your insurance coverage levels for drug or alcohol addiction rehab.

STEP 1

Using your Health Insurance Card, fill out all of the fields on the confidential form.

STEP 2

A member of our staff will contact your insurer to verify if your policy will cover your treatment

STEP 3

We will contact you promptly with the results of the verification and discuss the next steps

*Insurance Disclaimer: Virtue Recovery Center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note that this is only a quote of benefits and/or authorization. We cannot guarantee that payment or verification eligibility will be accurate and complete as conveyed by your health insurance provider. Payment of benefits is subject to all terms, conditions, limitations, and exclusions of the member’s contract at the time of service. Your health insurance company will only pay for services it determines to be “reasonable and necessary.” Virtue Recovery Center will make every effort to have all services preauthorized by your health insurance company. Suppose your health insurance company determines that a particular service is not reasonable and necessary or that a specific service is not covered under your plan. In that case, your insurer will deny payment for that service, and it will become your responsibility.

Your Name*

Phone Number

Email

Who is seeking treatment?*

Yourself

A Loved One

Name of Patient

Date of Birth of Patient*

Insurance Company's Name*

Insurance Company's Phone Number*

Member ID*

*Insurance Disclaimer: Virtue Recovery Center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note, this is only a quote of benefits and/or authorization. We cannot guarantee payment or verification eligibility as conveyed by your health insurance provider will be accurate and complete. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at time of service. Your health insurance company will only pay for services that it determines to be “reasonable and necessary.” Virtue Recovery Center will make every effort to have all services preauthorized by your health insurance company. If your health insurance company determines that a particular service is not reasonable and necessary, or that a particular service is not covered under your plan, your insurer will deny payment for that service and it will become your responsibility.

Related Rehab and Insurance Resources

Sources and Citations

^[1] Magellan Health, Inc. “About Magellan Health.” Magellan Health, 2022, www.magellanhealth.com/about/about-magellan-health.
^[2] Magellan Health, Inc. “Behavioral Health.” Magellan Healthcare, 2023, www.magellanhealthcare.com/health-plans/behavioral-health-2.
^[3] Stilkind, Joseph. “Average Cost of Drug Rehab [2023]: By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab
^[4] U.S. Department of Health and Human Services. “2019 NSDUH Detailed Tables.” Substance Abuse and Mental Health Services Administration (SAMHSA), 11 Sept. 2020, www.samhsa.gov/data/report/2019-nsduh-detailed-tables.
^[5] US Census Bureau. “Health Insurance Coverage in the United States: 2019.” Census.gov, 8 Sept. 2022, www.census.gov/library/publications/2020/demo/p60-271.html.
^[6] Melek, Stephen P., FSA MAAA, et al. “Potential Economic Impact of Integrated Medical-Behavioral Healthcare: Updated Projections for 2017.” Milliman, Jan. 2018, www.milliman.com/-/media/milliman/importedfiles/uploadedfiles/insight/2018/potential-economic-impact-integrated-healthcare.ashx.
^[7] McInerney, Melissa, et al. “ACA Medicaid Expansion Associated With Increased Medicaid Participation and Improved Health Among Near-Elderly: Evidence From the Health and Retirement Study.” Inquiry, vol. 57, SAGE Publishing, July 2020, p. 004695802093522. https://doi.org/10.1177/0046958020935229.