Do Drug and Alcohol Addiction Recovery Centers in Texas Take Magellan Insurance?

What is Texas Known For?

With just over 30 million residents as of 2023¹, Texas is the second most populous state in the country, with 85% of those individuals living in three of the largest cities: Dallas, Houston, and San Antonio. Each city boasts over a million residents, followed closely by El Paso, Fort Worth, and the state capitol, Austin. The Alamo, barbeque, and oil may be the first things that come to mind about Texas. And, if not, did you know Texas is just as diverse as its population?

Native American, Spanish, Mexican, and Anglo-American cultures have shaped Texas since before its official admittance as a state in 1845. The state’s rich cultural diversity reflects in everything from its Tex-Mex and barbecue cuisine to its music, which ranges from country and western to blues and rock & roll.

With 37 football colleges, Texas ranks third in the nation, and college football is an enduringly popular sport. Top college football schools in the state include the University of Texas, Texas A&M University, and Texas Tech. The Dallas Cowboys (football), Houston Astros (baseball), and San Antonio Spurs (basketball) are three of Texas' most successful professional sports franchises.

From premiere theme parks, historic sites, and the expansive Texas topography: from the flat plains of Amarillo to the Gulf of Mexico coastline, Texas offers a unique variety of adventures for every visitor to The Lone Star State.

What is Rehab Insurance Coverage?

Rehab insurance coverage may include specialist services, incorporating detoxification, behavioral therapy, medication-assisted treatment, inpatient and outpatient therapies, and other types of care. Health insurance that provides benefits to those seeking treatment for addiction, mental health conditions, or substance abuse is usually included in rehab insurance coverage.

In researching rehabilitation services, contacting your insurance company is crucial to learn about your policy coverage, deductibles, premiums, and any other potential out-of-pocket costs. During your research, it may be beneficial to speak to hospitals and rehabilitation facilities to find the most affordable option. Call us at 866-461-3339 and we can help you verify in-network facilities and the treatments covered by your insurance.

Who is Magellan?

Magellan Health, Inc is not an insurance company. They are a healthcare management company with multiple subsidiaries committed to increasing awareness of mental health issues and providing resources and expert advice to help their communities, clients, and providers.²

The Magellan Health, Inc management firm was established in 1969 as a chain of psychiatric hospitals and treatment centers. ³ Since then, it has grown to provide various healthcare management services, such as behavioral healthcare, specialty healthcare, pharmacy management, and employee benefits services, with headquarters located in Scottsdale, Arizona.

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 Drug and Alcohol Rehab in Texas?

Magellan coverage for drug and alcohol rehab is dependent on the individual’s insurance plan. Magellan Health, Inc. uses The American Society of Addiction Medicine's (ASAM) standards as the guideline for assessing instances of substance use disorders in Texas.⁴ To learn if your insurance covers drug and alcohol rehab, call us at 866-461-3339.

Magellan helps individuals through end-to-end programs driven by evidence-based results and designed by expert clinicians.⁵ Magellan insurance can cover a variety of drug and alcohol treatments, including detoxification, inpatient or outpatient rehabilitation programs, medication-assisted treatment, counseling, and support groups. Magellan has a robust program of in-network providers to choose from, and coverage is based on the insurance plan, the required level of care, and the type of treatment needed to achieve continued sobriety.

Does Magellan Cover Mental Health Rehab in Texas?

Magellan coverage for mental health rehab in Texas is dependent on the individual’s insurance plan. Examples of treatment can include inpatient, or outpatient therapy, prescription medication guidance and management, and online health tools. To learn if your insurance covers mental health rehab, call us at 866-461-3339.

Magellan includes mental health rehab with a robust network of 110,000 clinicians and growing.⁶ Based on 50 years of clinical expertise in mental health, Magellan provides a distinctive, comprehensive approach to the diagnosis, management, and treatment of depression. Clinical pathways are individualized based on the person's needs and to support changing conditions throughout the recovery process.

Texas Inpatient and Outpatient Rehab Centers That Take Magellan Insurance

Virtue Recovery Center has highly trained addiction treatment experts in multiple nationally accredited facilities across the United States. We have two licensed facilities located in Texas:

Call us at 866-461-3339 and we can help you verify your plan coverage.

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How Much Does Rehab Cost in Texas with Magellan Insurance?

The cost of rehab in Texas with Magellan Insurance can vary. General outpatient rehab costs can average $5,700/month with inpatient treatments costing an average of $12,500/month.⁷ Costs vary for many reasons; duration of care, type of treatment needed, and the magnitude of the treatment.

On average, in-network providers have a discounted rate shared with Magellan, leading to lower out-of-pocket costs for the patient. In contrast, out-of-network providers are pricier, given that the out-of-network provider does not have a contract with Magellan to share the costs, and the patient is paying full price for treatment.

Inpatient care needs can also result in increased costs due to fees incurred while admitted to a facility with more extensive treatment. Outpatient care can vary significantly based on the regularity of programs or treatments recommended.

How To Check Magellan Coverage Levels for Recovery treatment in Texas?

We can call Magellan directly to verify coverage levels for recovery treatment in Texas, and request a treatment quote on your behalf. You can fill out the form using the information on your insurance card. All your personal information is collected securely and will remain confidential.

The treatment services covered by your health insurance provider will only be approved if deemed a medical necessity. We will make every attempt to have your health insurance company preauthorize any services. You’ll be responsible for paying for any service your insurance provider decides is unnecessary or is not covered by your plan.

How To Get Magellan To Pay For Rehab Treatment in Texas

To increase the prospect of Magellan paying for your rehab treatment, first confirm your policy details. We can assist you with this process by completing this form. Additional steps that will be helpful include:

Confirm You Are Insured: Contact Magellan Health directly to confirm policy coverage and request a quote for treatment. Our Coordinators can also assist you with this step by calling us at 866-461-3339.
Provide Health Care Assessment: Schedule an appointment with your health care provider to determine a treatment plan and submit claims paperwork to Magellan. Magellan will need this treatment plan for preauthorization, and treatment cannot begin without preauthorization.
Select Rehab Center Location: Choose a rehab center that fits your treatment plan. Virtual Recovery Center has two licensed facilities located in Texas, one in Houston and one in Killeen. You may need to seek treatment outside of Texas and Virtue Recovery Center can help guide you to the path to begin your recovery.
Assess Individual Costs: Confirm any out-of-pocket costs not covered by your insurance policy. Virtue Recovery Center can discuss payment options to ensure you can begin recovery and focus on your health.
Go All-In on Recovery: Follow the programs and treatment plan recommended by your healthcare provider and allow the talented Virtue Recovery Center staff to support you on your journey to recovery.

How Many Times Will Magellan Pay for Rehab in Texas?

The number of times Magellan will pay for rehab is determined per individual patient. Magellan will assess if the treatment plan is medically necessary to continue, which may require sending additional paperwork to Magellan by your healthcare provider. The continuation of treatment will also vary by the individual policy, the type of treatment, and the level of care needed.

Can You Go Into Rehab Without Insurance?

In most cases, you can go into rehab without insurance. If you do not have insurance, or if the coverage on your policy does not cover the necessary treatment, you will have more out-of-pocket costs. We will work with you to customize a payment plan to ensure you receive the treatment you need to start treatment and that your recovery is affordable to maintain.⁸

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.

Sources and Citations

^[1] “Texas Population, 2023.” World Population Review, 2023 https://worldpopulationreview.com/states/texas-population
^[2] Magellan Health, Inc. “About Magellan Health,” Magellan Health, 2023 https://www.magellanhealth.com/
^[3] SEC Filing “About Magellan Health,” Magellan Health, 1995 https://ir.magellanhealth.com/node/11481/html
^[4] State Plan Specific Information, Texas https://www.magellanprovider.com/news-publications/state-plan-eap-specific-information/texas.aspx
^[5] Targeted Solutions, “Substance Use Disorder,” Magellan Health, 2022 https://www.magellanhealthcare.com/documents/2021/03/sud-solution.pdf/
^[6]Targeted Solutions, “Anxiety,” Magellan Health, 2022 https://www.magellanhealthcare.com/documents/2021/03/anxiety-solution.pdf/
^[7]Average Cost of Drug Rehab, “Cost of Drug Rehab in Texas,” National Center for Drug Abuse Statistics, 2023 https://drugabusestatistics.org/cost-of-rehab/
^[8] Drug and Alcohol Addiction Recovery Center in Houston, TX, “24-Bed Residential Drug & Alcohol Rehab in Houston TX,” Virtue Recovery Center 2022