Rehabs that Accept Magellan Insurance
Deciding that you need addiction treatment is a big step in the right direction toward reclaiming your life. However, an important next step is determining if your health care insurance company will help you cover the cost of care. Magellan is one of the largest managed care organizations operating under insurers like Blue Cross in California, but does Magellan cover rehab? Thankfully, you should have no issue finding a rehab that accepts Magellan or operates under the Magellan name. Find out a few details to help below.
Insurance Plan Options from Magellan
Magellan is not an insurance provider; rather, it’s a managed behavioral healthcare company that offers services such as behavioral health treatment management, employee assistance programs, and other related services. Therefore, if you have certain types of insurance, such as Blue Cross, you will likely be looking for residential treatment, detox, or intensive outpatient treatment within the Magellan network.
Magellan for Medical Detox
Magellan doesn’t provide insurance but partners with various insurers to offer medical detox coverage. These programs are essential for individuals beginning their journey to recovery, as they provide supervised withdrawal from substances in a secure environment. Medical detox helps manage withdrawal symptoms, which supports a safer and more comfortable transition to sobriety.
Magellan for Residential Treatment
Magellan has an extensive network of residential treatment programs available in the state. This means you should be able to find an inpatient rehab for addiction treatment that caters to your specific needs as a patient. For example, if you are struggling with alcohol, Magellan alcohol rehab specifically may be an option. Or, if you have issues with co-occurring disorders, you can find a Magellan drug rehab focused on this unique type of care.
Magellan for Outpatient Treatment
Intensive Outpatient Programs (IOP)
Intensive Outpatient Programs (IOPs) provide structured treatment for individuals struggling with substance abuse or mental health issues. These programs offer therapy sessions several times a week, which makes it possible for participants to maintain their daily routines while receiving support. Magellan insurance typically covers outpatient treatment, including IOPs, which focus on individual therapy, relapse prevention, and transitioning to a lower level of care.
Partial Hospitalization Programs (PHP)
Partial Hospitalization Programs (PHPs) offer comprehensive care for individuals requiring intensive treatment outside of a hospital setting. Participants attend daily sessions lasting several hours, during which they engage in therapy, medication management, and other therapeutic activities. Magellan insurance often covers PHP programs as part of outpatient treatment options.
Outpatient Treatment Alternatives
Beyond traditional treatment plans or detox that accepts Magellan, other options exist. For example, Medication-Assisted Treatment (MAT) combines evidence-based medications with counseling and behavioral therapies to treat substance use disorders. This approach, endorsed by Magellan and other insurers, aims to alleviate withdrawal symptoms, reduce cravings, and normalize brain function affected by addiction.
Magellan Rehab Coverage FAQs
Does Magellan cover drug and alcohol rehab?
Yes, Magellan covers drug addiction treatment and has insured plans available through partner insurance companies that offer to cover the cost of treatment to some degree. Due to the Affordable Care Act, all insurance companies have some level of coverage for addiction treatment.
How can I verify my Magellan insurance benefits?
If you’re seeking a rehab program that takes Magellan, contact Solution Based Treatment at (833) 999-1941 to verify your coverage and explore available programs in your area. We can often provide benefit details and viable treatment options within an hour at no cost to you. Alternatively, reach out to your insurer directly to Magellan directly at (800) 788-4005 or visit their website at MagellanAssist.com for assistance.
Does Magellan cover outpatient addiction treatment?
Yes, Magellan provides outpatient treatment and most of its partners have available plans to cover the costs. The extent of coverage can vary depending on your specific policy, so be sure to examine the specifics of your policy.
Does Magellan cover inpatient mental health?
Inpatient rehab for mental health is available through Magellan. Magellan has an extensive focus on behavioral health and mental health services. Therefore, you should have no problem finding rehabs that take Magellan in CA.
Do treatment centers need to be In-Network?
Treatment centers don’t always have to be in-network with Magellan for coverage from Blue Cross. However, utilizing in-network providers can often result in lower out-of-pocket costs due to negotiated rates. Magellan boasts one of the largest networks of in-network providers among insurers in the state, with ample options for individuals seeking addiction treatment within their network. Be sure to verify coverage specifics with Magellan and the treatment center.
How much does Magellan insurance cover?
The amount of coverage can vary widely depending on factors such as the specific plan, individual policy details, and the type of treatment sought. While some plans may cover a significant portion of expenses, others may cover only a fraction. Review policy specifics or contact your insurer to understand coverage limits accurately when you decide to seek treatment.
How do I pay for costs not covered by Magellan insurance?
If you don’t find a preferable rehab program Magellan insurance covers, there are other options to pay for substance abuse treatment. To cover costs not included in your Magellan insurance, consider various options like payment plans offered by treatment facilities or seeking financial assistance from government programs. Additionally, you can explore personal financing methods or utilize resources like crowdfunding platforms to manage any remaining expenses.
How is a Magellan HMO different from a PPO?
Magellan’s HMO (Health Maintenance Organization) typically requires members to select a primary care physician (PCP) and obtain referrals for specialist visits. In contrast, a PPO (Preferred Provider Organization) offers more flexibility, allowing members to see any healthcare provider within the network without needing referrals from a PCP.
Can you get a single-case agreement with Magellan?
Yes, it’s possible to negotiate a single-case agreement with Magellan and your insurer, especially if a specific treatment facility that meets your needs isn’t within your insurer’s network. Single-case agreements involve your insurer agreeing to cover treatment on a case-by-case basis.
Sources: