Magellan Health is one of the biggest managed health care organizations in the United States, specializing in mental health and drug addiction treatment. The firm offers plans both on its own and in collaboration with other suppliers. It is a managed health care organization that focuses on behavioral healthcare, particularly substance abuse treatment.
Magellan Health’s emphasis on behavioral health is quite rare in the health insurance market, making the organization ideally equipped to provide a wide range of services. It also makes the company an appealing partner for other health insurance carriers that do not have the same degree of specialization in order to address coverage gaps.
Will Magellan Insurance Cover Rehab?
Yes, most likely. Magellan provides treatment for the majority of drug and alcohol use disorders and co-occurring illnesses like anxiety and depression. However, the services and treatments provided will vary based on the plan and institution.
Some Magellan-accepting treatment institutions, for example, may solely provide drug and alcohol detox treatments, whereas others may only offer outpatient programs and group therapy. Almost all drug treatment clinics provide a variety of methods to treat and assist clients in recovering from any sort of addiction.
Addictions that Magellan may cover include:
- Opioids and opiates
- Prescription drugs
Which Addiction Treatments Does the Insurance Cover?
Plans provide varying amounts of coverage for various services and types of treatment. Your Magellan plan may cover substance abuse treatment treatments such as those listed below:
- Detox: Detoxification, which might involve pharmaceuticals and medical supervision, aids in the safe withdrawal from narcotics and alcohol.
- Inpatient: For people experiencing severe and acute withdrawal symptoms, inpatient facilities provide 24-hour medical care and monitoring. They are competent in dealing with serious mental health difficulties and/or other conditions that need rigorous medical treatment.
- Residential: Residential programs allow you to reside at the treatment center and provide you with a structured daily regimen that includes individual and group therapy sessions.
- Outpatient: Outpatient programs such as partial hospitalization, intense outpatient, and outpatient therapy allow you to live at home while visiting the treatment facility for a certain number of hours each week.
- Medical treatment and monitoring are provided as part of partial hospitalization, although the others may not.
- Individual and group therapy: Individual and group therapies are available to help you alter negative addiction-related behaviors and ideas, as well as develop new skills that can help you stay drug and alcohol-free.
- Dual diagnosis treatment: Almost half of all persons who have a drug use issue also have a mental health disorder, and vice versa. Dual diagnosis treatment enables patients to heal from both their substance use problem and their mental disease at the same time.
- Halfway house: People who have finished a treatment program may choose to live in halfway homes or sober living centers as a transitional alternative. They provide a supervised, drug-free atmosphere in which clients can continue to get assistance while adjusting to sobriety.
- Medication and MAT
- Methadone treatment: Methadone reduces withdrawal symptoms and prevents the effects of other opioids, promoting abstinence in people recovering from opiate addiction.
Do Treatment Centers Need to Be In-Network?
The requirements for Magellan Health plans differ. Some plans require consumers to visit only in-network providers, while others may give financial incentives to see in-network providers over out-of-network providers, and still, others may not require customers to see in-network providers at all. Plans that do not restrict patients from seeing in-network providers are often more expensive than other plans.
Seeking Help for Treatment
For many families seeking drug and alcohol recovery, the expense of rehab may be a big barrier to overcome. Fortunately, insurance may help to alleviate some of this expense, but it does not always cover all. However, there are multiple options for paying for therapy that is not covered by insurance. These alternatives may cover all or a portion of the cost of therapy that Magellan Health does not offer. It is critical to remember that the financial cost of addiction far surpasses the expense of treatment in the long term, regardless of which option you select.
You do not have to be concerned if you are trying to find out how to pay for therapy for yourself or a loved one. There is assistance available. Get more information about treatment and financing alternatives by contacting a treatment provider now.