Magellan Health Alcohol And Drug Rehab Insurance Coverage

As a managed health care provider focusing on behavioral health, Magellan Health helps many people get the behavioral health treatment they need, including treatment for drug and alcohol abuse.

Each year, Magellan Health provides insurance coverage to more than 33 million people, many of whom are seeking treatment for substance abuse.

The exact amount of coverage offered to each insurance policyholder depends on their individual plan. Many people find that their Magellan Health policy makes it much easier to manage the cost of their drug and alcohol rehab treatment.

Working with an insurance company is a smart way to pay less out of pocket for substance abuse treatment or mental health care.

With Magellan Health, you have the option of choosing between a core plan or an enhanced plan and can add optional features to meet your needs.

Spring Hill Recovery Center works with many insurance companies and can work with you to help you understand what is covered by your insurance carrier when it comes to addiction treatment.

Using Magellan Health Insurance To Pay For Addiction Treatment

Unfortunately, many people who need help to begin the path to recovery struggle to get the help they need for financial reasons. Using insurance can be a helpful way to bring down the overall cost of substance use disorder treatment.

Your Magellan Health plan can make it easier to afford alcohol and drug treatment. It’s key to consider the total cost of your treatment plan, including deductibles, copays, paying for an out-of-network treatment provider, and more.

Do I Have To Stay In-Network With Magellan Health Insurance For Drug Rehab?

When you’re searching for the right drug and alcohol treatment program for you, it’s likely that you have many questions. As you find a treatment facility that meets your needs, you may want to consider whether the rehab center is in-network with your insurance company.

When you work with an in-network provider, you’re choosing a rehab facility that already has a partnership with your insurance carrier.

An out-of-network provider may still provide excellent care, but they have yet to form a relationship with your insurance carrier and may require a higher out-of-pocket cost than an in-network provider.

Out-Of-Pocket Costs For Drug Rehab

The amount that you’ll need to pay out-of-pocket for your rehab program will depend on your insurance carrier and Magellan Health plan.

There are many factors that can affect your total out-of-pocket cost. You’ll want to consider whether you have a deductible amount that you need to hit each year before coverage kicks in, whether your insurance company requires copayments, and other out-of-pocket costs.

If you’re not sure how you’ll afford the out-of-pocket costs associated with treatment, know that many treatment facilities offer a sliding fee scale, scholarships, payment plans, and other options to help you afford treatment.

Finding A Massachusetts Rehab Center That Accepts Magellan Health
Magellan Health is a well-known, widely accepted insurance carrier, so it’s not likely that you’ll have trouble finding a treatment facility that accepts your insurance plan.

Does Magellan Health Cover Inpatient Rehab?

Inpatient treatment provides 24-hour care and can be the perfect way to begin recovery with a full focus on getting well. Your Magellan Health plan may fully or partially cover residential treatment or inpatient rehab, giving you a strong start to sobriety.

Is Alcohol and Drug Detox Covered by Magellan Health?

For many people who are beginning their journey to healing from drug and alcohol addiction, detox is an important first step.

Detoxing at home can be dangerous or even deadly. It’s important to go through the detoxification process with the help of a medical professional. Many insurance plans offer full or partial coverage of medically assisted detox.

Some treatment facilities offer detox and rehab treatment in the same place, allowing for a seamless continuum of care. Other detox facilities partner with rehabs, allowing you to smoothly transition from one facility to another.

Does Magellan Health Cover Outpatient Drug Rehab?

For some people, inpatient treatment for addiction is not an option. Outpatient rehab programs are an effective option for people who are highly motivated to get sober, but cannot take weeks away from work or other responsibilities. Your Magellan Health plan may partially or completely cover the cost of outpatient drug rehab.

Are Partial Hospitalization Programs Covered Through Magellan Health?

Partial hospitalization programs, or PHPs, are outpatient programs that allow patients to fully focus on getting well, while still returning home at night.

Partial hospitalization includes a treatment schedule that is more comprehensive than simply going to doctor’s visits or counseling sessions, but still allows for patients to maintain many aspects of their normal lives. Magellan Health may partially or fully cover PHP programs.

Are Intensive Outpatient Programs Covered By Magellan Health?

Magellan Health may partially or completely cover intensive outpatient treatment programs, depending on your individual plan and need for treatment.

Much like partial hospitalization programs, intensive outpatient programs allow you to get the treatment that you need, while still going home at the end of the day.

An intensive outpatient program, also known as an IOP, is a good fit for patients who have a healthy, supportive home life.

Does Magellan Health Cover Medication-Assisted Treatment?

Medication-assisted treatment, or MAT, can be helpful for many people working through the detox process and can help with other aspects of treatment as well.

Your Magellan Health plan may partially or completely cover medication-assisted treatment. Medical detox can be the first step on the road to recovery for many people who struggle with addiction.

Working through a medically supervised detox program can get you the help you need to make it through the first few tough days of sobriety.

Does Magellan Health Cover Methadone?

If you and your treatment team feel that methadone maintenance treatment, or MMT, is a good fit for your recovery, Magellan Health may partially or fully cover your treatment.

Many people who struggle with opioid addiction find that MMT provides them with the help they need to get and stay sober long-term.

Will Massachusetts Magellan Health Cover Suboxone Therapy?

Suboxone, or buprenorphine, can be an effective option for people who are working through recovery from opiate abuse.

If you and your treatment team decide that medication-assisted treatment with Suboxone is a good fit for you, Magellan Health may fully or partially cover your Suboxone treatment.

Does Magellan Health Cover Sober Living?

Making the transition from treatment to normal life can be daunting. Many treatment facilities work with sober living houses and transitional facilities to allow people who are beginning the recovery process to get the support they need. Your Magellan Health plan may partially or fully cover your sober living costs.

Does Magellan Health Cover Aftercare?

While going through drug and alcohol treatment is the right start to recovery, aftercare is an essential part of the process as well.

After you leave treatment, it can be tough to manage the stresses of everyday life. An aftercare program ensures you get the ongoing support you need to maintain your sobriety long-term. Depending on your personal plan, Magellan Health may fully or partially cover your aftercare costs.

Verifying Your Magellan Health Insurance for Addiction Treatment

If you’re ready to begin alcohol and drug addiction treatment, you’re taking a huge step toward the healthy, happy life that you deserve.

One of the first steps to getting treatment is verifying your insurance, and at Spring Hill Recovery Center, we can help.

In addition to verifying your health insurance coverage, we can also work with you to provide an initial drug and alcohol assessment, help you learn more about potential treatment programs, and more.

At Spring Hill, we’re here to support your journey to sobriety. Reach out to us today to learn more about how we can give you the help you need to live the life you want.

  1. Harvard Health Publishing—5 myths about using Suboxone to treat addiction https://www.health.harvard.edu/blog/5-myths-about-using-suboxone-to-treat-opiate-addiction-2018032014496
  2. Magellan Health—Behavioral Healthcare Management https://www.magellanhealthcare.com/documents/2019/03/behavioral-health-sell-sheet.pdf/
  3. Substance Abuse and Mental Health Services Administration (SAMHSA)—Medication-Assisted Treatment (MAT) https://www.samhsa.gov/medication-assisted-treatment

Written by Spring Hill Recovery Editorial Team

© 2024 Spring Hill Recovery | All Rights Reserved

* This page does not provide medical advice.

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