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Magellan Health Insurance for Drug & Alcohol Rehab

Magellan health insurance is one of the options for drug and alcohol rehab coverage that is growing in popularity. Those who have this insurance will find a variety of ways that it can provide financial support for medical treatment, therapy, and other services related to mental health and substance abuse disorders. What is Magellan insurance? Here’s what you need to know.

Will Magellan Health Insurance Cover Rehab Costs?

There are several types of plans available from Magellan Health Care that include coverage for rehab and drug treatment centers. The type of plan will determine how much coverage policyholders have, as well as whether certain services (like inpatient care) are covered at all or in part. You can check your insurance policy details to see what kind of rehab coverage you have or ask your insurance provider what’s covered regarding drug and alcohol rehab.

Types of Treatment Options Covered by Magellan Health Insurance

As mentioned, there are several options for policies from Magellan Health Care that cover drug and alcohol treatment. Most of the policies include some type of coverage for the following treatments and services, but again, the exact amount of coverage will vary.


Many people who are addicted to drugs and/or alcohol need to detox first, and then start pursuing recovery. Detoxification in a supervised environment is much safer and can provide on-call medical support for things like withdrawal symptoms, alcohol-related DTs, and more. Detoxing from drugs or alcohol can be dangerous without the appropriate treatment and supervision.


Most Magellan insurance plans cover inpatient care, at least for 30 days. Some plans may provide more coverage, as well as support for transitional care or additional services. Inpatient programs are ideal for people who need an intensive treatment option that can get them back on track quicker than doing it on their own. It’s also better for those who have serious addictions because it provides around-the-clock support.


Outpatient treatment and services are also covered by Magellan health insurance plans. The services covered include things like medical treatment related to addiction or substance abuse, individual therapy, psychiatry, group therapy, etc. This coverage is often more readily available for cheaper plans, allowing everyone to have options.

Group Therapy

Group therapy is a great resource for people who struggle with drug and alcohol addiction. The shame and guilt attached to the addiction can make it difficult to recover. Most rehab centers include group therapy for this reason—it allows people to connect with others and feel less alone. It also empowers everyone to support each other in their individual recovery journeys by forming friendships in rehab.

How Does Magellan Insurance Work for Rehab?

Magellan insurance covers several types of rehab, as discussed. Those who need treatment should check with their insurer to get a list of covered providers and services. Individuals will then need to choose which facility or provider they will choose and start the process of filling out paperwork. Some plans may require a preauthorization in the first 48 hours to ensure that coverage is available. Others may require copayments or coinsurance to meet the deductible.

Magellan, like most insurers, also offers cheaper services for in-network providers. Out-of-network providers are available, but you may spend more out of pocket because the insurance policy doesn’t cover as much.

How Does Magellan Approach Substance Abuse Treatment?

Magellan is fully supportive of substance abuse treatment and mental health services. The company provides coverage for the services listed above, along with residential programs, dual diagnosis treatment, halfway house and transitional care, and even methadone treatment for those struggling with opioid addiction.

Magellan supports a comprehensive care management methodology, which supports using evidence-based treatment for substance abuse disorders. The company focuses on personalized coaching and treatment solutions to help everyone achieve the healthy lifestyle they desire. Medication-assisted treatment is considered a best practice for alcohol and opioid addiction, and they place a heavy emphasis on dual diagnosis because 45% of people who have a drug or alcohol addiction also have a mental illness.

Frequently Asked Questions

Is Magellan Health Insurance available in all states?

Magellan health insurance plans are currently available in six states, including Florida, Louisiana, New Mexico, Pennsylvania, Virginia, and Wyoming. The company is also planning future expansions for additional coverage.

What is covered under a Magellan Health Insurance plan?

Magellan rehab insurance plans cover alcohol rehab treatment and detox, medication treatments, therapy, inpatient and outpatient services, and most of the other services related to drug and alcohol addiction treatment. The exact coverage will vary from one policy to another. Magellan wants to help people with comprehensive recovery solutions, so it is rare that they will deny any care so long as it can be proven necessary when it comes to drug and alcohol treatment.

How do I file a claim with Magellan Health Insurance?

You can call the insurance company or visit their policyholder website. On the website, you can find more information on filing claims, getting preauthorization, and other things you may need. You can also have your doctor or rehab facility start the paperwork for you and file the claim with the insurance company on their end.

How do I enroll in a Magellan Health Insurance plan?

Those who live in covered states will be able to enroll in Magellan health insurance plans if they want coverage for behavioral health, drug and alcohol treatment, and other solutions. Magellan works with Medicaid in some states and is also available through certain employers. You should contact your local Magellan office for more information.

Getting Started with Magellan Health Insurance for Rehab

Whether you have Magellan health insurance or another plan, you should take advantage of the coverage and get the rehab and drug or alcohol treatment that you need. Whether you choose to go inpatient, leave the state, or even just attend outpatient appointments and programs, you will have a lot of options for drug rehab in Orange County with Magellan on your side. To learn more or discuss your specific coverage, contact the team at Ocean Ridge Treatment and Recovery. Your recovery starts now, and we’re ready when you are.

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