Magellan Insurance Coverage for Drug and Alcohol Treatment - Withdrawal

Magellan Insurance Coverage for Drug and Alcohol Treatment

Magellan insurance provides addiction treatment coverage in many states. Learn how to use your Magellan benefits for detox or rehab here.

What you will learn
  1. Does Magellan cover alcohol rehab or detox?
  2. What types of treatment are covered by Magellan insurance rehab?
  3. How to use my Magellan coverage for detox or rehab at American Addiction Centers

Does Magellan Cover Rehab for Drugs and Alcohol?

Magellan insurance does offer coverage for alcohol or drug treatment programs, such as detox and rehab. Your Magellan coverage for addiction treatment depends on the specific plan that you have, so it is important to check with your provider to confirm that your treatment will be covered.3

If you have a family member or dependent in need of addiction treatment, they will also be covered under your Magellan insurance coverage for drug and alcohol rehab.

Types of Drug or Alcohol Rehab Magellan Insurance Covers

Magellan substance abuse coverage must be seen as medically necessary to be approved. Some services may have limits or require prior authorization. 10

Magellan insurance offers benefits to many types of addiction treatment programs, including:

  • Inpatient treatment, where you stay at a facility for the duration of treatment.3, 9, 10, 11 Magellan residential treatment coverage will allow you to receive detox treatment with medical and counseling staff who offer monitoring and support around-the-clock to ensure your safety and comfort. Treatment usually involves an intense combination of group and individual therapy.
  • Partial hospitalization programs (PHPs) are a step down from hospitalization. You live at home while receiving up to 8 hours a day of intensive counseling, support, and monitoring.3, 9  Detox in a PHP offers more attention than you’d normally receive in an outpatient setting without having to stay in an inpatient facility.
  • Intensive outpatient programs provide at least 3 hours of therapy several days per week, gradually stepping down to traditional outpatient care.3 , 9, 10 This type of treatment may be more effective if you have a less severe case of substance abuse—perhaps you haven’t been using substances for long, or the substances you use don’t have established withdrawal syndromes.
  • Outpatient therapy allows people to receive less intensive treatment while having the freedom to live at home and attend work and/or school.3 , 9 , 10 , 11 Detox can occur in this setting for people who may experience less severe withdrawal. In general, though, outpatient services are better suited for therapy after you’ve completed detox or inpatient rehab.10
  • Medication-assisted treatment (MAT), in which medications are used to ease the symptoms of withdrawal.3, 10, 11  Once detox has been completed, MAT can be used to help manage cravings or address mental health symptoms to support your long-term recovery. Some examples of drugs used in MAT include methadone, suboxone, Antabuse (disulfiram), and naltrexone.10 
  • Therapy can be especially helpful in addressing the underlying issues that contribute to your substance use disorder.9, 10 Individual, group, and family therapy sessions can teach you about coping skills, how to avoid relapse, how to communicate more effectively, and how to improve various areas of your life that may have been affected by your addiction, including your physical health, mental health, social life, employment, and legal issues.10

Types of Magellan Insurance Plans

Magellan insurance provides plans through employers, labor unions, and companies that administer insurance for other organizations (third-party administrators), and also works in conjunction with different government and military agencies.1 , 2  Recognized as a Fortune 500 company, Magellan provides health insurance coverage to approximately 55 million people.

Magellan Insurance is available in many states in the United States; plans it offers may vary by state.2 Healthcare plans available through Magellan Insurance fall into 3 categories:

  • Health maintenance organization (HMO) plans, where you can receive care only from rehab providers who are in-network. This plan generally costs less than any other type of plan.4  You may not be able to see an out-of-network rehab provider unless it is an emergency.4  Magellan out-of-state addiction treatment coverage may be limited with this type of plan.
  • Point-of-service (POS) plans offer more freedom to see a rehab provider of your choosing.4  In-network addiction treatment providers are available at a lower cost but you are also allowed to see out-of-network rehab providers as long as you’re willing to pay higher copays.4 ) Before seeing a specialist, you’ll need to obtain a referral from your primary care physician.
  • Preferred provider organization (PPO) plans generally cost more than any other type of plan, but offer the most freedom of choice.4 Like a POS plan, you can either see rehab providers in the network and pay lower copays, or go to out-of-network providers who will cost more to see.4  However, with a PPO plan, you will not need a referral to see a specialist.4

Visit Magellan Member Websites and Secure Portals for more information about the plans that are available in your state.

Magellan, Medicare, & Medicaid

Medicare is a government program that provides health insurance to people who are over age 65 or people with certain disabilities.5  Magellan Insurance works in conjunction with Medicare to provide Medicare Advantage plans.6 (p1) These provide hospital (Part A), medical (Part B), and, typically, prescription (Part D) coverage all in one plan.7 You may be required to get referrals for specialist visits and see a provider who is in-network, since not all plans offer coverage for out-of-network providers.

Magellan Complete Care plans are available for residents of certain states who are eligible for both Medicaid and Medicare.8 This plan strives to provide integrated care to meet all the needs of its members by using all of the resources available.

Finding Rehabs that Accept Magellan Insurance

American Addiction Centers (AAC) is one of the nation’s foremost providers of quality and evidence-based detox and rehab services for people with alcohol or substance use disorders.12  It accepts many health insurance plans, including Magellan Insurance, and maintains an in-network status with a wide range of other insurance plans.12 (see if you’re covered)

With American Addiction Centers facilities all around the country, it’s easy to access local detox and rehab services no matter where you are with the assurance that you’ll receive tailored, effective, and cutting-edge treatments.13 , 14  All treatment begins with an effective medical detox for which you’ll have support from a full medical staff to ensure your safety.14 

Your treatment plan at ACC focuses on more than just alcohol or drug addiction; it also addresses any other concerns you may face, including physical and mental health and social, legal, occupational, and family issues, to help you recover successfully.14  For more information about detox and rehab at American Addiction Centers, our confidential rehab hotline is available 24/7 at .

Does your insurance cover treatment for withdrawal?

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