Magellan Rehab Coverage


Doctor showing the scope included in the magellan rehab coverage to patient


Deciding to undergo drug rehab at Transformations Treatment Center in¬†Delray Beach, Florida, is an excellent step toward long-term well-being. However, the cost of quality mental health and addiction treatment is often a significant barrier to recovery. Health insurance may subsidize or cover the full cost of drug addiction treatment as well as a mental health therapy. If you have Magellan Health insurance coverage, you might wonder which treatment program you’re entitled to. Below we outline the treatment plans that fall under Magellan rehab coverage.

About Magellan Health Insurance

Magellan Health is a Fortune 500 company based in Phoenix, Arizona. The company started as a mental health facility in the late 1960s. Centene Corporation signed an acquisition agreement with Magellan Health in 2021, and now the latter covers health services directly or through third-party partners for over 40 million Americans.

The insurance provider offers solutions for:

  • Employers by covering care that helps employees remain healthy and productive.
  • States by subsidizing Medicare and Medicaid expenditures by state and local governments.
  • Federal and Department of Defense Agencies by covering civil servants, military members and their dependents.

Magellan Health insurance is known for its unique emphasis on behavioral health and specialty services. The company’s behavioral health coverage provides clients with affordable access to wellness services. Consequently, plans cover assessment, diagnosis and long-term treatment for anxiety, depression, autism, family wellness and the behavioral health of children and youth.

Magellan Insurance Coverage for Drug and Alcohol Rehab

Magellan insurance offers coverage for drug and alcohol rehab as part of its behavioral health services in compliance with the Affordable Care Act (ACA). The insurance provider has exclusive plans for substance abuse treatment but includes various forms of drug and alcohol treatment in other mental and behavioral health plans.

If you’re covered by a Magellan preferred provider organization, you can seek therapy from various addiction treatment centers without a referral from your primary care physician. However, clients covered by an HMO need a primary physician’s referral to see a therapist from approved treatment centers.

Telehealth Mental Health Services

For 9 years, Magellan’s in-network providers have offered behavioral care through audio, video and mobile apps. Data shows that the telehealth service has delivered continued care to around 33% of clients who don’t have access to other care alternatives.

Magellan Health’s network of providers offers telehealth that’s high-quality, confidential and accessible from anywhere. Consequently, over 88% of enrolled clients prefer¬†telehealth services over in-person care.

Individuals pursuing substance abuse treatment may use telehealth services to undertake addiction therapy and other programs from over 8,000 specialists nationwide.

Getting a telehealth appointment is often faster than traditional alternatives, allowing you to start your recovery journey whenever you’re ready. You can plan therapy sessions around your work and activity schedules to ensure you never miss a treatment opportunity.

Telehealth also offers more opportunities for communication and check-ins between you and your therapist. This ease of access and communication is invaluable for preventing relapse during recovery.


Doctor with patient suffering from mental health condition during telehealth session


Which Addiction Treatments Are Covered by Magellan Insurance?


One of the critical steps in substance abuse treatment is removing all traces of drugs and alcohol from the body to acclimatize your system to going without substance use. Depending on the extent of your drug abuse, detoxification can induce intense physical and psychological withdrawal symptoms. Medical detox can be life-saving if withdrawal symptoms induce hallucinations, cause cardiac arrest or seizures or threaten a fetus’s life in pregnant people.

Magellan Health insurance coverage allows you to receive medical supervision during detox. A medical team will conduct evaluations and can provide medication to manage physical withdrawal symptoms. Trained mental health professionals can also provide psychological support as the drugs leave your system.

Inpatient Treatment

Inpatient programs in drug and alcohol rehab treatment centers let you undergo recovery in an environment dedicated to healing. Your Magellan Health coverage lets you benefit from evidence-based therapies such as cognitive behavioral therapy and dialectical behavior therapy. You can receive dual diagnosis treatment to address any serious mental illness that causes, contributes to or co-occurs with your problems with substance abuse.

The insurance provider also covers alternative forms of treatment, such as eye movement desensitization and reprocessing, yoga and meditation practices.

Partial Hospitalization Programs

A partial hospitalization treatment program lets you undertake rehab at a treatment facility for up to 30 hours a week. Most clients undertake partial hospitalization as a step down from residential treatment.

You can live with loved ones while undergoing partial hospitalization treatment and pursue other life activities at the end of a treatment day. Such an arrangement lets you practice the techniques you learn in therapy to resist relapse in the real world.

Outpatient Treatment

Outpatient treatment is designed for people who want treatment for substance use disorders that don’t significantly interfere with their daily lives. Outpatient programs are also ideal for people who’ve finished residential treatment and partial hospitalization programs.

Magellan Health covers both regular and intensive outpatient services. An intensive outpatient program lets you receive treatment at a rehab center for a few hours a week. Less intensive outpatient services let you participate in individual and group therapy according to your personal or professional schedule.

Opioid Treatment Programs

Magellan Health covers opioid addiction treatment, so people with opioid dependency can receive various forms of treatment at reputable centers. You can get emergency assistance, undergo inpatient detoxification and enroll in a quality long-term opioid program without worrying about care costs.

Medication-Assisted Treatment

Magellan Health insurance plans include medication-assisted treatment in its opioid and alcohol addiction treatment services. Medication-assisted treatment programs allow you to receive FDA-approved medication to manage withdrawal symptoms and curb cravings to bolster your drug and alcohol recovery.

You can access on-site, at-home and telehealth medication-assisted treatment administration from Magellan’s in-network providers nationwide.


Sober man with a positive outlook smiling


What Does In-Network Mean for Magellan Insurance?

In-network providers refer to treatment facilities that have partnered with health insurance providers to offer clients affordable care. In-network or participating providers allow you to receive quality treatment at little to no out-of-pocket costs for coinsurance or co-pays.

Magellan Health has over 118,000 in-network providers for behavioral health care services across the United States.

Do Treatment Centers Need to Be In-Network?

Your Magellan Health coverage doesn’t restrict your substance abuse treatment access to in-network providers. You can seek therapies from providers and specialists located anywhere in the country. Depending on your insurance plan, you may not need a referral to consult and receive treatment from your preferred therapist or treatment center.

However, receiving treatment from out-of-network providers is more costly. While each session with an in-network provider can require a 20% to 40% coinsurance payment, out-of-network provider coinsurance or co-pays can be much higher.

How to Check Magellan Health Insurance Coverage

Your insurance policy document outlines the mental health and substance abuse services your Magellan plan covers. You can find a list of the therapies and treatments covered in the summary and benefits section of the document. You can also contact one of our admission experts to learn more about the specific coverage offered by your plan.

People around Delray Beach, Florida, can call the admissions team at Transformations Treatment Center to discuss their Magellan rehab coverage. Contact us at (800) 270-4315 to learn about our rehab programs at our addiction treatment center in Florida and how much your Magellan insurance plan covers.