Magellan Healthcare is a leading provider of behavioral health and specialty healthcare solutions, offering services that support individuals of all ages with their health.
By integrating clinical expertise, insurance provision, and compassionate care, Magellan Healthcare aims to improve overall health outcomes and enhance the quality of life for those they serve.
Magellan overview
Founded in 1969, Magellan has grown into a corporate healthcare heavyweight offering various behavioral healthcare solutions across the U.S.
Specializing in behavioral health solutions, a rarity in the health insurance industry, positions the company particularly well for people coping with co-occurring mental health and drug disorders.
Does Magellan cover substance use disorder treatment?
Yes, Magellan is committed to helping people receive the care they need to recover from substance use disorders.
The extent to which your Magellan plan covers substance use disorder treatment depends on what state you are based in and the details of your plan.
What types of addiction does Magellan cover?
Magellan covers a wide range of addictions including alcohol addiction, opioid addiction, and prescription medicine addiction.
The specific addictions covered by Magellan Health insurance plans can vary based on the particular policy, the state in which the policy is issued, or the employer's choices if the plan is employer-sponsored.
Do they cover inpatient treatment?
Magellan includes several inpatient treatments within their coverage such as residential programs, 24-hour inpatient programs, medically managed intensive inpatient treatment, diagnostic tests, supervised drug and alcohol detox, and partial-hospitalization programs.
Depending on the terms of your plan, your inpatient treatment can be fully compensated, or you may be required to pay a portion of the costs. Please take a look at the summary and benefits document within your Magellan insurance plan for more information.
Magellan excludes certain inpatient treatment options from your insurance coverage. These include luxury rehabilitation centers, many non-medically necessary treatments, and some experimental treatments that have not yet proven effective.
Do they cover medically assisted treatment?
As a behavioral health specialist, Magellan provides insurance for medication-assisted treatments. FDA-approved medications covered include:
- Naltrexone (both in oral and injectable form) – for treatment of opioid use disorder and alcohol cravings.
- Methadone – to treat heroin dependence
- Disulfiram – helps to prevent relapse of alcohol abuse
- Buprenorphine – for treatment of opioid use disorders
- Acamprosate – for reduction of cravings in the treatment of alcohol use disorder
Does Magellan cover outpatient treatment?
Magellan offers extensive coverage for outpatient treatment programs allowing patients to receive addiction treatment while living at home. These include monitored drug and alcohol detox, addiction treatment medication, intensive outpatient programs (IOPs), and one-on-one counseling.
Treatments that aren’t deemed medically necessary or evidence-based, such as homeopathies, will not be covered.
What therapy, counseling, and aftercare services are covered?
Magellan covers a wide range of therapies, counseling, and aftercare services for patients suffering from addiction. These include cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and functional family therapy.
Though the cost of therapy will vary depending on the terms of your Magellan Health plan, you can expect to pay around 20% to 40% of your therapy cost, provided you choose from Magellan’s list of in-network providers. If you choose an out-of-network provider, the cost will likely rise.
Magellan Health FAQs
Will my health insurance cover suboxone treatment?
Yes, depending on your plan Magellan Health will cover some or all of your suboxone treatment.
Will my health insurance cover mental health treatment outside of rehab?
Yes, Magellan Health covers a range of mental health conditions alongside rehabilitation for addiction and substance use disorders. Depression, psychotic disorders, and anxiety disorders are a few of the many mental health conditions included in Magellan Health’s coverage.
