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Magellan Mental Health Insurance for Addiction Treatment

Magellan Mental Health Insurance for Addiction Treatment

Magellan Mental Health Insurance is one of the largest managed health care companies in the US that focuses on behavioral health and substance abuse. Connect with We Level Up NJ and verify your Magellan Mental Health Insurance treatment benefits. How much does Magellan Mental Health Insurance cover? Read to learn more.

By We Level Up NJ Treatment Center | Editor Yamilla Francese | Clinically Reviewed By Lauren Barry, LMFT, MCAP, QS, Director of Quality Assurance | Editorial Policy | Research Policy | Last Updated: March 10, 2023

Magellan Mental Health Insurance for Addiction Treatment

Magellan Health Insurance provider is a managed care organization that offers Mental Health and substance abuse treatment services, including substance use disorder treatment. Magellan partners with a network of providers to offer comprehensive addiction treatment programs, including detoxification, inpatient and outpatient treatment, medication-assisted treatment, and various forms of therapy

What Types of Addiction Treatment Does Magellan Mental Health Cover?

Magellan drug rehab insurance plans for addiction treatment may provide coverage for a range of services, including:

  • Evaluation and Magellan substance abuse assessment: Comprehensive evaluations to assess an individual’s needs and develop a personalized treatment plan.
  • Detoxification: A medically supervised process to safely manage withdrawal symptoms.
  • Inpatient treatment: A structured program that provides 24-hour care and support for individuals with addiction disorders.
  • Outpatient treatment: Programs that allow individuals to receive treatment while living at home and continuing to work or go to school.
  • Medication-assisted treatment: The use of medication, such as methadone or buprenorphine, to help manage cravings and withdrawal symptoms.

Individual and group therapy: Counseling services that help individuals identify and address the underlying causes of their addiction.

Magellan mental health provider insurance plans for addiction treatment are designed to help individuals get the care they need to overcome their addiction and maintain long-term recovery. However, like other health insurance plans, Magellan Mental Health insurance plans may have deductibles, copays, and out-of-pocket maximums that individuals are responsible for paying. The specific details of coverage may depend on the individual’s plan and their particular needs.

What is Magellan Mental Health Insurance?

Magellan Mental Health insurance is a type of health insurance plan offered by Magellan Health, a leading managed care organization. Magellan Mental Health insurance plans provide coverage for a range of mental health and substance abuse services, including therapy, counseling, medication management, and addiction treatment.

Magellan mental health providers plans may include access to a network of mental health providers, which can include psychiatrists, psychologists, and licensed clinical social workers. Some plans may also include coverage for inpatient and outpatient mental health and addiction treatment programs, such as partial hospitalization and intensive outpatient programs.

What are the benefits of Magellan mental health insurance for Inpatient treatment for substance use and mental health disorders?

Magellan Mental Health Insurance plans offer a number of benefits for inpatient treatment for substance use and mental health disorders, including:

  • Access to a network of providers: Magellan has a network of mental health and addiction treatment providers that have been vetted for quality of care, which can help individuals find a provider that is right for them.
  • Comprehensive care: Magellan health inpatient substance abuse treatment typically provides a comprehensive approach to treatment, including medical and psychiatric care, individual and group therapy, and various forms of counseling and support.
  • Intensive support: Inpatient treatment programs provide 24-hour care and support, which can be particularly helpful for individuals who require a high level of care or have a more severe addiction or mental health disorder.
  • Focus on recovery: Inpatient treatment programs are designed to help individuals focus on their recovery without the distractions of everyday life, allowing them to develop the skills and strategies necessary to maintain their sobriety and mental health.
  • Reduced stigma: Inpatient treatment programs can help reduce the stigma associated with mental health and addiction disorders by providing a safe and supportive environment where individuals can receive care without fear of judgment.
  • Cost savings: While inpatient treatment can be expensive, Magellan Mental Health Insurance plans can provide coverage for a portion of the cost, which can help individuals manage the financial burden of treatment.

The specific benefits of Magellan Mental Health Insurance for inpatient treatment for substance use and mental health disorders may depend on the individual’s plan and their particular needs. It’s important to consult the plan documentation or contact Magellan to determine what services are covered and what out-of-pocket costs may be associated with inpatient treatment.

If you have Magellan Mental Health insurance and are searching for a drug and alcohol treatment facility in NJ that is covered by your plan, We Level Up NJ can help.

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Magellan Mental Health Insurance Coverage Statistics

Magellan Health Insurance provides healthcare solutions to millions of individuals through a range of health insurance plans, including those that cover mental health and substance abuse treatment. Magellan Health offers plans through employers, government programs, and individual plans. Magellan Mental Health Insurance provides healthcare solutions to millions of individuals through a range of health insurance plans, including those that cover mental health and substance abuse treatment. Magellan Mental Health Insurance offers plans through employers, government programs, and individual plans.


50 years

Integrated, quality care rooted in over 50 years of experience and expertise

Source: Magellan Mental Health Insurance Home Page

5,000

Magellan Health’s team of 5,000 strong has an endless desire to help people live their best life

Source: MagellanMental Health Insurance Home Page

50 states

Magellan Health offers health insurance plans and healthcare solutions in all 50 U.S. states, as well as the District of Columbia and Puerto Rico.

Source: Magellan Mental Health Insurance Home Page


Magellan Mental Health Insurance Coverage Information

Magellan Health offers a range of health insurance plans and healthcare solutions, including those that cover mental health and substance abuse treatment. The specifics of coverage may depend on the particular plan and the individual’s needs, but here is some general information on Magellan Health coverage:

  • Mental Health Coverage: Magellan Mental Health insurance plans cover a wide range of mental health services, including outpatient therapy, inpatient hospitalization, intensive outpatient programs, and telehealth services. Coverage may also include medication management and crisis intervention services.
  • Substance Abuse Treatment Coverage: Magellan Mental Health insurance plans cover a range of substance abuse treatment services, including detoxification, outpatient treatment, inpatient hospitalization, and medication-assisted treatment. Coverage may also include counseling and other support services.
  • Employee Assistance Programs (EAPs): Magellan Health offers employee assistance programs that provide confidential counseling, support, and resources for employees and their families. EAPs can assist with a wide range of issues, including mental health, substance abuse, relationship problems, financial concerns, and legal issues.
  • Pharmacy Benefits Management (PBM): Magellan Health offers pharmacy benefits management services that help individuals manage their prescription drug costs and ensure they receive safe, effective medications. PBM services may include prior authorization, formulary management, and medication therapy management.

The specifics of Magellan Health coverage may vary depending on the particular plan and the individual’s needs. It’s important to consult the plan documentation or contact Magellan Health directly to determine what services are covered and what out-of-pocket costs may be associated with treatment.

Magellan drug rehab insurance policies generally offer coverage for substance use disorder treatment, which can include a range of services depending on the individual’s needs and insurance plan.

How To Use Your Magellan Mental Health Insurance for Addiction Treatment?

If you have Magellan Mental Health Health insurance and are seeking addiction treatment, here are some steps you can take to use your insurance:

  • Review your insurance plan: Review your Magellan Health insurance plan to determine what services and treatments are covered, including the specifics of your mental health and substance abuse benefits. You can find this information on your plan documentation or by contacting Magellan Health directly.
  • Find a treatment provider: Look for a treatment provider who accepts Magellan Menatl Health insurance. You can search for providers on the Magellan Health website or by contacting Magellan Health directly. You may also ask for recommendations from your primary care physician or a mental health professional.
  • Verify insurance coverage: Before beginning treatment, verify with the treatment provider that they accept your Magellan Health insurance and that the services you need are covered by your plan. You can also contact Magellan Health directly to confirm coverage.
  • Obtain pre-authorization if necessary: Some Magellan Mental Health insurance plans require pre-authorization for certain types of treatment, such as inpatient hospitalization. If pre-authorization is required, work with your treatment provider to obtain it before beginning treatment.
  • Pay any applicable co-pays or deductibles: Depending on your Magellan Mental Health insurance plan, you may be responsible for paying co-pays or deductibles for addiction treatment. Make sure you understand what your out-of-pocket costs will be and how to pay them.
  • Attend treatment: Once your insurance coverage is confirmed and any pre-authorization or payment is obtained, attend your addiction treatment as recommended by your treatment provider.

Remember to keep all documentation related to your addiction treatment, including receipts, bills, and statements, in case you need to submit a claim or appeal a denial of coverage.

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Magellan Mental Health Insurance Plans

Magellan Health offers a range of health insurance plans and healthcare solutions, including those that cover mental health and substance abuse treatment. Here are some of the Magellan Health insurance plans:

  • Behavioral Health Plans: These plans are designed to provide comprehensive mental health and substance abuse treatment coverage. They typically cover outpatient therapy, inpatient hospitalization, and intensive outpatient programs, as well as medication management and crisis intervention services.
  • Employee Assistance Programs (EAPs): Magellan Health offers EAPs that provide confidential counseling, support, and resources for employees and their families. EAPs can assist with a wide range of issues, including mental health, substance abuse, relationship problems, financial concerns, and legal issues.
  • Pharmacy Benefits Management (PBM) Plans: Magellan Health offers PBM services that help individuals manage their prescription drug costs and ensure they receive safe, effective medications. PBM services may include prior authorization, formulary management, and medication therapy management.
  • Health and Wellness Plans: Magellan Health offers health and wellness plans that provide resources and support for individuals to maintain their physical, mental, and emotional well-being. These plans may include preventive care services, fitness and nutrition programs, stress management tools, and health coaching.

The specifics of Magellan Health insurance plans may vary depending on the particular plan and the individual’s needs. It’s important to review plan documentation or contact Magellan Health directly to determine what services are covered and what out-of-pocket costs may be associated with treatment.

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Addiction and Mental Health Disorder Treatment Length Magellan Mental Health Insurance Will Cover

The length of addiction and mental health treatment that Magellan Mental Health insurance will cover depends on the individual’s insurance plan and the specific needs of the patient. However, Magellan Health does generally cover a range of treatment lengths and types of care, including:

  • Outpatient Treatment: Magellan Health insurance plans typically cover outpatient treatment for addiction and mental health issues, including individual and group therapy sessions, as well as medication management. The length of coverage for outpatient treatment may vary depending on the individual’s needs and their insurance plan.
  • Intensive Outpatient Programs (IOPs): Magellan Mental Health insurance plans may also cover intensive outpatient programs, which provide more intensive treatment than traditional outpatient therapy. IOPs typically involve several hours of treatment per day, several days per week. The length of coverage for IOPs may vary depending on the individual’s needs and their insurance plan.
  • Inpatient Treatment: Magellan Health insurance plans may cover inpatient treatment for addiction and mental health issues, including hospitalization for acute care or residential treatment for longer-term care. The length of coverage for inpatient treatment may vary depending on the individual’s needs and their insurance plan.

In general, the length of coverage for addiction and mental health treatment will depend on the individual’s specific needs and the recommendations of their treatment provider. It’s important to review plan documentation or contact Magellan Health directly to determine what types of treatment are covered and what out-of-pocket costs may be associated with treatment.

Battling drug and alcohol addiction is hard and should not be dealt with alone, including rehabilitation expenses. This article will explain what Magellan mental health services providers coverage is.

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Magellan Mental Health Insurance Coverage For Inpatient Treatment

Magellan Mental Health insurance plans may provide coverage for inpatient treatment for a variety of mental health and substance use disorders. Inpatient treatment typically involves hospitalization or residential care where patients receive round-the-clock care and support from trained medical professionals.

Magellan Mental Health insurance policies may cover inpatient treatment for mental health disorders such as depression, anxiety, bipolar disorder, and schizophrenia. They may also cover inpatient treatment for substance use disorders such as alcoholism, opioid addiction, and other drug dependencies.

The length of coverage for inpatient treatment will depend on the individual’s specific needs and the insurance plan they have. Magellan Mental Health insurance policies may cover the full cost of inpatient treatment, or they may require the patient to pay a portion of the cost out of pocket.

It’s important to note that prior authorization may be required before starting inpatient treatment, and certain criteria may need to be met to qualify for coverage. It’s recommended to review the policy documentation or contact Magellan Health directly to determine what types of inpatient treatment are covered and what costs may be associated with treatment.

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We Level Up NJ Makes It Easy to Verify Your Magellan Mental Health Insurance Coverage Benefits for Drug Rehab

We understand that combing through the Magellan drug rehab Insurance policy can be challenging, time-consuming, and frustrating. Fortunately, you don’t have to do it alone. At We Level Up NJ, our admissions staff works with many Magellan Mental Heath Insurance customers during the admissions process.

Once we determine the appropriate level of care for you or your loved one, we will quickly verify your insurance benefits and have an open and honest conversation with you about the cost of drug rehab and your Magellan Mental Health insurance coverage options.

  1. What is Blue Shield Magellan mental health providers partnership?

    Blue Shield and Magellan have a partnership to provide mental health services to Blue Shield members. If you are a Blue Shield member, you can find a mental health provider who accepts Magellan mental health Blue Shield through Blue Shield’s provider directory. Blue Shield Mental Health Magellan has been partners since January 1, 2012, replacing U.S. Behavioral Health Plan, California (USBHPC).

  2. How to search for “Magellan mental health find a provider?”

    To find a mental health provider who accepts Magellan Go to the Magellan Behavioral Health website. Click on “Find a Provider” at the top of the page. Select your plan type (e.g., Commercial, Medicaid) and your state. Choose the type of provider you are looking for (e.g., therapist, psychiatrist) and the distance you are willing to travel. Click “Search” to see a list of mental health providers who offer Magellan mental health services in your area.

  3. What are the Magellan Alcohol Use Disorder (AUD) treatment options?

    Does Magellan cover alcohol rehab? Magellan Behavioral Health Insurance offers a range of treatment options for alcohol use disorder. Magellan alcohol rehab coverage may include Residential Treatment: Residential treatment involves living in a treatment center for a period of time while receiving therapy and support. Residential treatment may include individual therapy, group therapy, and 24-hour support from staff.

  4. Does Magellan cover drug rehab?

    Magellan Behavioral Health Insurance does offer coverage for drug rehab Magellan services as part of their behavioral health benefits. However, the specifics of coverage may vary depending on your specific plan and insurance policy. It is important to note that while Magellan may cover drug rehab services, there may be limitations on the number of sessions or the types of treatments covered.

Search We Level Up NJ “Magellan Insurance Mental Health” Topics & Resources
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Sources

[1] SAMHSA – https://www.samhsa.gov/about-us/who-we-are/laws-regulations Tag: psychiatrist that accept magellan insurance

[2] Magellan Mental Health Insurance – https://www.magellanhealth.com/ Tag: Magellan rehab

[3] Sen BP, Blackburn J, Morrisey MA, Kilgore ML, Menachemi N, Caldwell C, Becker DJ. Impact of Mental Health Parity and Addiction Equity Act on Costs and Utilization. 2019 Jan-Feb;19(1):27-34. doi: 10.1016/j.acap.2018.07.014. Epub 2018 Aug 3. PMID: 30077675. / Tag: Alcohol rehab Magellan

[4] How the affordable care act and mental health parity and addiction equity act greatly expand coverage of behavioral health care – Beronio K, Glied S, Frank R. How the affordable care act and mental health parity and addiction equity act greatly expand coverage of behavioral health care. J Behav Health Serv Res. 2014 Oct;41(4):410-28. doi: 10.1007/s11414-014-9412-0. PMID: 24833486. / Tag: Magellan mental health

[5] Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health – Substance Abuse and Mental Health Services Administration (US); Office of the Surgeon General (US). Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health [Internet]. Washington (DC): US Department of Health and Human Services; 2016 Nov. PMID: 28252892. / Tag: Magellan mental health

[6] Substance Abuse and Mental Health Services Administration (US); Office of the Surgeon General (US). Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health [Internet]. Washington (DC): US Department of Health and Human Services; 2016 Nov. CHAPTER 4, EARLY INTERVENTION, TREATMENT, AND MANAGEMENT OF SUBSTANCE USE DISORDERS. Available from: https://www.ncbi.nlm.nih.gov/books/NBK424859/Tag: Magellan mental health

[7] Mental Health & Substance Abuse – https://www.hhs.gov/programs/prevention-and-wellness/mental-health-substance-abuse/index.html / Tag: Magellan mental health

[8] Private health insurance coverage of drug use disorder treatment – Mojtabai R, Mauro C, Wall MM, Barry CL, Olfson M. Private health insurance coverage of drug use disorder treatment: 2005-2018. PLoS One. 2020 Oct 9;15(10):e0240298. doi: 10.1371/journal.pone.0240298. PMID: 33035265; PMCID: PMC7546457 / Tag: Magellan mental health

[9] Private Health Insurance Coverage for Substance Use Disorders and the Receipt of Specialty Treatment among U.S. Adults – Cummings JR, Wen H, Ritvo A, Druss BG. Health insurance coverage and the receipt of specialty treatment for substance use disorders among U.S. adults. Psychiatr Serv. 2014 Aug 1;65(8):1070-3. doi: 10.1176/appi.ps.201300443. PMID: 25082606; PMCID: PMC4189808. Tag: Magellan mental health

[10] Tran Smith B, Seaton K, Andrews C, Grogan CM, Abraham A, Pollack H, Friedmann P, Humphreys K. Benefit requirements for substance use disorder treatment in state health insurance exchanges. Am J Drug Alcohol Abuse. 2018;44(4):426-430. doi: 10.1080/00952990.2017.1411934. Epub 2017 Dec 20. PMID: 29261341; PMCID: PMC5940489 / Tag: Magellan mental health



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