What Is Magellan Insurance and How Does It Work?

Magellan Health is an insurance carrier that specializes in behavioral health / mental health coverage and specialty health needs. The carrier partners with employers as well as states to provide coverage for individuals, families, and groups. The insurance works according to the specifics outlined by each plan.

For example, its basic plan requires covered individuals to pay their deductible before coverage begins. Some plans allow members to see specialists without pre-approval. Some services require pre-approval. No matter what plan you have with Magellan, you’re likely to have questions about some aspect of the coverage prospect. Our insurance specialists here at Muse can help you find the information you’re looking for.

The plan you have with Magellan will outline what you can expect regarding coverage, copayments, deductibles, out-of-pocket limits, coverage limits, and so forth. If you’re uncomfortable asking your HR department or Magellan Health questions, you can call Muse for our assistance. We know the ins and outs of the insurance plans we accept. Let us verify your insurance and provide you with answers to your questions.

Drug and alcohol addiction affects millions of people nationwide. As many as 70% of these individuals are working–and struggling–with their substance use disorder. Of these workers, many have insurance benefits that will cover some or possibly, all of their rehab costs. Job protections are also in place for people seeking behavioral and mental healthcare treatment. So, if you have medical insurance, such as Magellan Health, don’t put off using it to get the support you need to achieve lasting recovery.

Muse Treatment is an accredited California addiction treatment center offering a full care continuum. Our programs include clinically supervised detox, residential treatment, outpatient treatment programs, sober living, medication-assisted treatment, and dual diagnosis treatment. Our programs combine traditional addiction treatments and holistic therapies. Collectively, our treatments help clients build a strong recovery foundation. If you are addicted to alcohol, prescription drugs, or illicit drugs, you can get the help you need at Muse. If you have Magellan Health medical insurance, the following will provide you with helpful information regarding coverage and our support offerings.

What Are Magellan’s Types of Plans?

Magellan offers two main categories of health insurance: behavioral health and specialty health. Magellan’s behavioral and mental health coverage includes substance abuse treatment. Its specialty health insurance plans are related to care from medical specialists such as cardiologists and oncologists. Magellan offers individual plans but also partners with employers and states to offer group insurance plans.

Currently, Magellan’s plans provide coverage for more than 33 million people. The company’s overall focus on behavioral and mental health is relatively unique in the health insurance industry, making Magellan stand out. Muse is pleased to accept Magellan Health plans. If you carry this insurance, you can contact us for more information about plan specifics regarding substance abuse treatment coverage or coverage for dual diagnosis treatment.

Drug and Alcohol Rehab Facilities That May Accept Magellan Insurance

Muse accepts Magellan Insurance plans at our addiction treatment center. We strive to accept a wide range of insurance plans to ensure we’re able to help as many people as we can get the support they need to manage their addiction. Magellan coverage for substance abuse treatment varies depending on each client’s plan and treatment needs. Contact us to learn more about our plans and what your Magellan Health plan will cover.

Does Magellan Insurance Cover Alcohol and Drug Rehab Treatment?

Magellan Health Insurance does provide coverage for alcohol and drug rehab treatment. In fact, the carrier specializes in behavioral health plans in which substance abuse treatment plays a central role. Magellan also has a strong focus on mental health care coverage too.

Although Magellan specializes in covering behavioral health and mental health conditions, it offers many different plans that differ in their coverage amounts and requirements. Your plan’s specific details will outline information about premiums, deductibles, copayments, provider access, and more. How much you can expect to pay out of pocket depends on your plan’s particulars, the type of treatment you need, and the duration of your treatment.

Even at the best of times, it can be difficult to navigate insurance rules and claims. That’s why Muse Treatment is here to help. We can verify your insurance and discuss its particulars with you. Let us help you access the information you need to complete your enrollment process.

How to Check Your Magellan Insurance Coverage

There are several ways you can check your insurance plan’s coverage. The easiest is to contact Muse and talk to our insurance specialists. We can examine your plan and provide you with the information you need regarding coverage and expected out-of-pocket expenses. We are familiar with Magellan’s insurance plans.

You can also contact Magellan to find out more about your plan. You can request it from the company if you don’t have written plan information. You can also request information from your employer or HR department. However, many people are uncomfortable discussing their condition with their employer until they have to. We understand. You can simply contact us to learn more about your insurance plan.

What Does Magellan Insurance Cover?

Magellan Health insurance plans provide coverage for substance abuse treatment, but how does this break down specifically? Like many other medical insurance plans, Magellan provides coverage for inpatient treatment, outpatient rehab programs, medical detox, aftercare, medication-assisted treatment, and dual diagnosis treatment. Coverage amounts vary, however, depending on the individual’s plan.

Does Magellan Insurance Cover Mental Health and Substance Abuse Treatment?

Magellan is widely known for its focus on mental health and behavioral health coverage, which includes substance abuse treatment. The specific coverage amounts and other particulars depend on the individual Magellan plan in question. Magellan states on its website that it understands “the need for a continuum of care” in relation to substance abuse disorders and their treatment. Consequently, its coverage extends to the full continuum of care that defines the best addiction recovery programs like those at Muse Treatment.

Does Magellan Insurance Cover Inpatient Drug and Alcohol Rehab?

Magellan does provide coverage for inpatient drug and alcohol rehab treatment. How much coverage depends on the type of plan you have. Inpatient treatment is ideal for clients who are just beginning their recovery process. At Muse, we offer round-the-clock support and supervision for clients enrolled in inpatient treatment, including medical detox.

A person’s time in residential rehab treatment depends on their needs. It takes some longer than others to reach their recovery milestones. One of the many benefits of inpatient rehab is that it allows people to focus exclusively on their therapy without outside distractions and temptations. During inpatient treatment, clients get the support they need to grow in stability and the ability to manage their addiction and prevent relapse. If inpatient treatment is the ideal course for you, you can expect Magellan to cover at least some portion of its cost, but specifically how much depends on your plan.

Does Magellan Insurance Cover Intensive Outpatient Alcohol and Drug Rehab?

Intensive outpatient treatment for drug and alcohol use disorders usually involves attending rehab therapy sessions for about 10 hours each week for the program’s duration. This treatment program is ideal for clients who are well enough to live at home and may want to continue working or attending school.

Some clients may begin their recovery process with intensive outpatient treatment unless they need a higher degree of support that involves more time in treatment or with supervision. Often, clients transition from inpatient rehab or partial hospitalization programs to intensive outpatient treatment as their support needs gradually decrease. Muse offers intensive outpatient therapy, so if this is the ideal program for you, you can enroll and begin treatment right away. Your Magellan insurance will cover some portion of treatment, but our insurance specialists can help you determine how much.

Does Magellan Insurance Cover Partial Hospitalization?

Partial hospitalization rehab programs provide less support than residential treatment but more than intensive outpatient or traditional outpatient rehab programs. Clients can expect to spend about 20 hours in therapy each week during the course of their treatment plan. Therapy sessions take many forms and cover many different treatment approaches. Clients will participate in group therapy and individual treatment sessions with their certified therapists. And, yes, Magellan’s plans to cover partial hospitalization rehab programs.

How Long Will Magellan Insurance Cover Alcohol and Drug Rehab?

Each person reaches their addiction recovery milestones in their own time. Some people need more than 30 or even 60 days of treatment. Clients require a combination of support; they might begin their recovery journey with inpatient treatment. They might then transition to outpatient programming or aftercare. Consequently, insurance providers offer coverage, generally, that is commensurate with their member’s unique treatment needs. Some people have chronic conditions. Mental health conditions, for example, are often chronic. Insurance providers may limit coverage annually or place limits on what an individual can expect to pay out of pocket. However, coverage depends on the plan you have and its specific mandates.

Magellan May Offer Treatment Coverage for the Following Addictions:

Magellan’s insurance plans for behavioral and mental health cover many addiction types, including:

  • Alcohol addiction
  • Ambien addiction
  • Heroin addiction
  • Ativan addiction
  • Xanax addiction
  • Cocaine addiction and more


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If you are addicted to prescription drugs like opioids or illicit drugs like methamphetamine, you can expect your Magellan plan to provide some degree of coverage. Today, most medical insurance plans will cover full or partial costs for substance abuse treatment. If you have a polydrug addiction (more than one substance addiction) or a dual diagnosis, your Magellan plan will offer some level of coverage.

What Are the Options If Magellan Insurance Does Not Cover the Cost of Drug and Alcohol Rehab?

You have options if your Magellan Health insurance plan has become inactive or will not cover the treatment you need. Outpatient rehab programs are generally less expensive than residential treatment because they don’t involve overnight stays, meals, and round-the-clock support. If you are paying out of pocket, you might wish to consider an alternative to inpatient treatment.

There are also many options for financing your addiction treatment. Contact us to learn about local resources that may help you pay for your treatment. Let us help you access the addiction treatment you need to achieve lasting recovery.

Verify Your Insurance With Us

Take the first step toward recovery by contacting Muse and allowing us to verify your Magellan insurance. We can go over the specifics of your plan, helping you understand what it will cover and if there are any out-of-pocket expenses you may expect. Our insurance specialists are familiar with Magellan’s plans as we accept them at our rehab facility. We can quickly verify your insurance and then streamline the rest of the enrollment process.

Next Steps with Insurance Coverage for Alcohol and Drug Rehab Treatment with Muse Treatment

After verifying your medical insurance plan, we can complete the enrollment process. Before commencing treatment, we start with an evaluation of your condition. This allows our clinicians to recommend the ideal course of treatment and individualized course of treatment for you. Your plan may or may not include medical detox depending on your needs. You might begin with inpatient treatment or outpatient treatment. With Muse Addiction Treatment Center, you have many treatment options.

You can begin your recovery journey after completing the evaluation and settling on a treatment plan. If your plan includes medical detox, you can begin right away. Detox targets the physical aspects of drug and alcohol addiction. After detox, you’ll begin your inpatient or outpatient treatment plan that will include one-on-one counseling as well as group therapy sessions.

Muse Addiction Treatment Center can help you learn how to manage your addiction and prevent relapse with our blend of traditional and holistic therapies. If you have Magellan Insurance and have questions, call 800-426-1818 immediately to get the necessary information.

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