Find Alcohol & Drug Rehabs that Accept Magellan Health Insurance

Magellan Health generally may include coverage for substance use disorder (SUD) treatment as part of behavioral health benefits when care is medically necessary.

Coverage may depend on:

• Your specific plan (commercial, Medicaid, or employer-based)
• The type and level of care recommended
• Whether services are received in-network or out-of-network
• Pre-authorization requirements

Most plans may cover detox, rehab, therapy, and relapse prevention services when medically necessary, though specifics vary by plan.

Magellan evaluates treatment requests according to medical necessity guidelines, following the American Society of Addiction Medicine (ASAM) criteria.

Factors considered include:

• Confirmed SUD diagnosis by a qualified provider
• Clinical evidence supporting the recommended level of care
• Provider network status (in-network vs. out-of-network)
• Prior authorization for certain programs (e.g., inpatient rehab or detox)

Coverage generally continues as long as treatment remains medically justified and progress is documented.

Better Addiction Care can help confirm which licensed facilities are in-network, guide you through any necessary paperwork, and reduce unexpected costs.

In-Network Advantages

Receiving care in-network may provide several benefits, including:

• Lower deductibles and coinsurance – You typically pay less out-of-pocket when using in-network providers.
• Faster approval and claims processing – Authorizations and reimbursements are often quicker.
• Simplified coordination between provider and insurer – Your treatment team and Magellan can communicate directly, reducing delays or paperwork.
• Better access to accredited programs – In-network facilities are usually vetted for quality and compliance with Magellan standards.

Out-of-Network Considerations

Out-of-network care may still be available, but:

• Reimbursement is often lower – You may be responsible for a higher portion of costs.
• Additional paperwork or prior authorization may be required – Approvals can take longer and involve more steps.
• Members may pay more upfront – Some facilities require payment before claims are processed.
• Coverage limits may differ – Out-of-network benefits are typically less comprehensive than in-network coverage.

Out-of-pocket costs vary depending on your plan type:

Employer or Commercial Plans

Deductible, copay, or coinsurance payments may apply once benefits begin.

Medicaid Plans (Magellan-administered)

Behavioral health coverage is often provided at no cost, depending on state rules.

EAP or Workplace Programs

Short-term counseling or referrals may be included at no charge.

Magellan follows federal parity laws, meaning behavioral health benefits must be offered at levels comparable to medical coverage for physical health conditions.

Steps to Prepare Before Starting Treatment

1. Clinical Assessment – Confirm a substance use disorder diagnosis.
2. Prior Authorization – Request approval for inpatient, residential, or MAT services.
3. Verify Facility Status – Ensure your treatment center is in-network with Magellan.
4. Review Costs – Check deductible, copay, or coinsurance obligations.

Better Addiction Care can coordinate these steps directly with your insurance provider.

You can verify coverage by:

• Calling the number on your Magellan Health ID card.
• Logging into your Member Portal to review plan details and provider networks.
• Allowing Better Addiction Care to verify on your behalf — we contact Magellan, confirm benefits, and match you with approved treatment centers.

This ensures you understand your benefits before beginning care.

If your plan doesn’t cover all services:

• Choose a Magellan in-network facility to reduce costs.
• Ask about payment assistance or sliding-scale fees at select rehab centers.
• Explore outpatient or telehealth programs if inpatient care is not fully covered.

Better Addiction Care can guide you through these options to find treatment that fits your clinical and financial needs.

With Magellan Health, Better Addiction Care helps you:

• Verify benefits and coverage limits
• Handle authorizations and required paperwork
• Find accredited treatment centers that accept Magellan
• Estimate costs before admission

This allows you to focus on recovery while we manage the insurance details.

Call Better Addiction Care or complete our secure online form to confirm your Magellan Health insurance coverage. 

Our team will explain your options and connect you with trusted, in-network treatment providers ready to support your recovery.