What is Magellan Insurance?

Magellan Health, Inc. is a healthcare company that specializes in managing behavioral healthcare, including addiction treatment. Magellan insurance plans may cover a variety of addiction treatment services, such as detoxification, inpatient treatment, outpatient treatment, and medication-assisted treatment.

How Magellan Insurance Can Help Pay for Addiction Treatment:

• In-Network Providers: Magellan insurance plans typically have a network of providers that are contracted to provide services at a lower cost to members. This means that if you choose an in-network provider for your addiction treatment, your out-of-pocket costs may be lower.

• Coverage for Essential Services: Magellan insurance plans are required to cover essential health benefits under the Affordable Care Act, which includes mental health and substance abuse treatment services. This means that if you have a Magellan insurance plan, you should have coverage for addiction treatment.

• Co-Payments and Deductibles: Depending on your Magellan insurance plan, you may be responsible for co-payments and deductibles for addiction treatment services. However, these costs may be lower if you choose an in-network provider.

• Pre-Authorization: Before receiving addiction treatment services, you may need to obtain pre-authorization from Magellan. This is to ensure that the treatment is medically necessary and that the provider is in-network.

• Out-of-Network Providers: If you choose an out-of-network provider for your addiction treatment, your out-of-pocket costs may be higher. However, some Magellan insurance plans may still provide coverage for out-of-network services.

• Types of Addiction Treatment Covered: Magellan insurance plans may cover a variety of addiction treatment services, including detoxification, inpatient treatment, outpatient treatment, and medication-assisted treatment. However, the specific services covered may vary depending on your plan.

• Length of Treatment: The length of addiction treatment covered by Magellan insurance may vary depending on your plan. Some plans may only cover a certain number of days, while others may provide coverage for the entire duration of treatment.

• Aftercare Services: Magellan insurance plans may also provide coverage for aftercare services, such as counseling or support groups, which can help individuals maintain their sobriety after completing treatment.

• Appeals Process: If your Magellan insurance plan denies coverage for addiction treatment services, you have the right to appeal the decision. This can be a lengthy process, but it’s important to pursue if you believe that the treatment is medically necessary.

• Other Options: If you don’t have Magellan insurance or if your plan doesn’t provide sufficient coverage for addiction treatment, there may be other options available. For example, many addiction treatment centers offer financing options or sliding-scale fees based on income.

12 South Recovery and Magellan Insurance for Addiction Treatment

If you or someone you know is struggling with addiction, don’t hesitate to call us. The highly trained admissions staff here, at 12 South Recovery, are available to answer any questions and discuss your options. Let us help you find long-term recovery.