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Addiction Treatment Provided by Magellan Health Insurance
In your search for substance abuse treatment, having insurance provides you with great relief and comfort. When you have insurance, you have peace of mind knowing that the programs and services you need to get sober will be fully or, at the very least, partially covered. While insurance is a lifesaver, it can also be difficult to understand and navigate. This is especially true when trying to figure out what services are and are not covered under your plan. You may find yourself asking the following questions:
- What is covered for in-network rehab versus out-of-network rehabs?
- What is the cost of inpatient treatment versus outpatient treatment?
- What are the advantages of in-network rehab facilities?
- How do you even look to see if a facility is in-network with your insurance?
- What happens if the facility is out-of-network?
- How much do I have to pay if services aren’t covered?
If you have Magellan as your insurance provider, this article will be a primer in better understanding your Magellan health insurance rehab coverage. You will better understand which is included in Magellan health rehab California and how long your Magellan plan covers your rehab stay. Call Casa Serena today if you have questions about your coverage and what Santa Barbara addiction programs would benefit you and your recovery.
Magellan Rehab Centers
Magellan Health Drug and Alcohol Rehab
With additional provisions provided in the Affordable Healthcare Act (ACA), those with Magellan Health substance abuse insurance plans are able to have treatment covered in full or at least a significant portion covered under their plan. These services include: Substance abuse treatment programs Psychotherapy and counseling Inpatient mental health and behavioral treatment Additionally, the limits applied to behavioral health services cannot be more restrictive than limits placed on medical services. These include prior authorizations, limits to lengths of treatment stays, and deductibles, copays, and out-of-pocket expenses. The amount of coverage you have at a Magellan rehab in California depends on your insurance policy and the level of care you have on your Magellan Health addiction treatment plan.
What is Included in Magellan Health Insurance Programs?
While Magellan Health specializes in behavioral health services and provides excellent benefits for substance abuse and mental health treatment, available services and the percentage of coverage of those services can widely vary from state to state and by the type of Magellan substance abuse rehab coverage. In general, the following services can be covered by Magellan drug rehabs:
Detox: Medical detoxification helps clients withdraw from the substances they abuse in an environment that is safe, secure, and comfortable.
Inpatient Rehab: Also known as residential treatment, clients in an inpatient rehab are required to live at the rehab facility or in nearby housing.
Traditional Outpatient: People in traditional outpatient treatment, receive the important programs and services they need while being able to remain at home to uphold their work and family obligations.
Partial Hospital Treatment (PHP): A more intensive outpatient treatment program for people who are at high risk for relapse or have a medical or mental illness that requires immediate intervention.
Intensive Outpatient Programs (IOP): An outpatient option for those needing more intensive care but has the flexibility in allowing people to live at home. IOPs do feature detox and some medical care services
Aftercare: This can include alumni programs, continued counseling and therapy, and sober living homes.
To know what services are covered, refer to the summary of benefits provided by Magellan Health. If you have questions about whether a Magellan drug rehab in California provides coverage for the program you need or have other coverage questions, call Magellan customer service and speak to a representative.
In general, inpatient treatment costs considerably more than outpatient programs. However, services in all levels of care are at least partially covered as long as those services are deemed medically necessary. This includes individual, group, and family therapy, medical detox, mental health services, and meals, among other services. Usually, experimental therapies and some holistic therapy programs are not covered under a Magellan drug and alcohol rehab plan.
The admission team at Casa Serena can also help verify your insurance coverage for you.
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In-Network Addiction Treatment Coverage
In-Network and Out-of-Network Coverage and Costs
In contrast, an out-of-network provider may provide the treatment services you need, but you will be paying a higher rate for those services. When you see an out-of-network provider, you will be subject to higher copays, coinsurance, and deductibles. There may be cases where some out-of-network providers won't cover certain services at all—and you will have to pay for those out-of-pocket. For non-covered services, providers may charge a rate that is higher than the standard out-of-network rates. This is especially true if you are looking out of state for treatment.
Length of Treatment at Casa Serena
How Long Does Magellan Health Insurance Cover Rehab?
Casa Serena is a premiere women's rehab center in Santa Barbara. Contact us today to learn more about our women's residential treatment in Southern California.
Women's Addiction Treatment
Casa Serena Accepts Magellan Health Insurance
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