Magellan Health, a Fortune 500 healthcare company, serves 38 million customers on a daily basis. Offering healthcare for special populations, Magellan Health provides behavioral health and employee assistance programs (EAPs), specialty health services (e.g. cardiac, physical medicine, and musculoskeletal). By partnering with other larger healthcare companies, Magellan health can assist with several different health insurance plans, including both Medicaid and Medicare.

Magellan follows the statement “Leading humanity to healthy, vibrant lives.” Employees of the company, which was founded in 1969, follow a core set of values that are as follows:

  • Own it – If it is to be done, it is up to us to do it
  • Win together – We believe in the collective genius of our people and the magic of teamwork
  • Deliver – We are relentless in the pursuit and value and results for our customer
  • Care – We care deeply about each other our customers and the communities we serve
  • Stand tall – We always do the right thing

When it comes to providing services for those who are experiencing substance use disorders, Magellan Health incorporates these values and more into their work so that the lives of those in need can be changed for the better.

What Does Magellan Healthcare Cover?

When someone with a substance use disorder is ready to obtain professional treatment, the thought of doing so can be overwhelming, as one might not know where he or she can go. But with Magellan, knowing what options for care there are is simple.

Since Magellan works with larger health insurance companies as opposed to providing their own specific type of insurance plans, the treatment they can cover or not cover can be dependent on the member’s specific insurance plan. However, in general, Magellan often provides at least partial coverage for some of the most common professional addiction treatment services those with substance use disorders need, including the following:

  • Detox
  • Inpatient treatment
  • Outpatient treatment
  • Medication-Assisted Treatment (MAT)

Usually, Magellan partially covers detox and inpatient treatment (in some cases, full coverage can be provided). Outpatient treatment is almost always covered and medication-assisted treatment, which is reserved for those recovering from an opioid addiction, may or may not be covered.

Magellan almost always covers outpatient therapy sessions and also works with local communities to provide additional support for 12-Step groups like Alcoholics Anonymous and Narcotics Anonymous.

Verifying Coverage and Finding the Most Appropriate Treatment

If you are looking to obtain treatment for yourself or someone else, the first thing that you should do is connect with your insurance company to identify what type of care can and cannot be covered. If your insurance company works with Magellan, it is also helpful to contact them as well to learn about your options.

Once your coverage is determined, the most important next step is to ensure that you or your loved one will obtain treatment that is appropriate for his or her unique treatment needs. This can be determined with the help of a medical or psychiatric professional, as well as with your health insurance company.

Get the best treatment for yourself or a loved one.