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Magellan Health Insurance for Addiction Services by State

Magellan Health Insurance for Addiction Services by State

Drug & Alcohol Rehab Services with Magellan Health Insurance in the United States

Magellan Health is an American for-profit managed healthcare company, that is focused on special populations. This health insurance provider does have complete pharmacy benefits, and many other specialty areas of healthcare. The customers of Magellan include health plans and other managed care organizations, employers, various military and government organizations, and labor unions. The behavioral health programs within Magellan for substance abuse go beyond traditional by delivering behavioral health and employee assistance program services.

This will include speciality health treatments and integrated care management to health plans, employers, Medicaid, Medicare, and the federal government. As of 2018, roughly 38 million people were covered within commercial industries, and 1.5 million working in government. Some of the Magellan Health plans do focus on pain and prescription-drug abuse, which has increased significantly in recent years. The continuing opioid abuse in the country is accounting for $55 billion dollars in health care costs. The insurance provider does also focus on suicide prevention, and Magellan provides information regarding suicide for anyone who needs access.

For substance abuse and addiction treatment coverage, those who are covered by a Magellan health-care plan can receive certain treatment services that will be covered. Magellan’s population health management approach incorporates early assessment and intervention, and the prescription-drug abuse solution diverts individuals using prescription opioids from the path of addiction. One in twenty people uses opioids for non-medical use, and one in 15 people who abuse opioids will try heroin within ten years. On average, 46 people die each day from an opioid overdose, and there has been a 183% increase in opioid use within the last seven years. Within different communities, one in five high-school students' abuse prescription drugs annually, and there are on average 1.5 million emergency-room visits for prescription-drug abuse. Drug and alcohol abuse impacts millions of Americans, and only a portion actually seeks out help for their addiction. Substance abuse will become worse the longer that an addict will be addicted to drugs, and without the right help, there will be an increased chance for an overdose. Substance abuse rehab will not always be cheap, and private programs will come at a cost. With the help of health insurance providers such as Magellan, addicts and their families can use these resources to get treatment they need. Some addicts may require specialized forms of treatment to help with their addiction, and health insurance may cover some of this cost. Drug abuse does not have to be a life-long problem, and you do not have to live your life as an addict, even when you are no longer using drugs. If you are covered by Magellan and are suffering from a substance abuse problem, it will be a good idea to contact your health insurance provider to find out what is covered. People who are covered by Magellan Health should reach out to their provider and inquire, and also check with different drug rehab centers to see what may be covered.

There are a number of plans available through Magellan Health. Depending on the type of plan the level of coverage will be different. Each time you use a service, the co-pay will set the fee for that service. This is done before Magellan Health covers the cost. The deductible, for example, will have to be paid within one year before Magellan Health will pay during that year. Even the partnerships that Magellan health has with service providers will impact the coverage and cost. With all this being known, there is extensive coverage for substance abuse treatment.

Magellan Health does have a reputation within the industry to have more knowledge about substance abuse treatment. The plan you have may cover specifically substance abuse treatment. Yet, overall everything within the realm of behavioral health is covered. Your plan will dictate whether or not you can access in-network providers exclusively. This does not mean you cannot access out-of-network providers, and some incentives from them may be provided. Yet, this will be more expensive when you select a provider out-of-network. This will be something to consider when you start to search for drug rehab providers.

Inpatient drug rehab is the most effective approach to treat addiction. There is a wide variety of inpatient services covered by Magellan Health. For example, this could be a supervised drug and alcohol detox. Drug detox is the first step during the rehabilitation process. Detox will be a different experience for each addict. Some withdrawals will be more difficult to go through than others. Yet, if you can make it through detox you will have the opportunity to go forward with more treatment. Magellan health will cover treatment centers stays. However, you should explore what is available through your plan.

Therapy covered by Magellan does vary depending on the type of plan you have. Therapy and counseling are important to address the underlying issues connected to addiction. This will explore the reasons why you are addicted to drugs and alcohol. Each addict will experience therapy different from the next person. However, this is a necessary part of treatment and different therapy models can be accessed. There is also transitional care available, such as aftercare treatment. This is a sober living arrangement or a halfway house. Sober living is drug and alcohol-free communities where recovering addicts live to work on their sobriety. Choosing the correct type of drug rehab is important. Various methodologies are available for Magellan Health clients to consider.


marcel gemme author

Marcel Gemme

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Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed. He also dealt with the families and friends of those people; he saw first-hand how much strain addiction puts on a family and how it can tear relationships apart. With drug and alcohol problems constantly on the rise in the United States and Canada, he decided to use the Internet as a way to educate and help many more people in both those countries. This was 15 years ago. Since then, Marcel has built two of the largest websites in the U.S. and Canada which reach and help millions of people each year. He is an author and a leader in the field of drug and alcohol addiction. His main focus is threefold: education, prevention and rehabilitation. To this day, he still strives to be at the forefront of technology in order to help more and more people.