Magellan Healthcare Coverage for Drug & Alcohol Rehab

Magellan Healthcare may cover some or all addiction treatment costs and is in-network with The Recovery Village Atlanta.

Addiction treatment is healthcare — and for many people, it’s time-sensitive care. Because substance use disorders and mental health conditions are covered under federal parity protections and often treated as essential health benefits, many plans include coverage for evidence-based rehab services. If your behavioral health benefits are administered through Magellan Healthcare, you may have coverage that helps pay for detox, residential rehab, outpatient treatment and co-occurring mental health services at The Recovery Village Atlanta, serving Atlanta through two locations. This guide explains how Magellan rehab coverage typically works and how to verify your benefits quickly.

Magellan Healthcare: Provider Overview

Magellan Healthcare is a behavioral health and specialty health services company that works with employers, health plans, unions, government programs and third-party administrators to manage behavioral health benefits. In many cases, Magellan is not the primary medical insurer listed on a member ID card. Instead, Magellan often functions as the organization that manages:

• Behavioral health provider networks
• Utilization management and medical necessity reviews
• Prior authorizations for higher levels of care
• Care coordination and case management

This is an important distinction because members may have medical coverage through one carrier, while Magellan administers or manages the behavioral health portion of the plan. If your plan uses Magellan, your rehab benefits may be determined by Magellan’s behavioral health criteria and network participation rules.

For many people, the key question is simply: “Am I covered for rehab?” In many cases, yes — and Magellan-administered coverage can reduce out-of-pocket costs when treatment is in-network.

Magellan Plans and Coverage Structure

Magellan-administered benefits can vary by plan type and employer. However, coverage commonly follows familiar insurance structures, including:

• PPO plans: Often provide broader provider flexibility and may include out-of-network benefits, though costs are usually lower in-network.
• HMO plans: Typically require in-network providers and may involve referrals or additional steps for specialty care.
• Self-funded employer plans: Employers may customize coverage levels, deductibles and behavioral health benefits, with Magellan managing access and authorizations.

Your plan will typically include a deductible, coinsurance (or copays), and an annual out-of-pocket maximum. Some plans have separate deductibles for behavioral health services, while others bundle behavioral health with medical coverage. Magellan may also require preauthorization for certain levels of care, particularly detox, residential treatment, or partial hospitalization.

The fastest way to understand your personal coverage is to verify benefits directly. A Recovery Advocate can confirm network status, explain authorization requirements and estimate your expected costs before admission.

Does Magellan Cover Drug and Alcohol Rehab?

Many plans administered by Magellan include benefits for substance use disorder treatment when it is medically necessary. Depending on your plan, Magellan coverage may support several levels of care, including:

• Medical detox (withdrawal management with clinical monitoring)
• Residential or inpatient rehab
• Partial hospitalization program (PHP)
• Intensive outpatient program (IOP)
• Outpatient therapy and ongoing counseling
• Medication-assisted treatment (MAT)
• Aftercare planning and relapse prevention support

Before approving coverage for higher levels of care, Magellan typically reviews medical necessity. Medical necessity is generally determined using behavioral health criteria, often aligned with ASAM (American Society of Addiction Medicine) guidelines for substance use treatment. These standards evaluate factors such as withdrawal risk, relapse potential, co-occurring mental health symptoms, and safety at home.

If prior authorization is required, our admissions team can help coordinate the process, communicate with Magellan, and submit any required clinical documentation.

Does Magellan Cover Mental Health Treatment?

Yes. Magellan administers coverage for a broad range of mental health services, and these benefits often apply to both standalone mental health care and integrated dual diagnosis treatment. Because mental health and addiction frequently overlap, treating both at the same time is often the best approach.

Magellan-administered mental health benefits may include:

• Psychiatric assessment and ongoing medication management
• Individual therapy
• Group counseling
• Cognitive behavioral therapy (CBT)
• Dialectical behavior therapy (DBT)
• Trauma-informed therapy
• Family therapy and family programming
• Dual diagnosis treatment for co-occurring disorders

The Recovery Village Atlanta provides integrated dual diagnosis programming, addressing mental health symptoms and substance use together through individualized treatment planning and evidence-based therapies.

Magellan and Medication-Assisted Treatment (MAT)

Medication-assisted treatment can support recovery by reducing cravings, easing withdrawal symptoms, and helping patients maintain stability while they build coping skills in therapy. MAT is commonly recommended for opioid and alcohol use disorders and may include medications such as buprenorphine-based options or naltrexone.

Whether MAT is covered through Magellan depends on how your plan structures benefits between behavioral health, medical coverage and pharmacy coverage. Often, the medication component is covered through a pharmacy benefit, while counseling and program participation are covered through behavioral health benefits.

The Recovery Village Atlanta offers medication-assisted treatment (MAT) when clinically appropriate and integrates medication with counseling, therapy and relapse-prevention planning.

How Long Will Magellan Cover Rehab?

Length of coverage depends on your plan and medical necessity. Some people benefit from a shorter residential stay followed by step-down outpatient care. Others may need a longer continuum of support. At The Recovery Village Atlanta, patients commonly move through multiple levels of care, which may include:

• Detox
• Residential rehab
• Partial hospitalization program (PHP)
• Intensive outpatient program (IOP)

The average total stay is often around 40–72 days, though the clinical team will make recommendations based on assessment, progress and ongoing needs. Many plans administered by Magellan also involve periodic reviews to confirm that the current level of care remains appropriate. These reviews are standard and designed to support safe, evidence-based treatment transitions.

If your plan requires utilization reviews or continued stay authorizations, our team can help coordinate documentation and communication so your care continues smoothly.

Georgia Rehab That Accepts Magellan

The Recovery Village Atlanta provides evidence-based addiction and mental health treatment for adults across the Atlanta area. With two locations serving Atlanta, we offer a full continuum of care and individualized treatment planning designed to support long-term recovery.

Services may include:

• Medically supervised detox
• Residential rehab
• Dual diagnosis treatment
• Partial hospitalization (PHP)
• Intensive outpatient (IOP)
• Outpatient therapy
• Aftercare and relapse-prevention planning

If you have Magellan coverage, our admissions team can verify benefits, explain your expected costs, and help you understand what your plan may require for authorization before you begin treatment.

Verify Your Magellan Coverage

You don’t have to navigate insurance alone. Our Recovery Advocates can help you:

• Confirm network status for your specific Magellan-administered plan
• Check deductibles, copays and coinsurance
• Identify authorization requirements for detox, residential, PHP or IOP
• Explain covered services and estimate out-of-pocket costs
• Coordinate next steps so you can enter care without delays

To get started, contact our team to speak with a Recovery Advocate, or use our insurance verification process to quickly check your benefits.

Looking for another insurance provider? We are also in-network with Cigna, BCBS and Aetna.