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As with many health insurance providers, Magellan provides coverage for a variety of mental health diagnosis and substance use disorders. Coverage at LVRC for Magellan policyholders includes a host of programs and services. These include programs such as Medical Detox to ensure our clients are safely and comfortably separated from the habit-forming substance. Other programs include other inpatient drug rehabilitation programs like Residential treatment. Outpatient coverage is also a part of Magellan policyholders’ benefits. These programs consist of Partial Hospitalization (Day Treatment), and Intensive Out-Patient.
Magellan coverage for drug and alcohol rehab can vary from policy to policy. Since Las Vegas Recovery Center is an in-network provider for Magellan, we have established a good relationship that assists our clients to receive the right addiction treatment at the right time. Each of our clients receive a full assessment to assist our clinical and medical staff to recommend the right program. Whether you are struggling with alcohol addiction, prescription drugs or other addictive substances, we can ensure you receive the treatment you or your loved one needs. How long you will be in treatment has many factors that include your type of Magellan policy, your unique history and medical needs. Las Vegas Recovery Center continually updates Magellan on your progress to ensure seamless and high-quality care.
Your copay or coinsurance depends on the type of Healthcare policy you have. Our Admissions Office will provide a free benefit verification to provide a more accurate picture of your out of pocket expense before you enter our treatment programs for alcohol or drugs.
Medical Detox is often a necessary step for Magellan policyholders before therapeutic treatment for drugs and/or alcohol can be effective. Las Vegas Recovery Center staffs a full medical team that will complete an initial assessment so a plan to safely and comfortably remove alcohol and drugs from your body can be developed. How long a person is in Medical Detox various due to a variety of factors. Age, length of addiction, overall physical health, and previous medical detoxes are a few of the factors that can impact your overall experience. LVRC provides a variety of medications and services to limit negative physical and emotional discomfort during detox. Each day our medical team will evaluate you or your loved one to ensure our interventions are effective. The ultimate goal is to end your physical dependence on drugs and/or alcohol. Learn more from LVRC’s Chief Medical Officer, Dr. Mel Pohl.
Inpatient addiction treatment for Magellan Healthcare policyholders can vary. LVRC offers (2) distinct inpatient programs. Medically Managed inpatient treatment is designed to provide behavioral health care simultaneously with chronic or acute health conditions. Residential treatment is designed to focus solely on treating addiction to drugs or alcohol with therapeutic services.
Some Magellan Healthcare policyholders may have benefits that cover Medically Managed Inpatient addiction treatment. This type of program combines high-quality medical care with cutting edge behavior therapy that reduces hospital admissions that can interrupt addiction treatment. Abusing drugs or alcohol over long periods of time can have an impact on our bodies and create or exacerbate health conditions. It is vitally important these health conditions are managed while receiving addiction therapy. One of our inpatient therapists explains this level of care.
Some Magellan Healthcare policyholders may have benefits that cover Residential Treatment. This addiction treatment program is designed for those who have don’t have chronic medical conditions and have completed a medical detox. Clients in our residential addiction programs live on-site for the duration of their treatment stay. For those who don’t require a medical detox, beginning the program will require an assessment so we may communicate with Magellan for authorizations and approvals. By receiving authorizations for residential treatment we prevent large, unexpected out of pocket expenses.
Outpatient treatment comes in many forms. Magellan policyholders may have benefits for Partial Hospitalization Programs, Intensive Outpatient services or Outpatient services. Each of these programs provides different levels of intensity to ensure your addiction to drugs or alcohol is treated in the appropriate clinical setting.
Partial Hospitalization for alcoholism or drug addiction, also known as PHP, is the highest level of outpatient care available. PHP provides daily care at LVRC for up to 8 hours while allowing you to return home or to a structured Recovery Residence or sober living. If this benefit is available on your Magellan policy we can discuss the details after your free insurance verification by our admissions office. Clients must meet certain criteria to directly enter this program as well as receive the proper authorization from Magellan. PHP is also used once one of LVRC’s inpatient programs is completed.
Intensive Outpatient addiction therapy is comprised of weekly group therapy sessions including, weekly individual sessions and joint family groups. LVRC offers daytime group sessions as well as nighttime group sessions that allow our clients to work or attend school and spend time with their families. As with PHP, Las Vegas Recovery Center has specific criteria to enter this program. To find out more please contact our admissions office at 844.332.2076. Our admissions counselors will verify your benefits and discuss your unique needs.
It is important to utilize your Magellan network insurance with addiction treatment programs that are in-network. This means that Las Vegas Recovery Center has worked closely with Magellan to established reduce rates for all our levels of care. By doing so both LVRC and Magellan reduce any out of pocket expenses. Some Magellan policies require a 20% copay while others require a 10% copay. Most Magellan policies have yearly deductibles that need to be met. Our admissions office will help you understand more about your policy and what to expect before entering treatment. As with most in-network health insurance, it is vital we obtain authorizations prior to the start of your treatment program. By doing so we prevent large unexpected bills for our clients.
Many treatment providers do not meet Magellan’s strict criteria to become an in-network provider. Those that don’t may accept Magellan insurance are considered Out-of-Network. That means that your copays or coinsurance will be much higher. It is not uncommon to see Magellan members required to pay 50% of any charges. This can create a massive financial burden most families can’t take on, ultimately preventing addiction care when it is needed the most.
Magellan manages a host of different policies within their network. Many of these policies are employer-sponsored while others may be student or individual plans. If you have any questions don’t hesitate to contact our admissions office for a free insurance verification at 844.332.2076.