Magellan Health Behavioral Health Treatment Coverage and Benefits
If you have health insurance administered by Magellan Health or affiliated insurance policies, you may have out-of-network behavioral health benefits that can cover treatment at NuView Treatment Center, based in Los Angeles, California.
Our admissions team can confidentially verify your insurance benefits, explain any available coverage, estimate your potential out-of-pocket costs, and explain your payment options. This is simply an information-gathering step that is meant to give you the information you need to make decisions about your recovery whenever you are ready.
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Verify My Magellan Health BenefitsDoes Magellan Health Cover Behavioral Health Treatment?
Magellan is not an insurance company. It manages your behavioral health benefits. Your card may say Blue Cross or your employer's plan name. Magellan reviews and authorizes behavioral health care on that plan's behalf. In simple words, this means your coverage comes from your plan, while your authorization comes from Magellan.
Depending on your specific insurance policy, your benefits may cover substance use and mental health disorder treatment.
Some plans may provide benefits for treatment from providers outside their provider network, while others may have different network or authorization requirements. Your coverage depends on the terms and conditions of your specific plan.
Your coverage may depend on factors such as:
- Your specific insurance policy
- Whether your plan includes out-of-network behavioral health benefits
- Medical necessities
- Your recommended level of care
- Prior authorization requirements
- Your deductible
- Your coinsurance or copayment requirements
- Your out-of-pocket maximum.
This can be confusing to understand, but NuView's admissions team can verify your benefits and explain whether your plan may cover treatment with us.
What May Be Covered Under Magellan Health?
Depending on your specific insurance policy and needs, behavioral health benefits administered by Magellan Health may cover services such as:
- Clinical assessments and psychiatric evaluations
- Partial hospitalization program (PHP)
- Intensive outpatient program (IOP)
- Virtual behavioral health treatment services
- Outpatient therapy
- Medication management
- Substance use disorder treatment
- Mental health disorder treatment
The coverage for each service depends on your specific plan, medical necessity, level of care, and other authorizations you may need.
Magellan Health Plans We Can Help You Verify
NuView can verify behavioral health benefits for eligible policies administered by Magellan Health and affiliated plans, such as:
- Magellan Healthcare
- Magellan Behavioral Health
- Magellan Health Services of California
Magellan also administers behavioral health benefits for many commercial and employer-sponsored plans.
The coverage for behavioral health treatment, including out-of-network coverage, varies by plan type, employer-sponsored plan, or your personal policy. At NuView, we verify your benefits before we begin treatment.
Once We Know What Your Plan Covers, Here's What Treatment Looks Like
NuView is a trusted and accredited behavioral healthcare provider in Los Angeles, California. Eligible members whose plans are administered by Magellan Health, or its affiliated organizations, may receive out-of-network benefits for treatment with us.
When you contact us, our admissions team will verify your coverage and explain your benefits and potential out-of-pocket costs to you so that you can make financially aware decisions in your recovery journey.
Partial Hospitalization Program
A structured, full-day program for people who need intensive support but not 24-hour residential care.
Intensive Outpatient Program
Fewer weekly hours than PHP, designed to fit around work, school or family obligations.
Evening Track
Structured evening care that supports recovery while allowing you to maintain your daily routine.
Telehealth Services
Virtual sessions for eligible California residents, for added flexibility and access.
Individual Therapy
One-on-one sessions with a licensed therapist.
Group Therapy
Peer support facilitated by a clinician.
Case Management
Coordinated support connecting you with the right resources throughout treatment.
Medical Services
Oversight from a psychiatric provider and clinical team as part of your care.
How Can You Verify Your Magellan Health Behavioral Health Benefits?
If you want to understand what your Magellan Health policy may cover, the steps are simple and straightforward.
Please Note: Verifying your insurance benefits is only an information-gathering step. You are not obligated to enroll in a treatment program after your benefits are verified.
The purpose of verification is to enable you to understand your coverage and potential out-of-pocket costs so you can make an informed decision about recovery on your own time.
Let Us Begin With a Confidential Conversation
If you or a loved one is considering behavioral health treatment, you do not need to have everything figured out before reaching out.
You do not need to know which level of care is right for you. You do not need to understand every detail of your Magellan Health-administered coverage. This is okay.
Our admissions team can meet you where you are - answering your questions, verifying your behavioral health benefits, and helping you understand your coverage, so that when you are ready, you already know what to expect.
Do You Have Questions About Your Coverage?
NuView's admissions team can help verify your Magellan Health behavioral health benefits, explain your potential coverage and out-of-pocket costs, answer your questions, and help you understand your treatment options.
Frequently Asked Questions About Magellan Health Behavioral Health Treatment Coverage and Benefits
Magellan Health is a subsidiary of Centene and manages behavioral health benefits on behalf of health plans, employers, and other programs.
Some health plans administered by or associated with Magellan Health provide behavioral health benefits. However, coverage varies by specific plan. The best way to determine what your specific plan covers is to verify your benefits.
Out-of-network benefits are insurance benefits that may provide coverage for care received from providers who are outside your plan's provider network.
Prior authorization refers to an approval that may be required by your insurance plan before certain behavioral health services can be covered.
- Deductible: The amount you may need to pay toward covered behavioral healthcare services before your insurance begins paying, as per your plan's benefits.
- Coinsurance: The percentage of a covered behavioral healthcare service that you may have to pay for after meeting your deductible.
- Out-of-Pocket Maximum: The maximum amount you may be required to pay for covered services in a year before your plan begins paying hundred percent of covered costs.