Does Magellan Health Cover Therapy?

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Magellan Health specializes in behavioral health benefits and partners with other insurance companies to provide mental health coverage. To check if your Magellan Health plan covers therapy, find your summary and benefits document. This document lists how much your Magellan Health plan covers and how much of the costs will be your responsibility. Look under “outpatient mental health” or “mental/behavioral health outpatient services” to find this item. You can find your summary and benefits document through your Magellan Health online portal.

While the cost for therapy depends on your Magellan Health plan, expect to pay a coinsurance of 20-40% per session with your in-network therapist. This cost increases if you choose to see an out-of-network therapist. Cost also varies based on your primary health insurance plan.

Because Magellan Health contracts with various health insurance companies to provide behavioral health services, it depends on your health insurance plan whether you need a referral from your primary care physician before seeing a mental health professional. If you have an HMO health insurance plan, you will need to see your primary care physician first. But, if you have a PPO health insurance plan, you can start to look for a therapist that matches your needs as soon as you’re ready.

Learn more about Magellan Health mental health coverage.

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