Networks change. We verify your specific Magellan plan before your first visit; call with your member ID and we will confirm benefits, copay and any referral or authorization requirements.
Also appears on cards as: Magellan Health, Magellan Healthcare, Magellan Behavioral Health.
Magellan Healthcare is a managed behavioral health organization that administers mental health and substance use benefits on behalf of employers, health plans and government programs rather than selling insurance directly. If your medical card lists Magellan as the behavioral health contact, Magellan credentials the psychiatrists you can see, authorizes certain services and pays the claims, while your deductible and copays come from the underlying plan. Magellan also manages employee assistance programs that offer a set number of free counseling sessions before insurance benefits begin. Outpatient psychiatry does not require referrals or authorization under most Magellan-administered plans, and telehealth is covered at parity for members in Florida and South Carolina.
For transcranial magnetic stimulation, Magellan applies its clinical guidelines, which cover TMS for major depressive disorder when you have failed at least two antidepressants at adequate dose and duration, have had psychotherapy, and have a documented severity score. Prior authorization is required and approves an initial course with continuation based on measured response. Spravato is usually covered under the medical or pharmacy benefit of the underlying plan with Magellan or the plan's pharmacy manager issuing the authorization, which requires treatment-resistant depression, a concurrent oral antidepressant and REMS-certified administration. Our staff identify the correct authorizing party and submit the request.
What we check before your visit
- Whether your plan is in network at the office you chose and for telehealth
- Your copay or coinsurance for an evaluation and for follow-ups
- Whether a primary-care referral is required (common with HMO plans)
- Prior-authorization criteria for Deep TMS and Spravato, if those are being considered
Frequently asked questions
How do I know if Magellan handles my mental health benefits?
Look at the back of your insurance card for a behavioral health or mental health phone number and the Magellan name. If it is there, Magellan manages your psychiatry benefits even though a different insurer issues the card. Call that number, or ask Stedfast staff to check, to confirm network status and cost sharing.
Is Stedfast Psychiatry in the Magellan network?
Stedfast Psychiatry participates with Magellan for many of the plans it administers in Florida and South Carolina. Because Magellan manages benefits for a wide range of employers and plans, network participation can vary by contract. Confirm with Magellan's member line or let our front desk verify your eligibility before your first visit.
Does Magellan cover telehealth psychiatry?
Yes. Magellan-administered plans cover video psychiatry visits at the same benefit level as office visits for members located in Florida or South Carolina during the appointment. Your copay or coinsurance comes from your underlying medical plan. Video is preferred, and audio-only visits may be covered for established patients on some plans.
Does Magellan authorize Deep TMS?
Magellan requires prior authorization for TMS and applies its clinical guidelines for major depressive disorder, including documented failure of at least two antidepressants and a current severity score. Our Palm Beach Gardens TMS team submits the request to Magellan and follows up until a decision is issued, then schedules your course once approved.
Who authorizes Spravato if Magellan manages my behavioral health?
It depends on how your plan classifies Spravato. Some route it through Magellan as a behavioral health service, others through the medical plan or its pharmacy benefit manager. Our staff identify the right party from your card and plan documents, submit the authorization with documentation of treatment-resistant depression, and coordinate drug supply for your sessions.