Jane Dotson
MagnaCare is a third-party administrator company that provides health plan management services to organizations and their members. While it is not an insurance company, MagnaCare offers a range of self-insured health plans for employers, covering diverse organizations, commercial insurers, worker's compensation, and municipalities. The company aims to simplify the administration of healthcare benefits and provide cost-effective solutions. They offer a wide range of products and services, including coverage for drug and alcohol rehab, medication-assisted treatment, and mental health services. MagnaCare also partners with insurance companies, such as MLMIC Insurance, to provide medical liability insurance to physicians and other healthcare professionals.
| Characteristics | Values |
|---|---|
| Type of company | Third-party administrator company, health plan management company |
| Services | Comprehensive medical management programs, self-insured health plans, liability insurance, health insurance |
| Clients | Labor organizations, employers, brokers, self-insured plans, physicians, surgeons, dentists, hospitals, other healthcare professionals |
| Reviews | 1.1/5 stars based on 44 customer reviews |
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What You'll Learn
- MagnaCare is a third-party administrator company, not an insurance company
- MagnaCare offers self-insured health plans for employers
- MagnaCare covers drug and alcohol rehab treatment
- MagnaCare works with MLMIC Insurance Company, New York's #1 medical liability insurance provider
- MagnaCare is accepted at NYC Health + Hospitals
MagnaCare is a third-party administrator company, not an insurance company
MagnaCare is a third-party administrator company that provides a wide range of self-insured health plans for employers. It is not an insurance company, but a health plan management company. MagnaCare has been managing labour funds and handling every detail of fund administration for more than 30 years. The company offers a variety of products and services to meet the needs of organisations and their members.
MagnaCare works with employers to create a customised plan that fits their business. They offer flexibility and innovative technology to control costs and improve health outcomes for members. Their services include coordinating eligibility, managing ID cards, HR administration, and more.
In addition to administrative support, MagnaCare provides comprehensive medical management programs. This includes nurses and medical professionals working directly with members and their families to provide quality care. MagnaCare also assists with case triage, nurse case management, utilization review, formulary review, and care scheduling.
MagnaCare also offers network solutions, allowing clients to lease a portion of their established provider network. This can include physician-only or hospital-only options on a local or national scale.
While MagnaCare is not an insurance company, it partners with insurance providers like MLMIC Insurance Company to offer liability insurance to physicians. MagnaCare also works with employers to provide health insurance coverage to their employees, including substance abuse treatment and mental health services.
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MagnaCare offers self-insured health plans for employers
MagnaCare is a third-party administrator (TPA) company that offers self-insured health plans for employers. It has been in the business of managing labour funds and the administration of healthcare benefits for over 30 years.
MagnaCare's self-insured health plans provide companies with more control over healthcare benefits and the ability to curb rising premiums. With a self-insured plan, companies can set up a fund to cover their employees' healthcare claims and hire a TPA like MagnaCare to manage it. This approach can lead to immediate cost savings of 2-3% on the plan and potentially more, as self-insured groups are exempt from state mandate costs.
MagnaCare's innovative technology platform, Create® Technology, simplifies the benefits administration process for employers, administrators, and members. It offers a self-service portal where members can enrol, manage their membership, and search for providers. The platform also enables efficient management of claims, invoices, compliance reporting, and more.
MagnaCare's comprehensive medical management programs focus on providing quality care to patients based on their medical needs. They offer concierge care management, scheduling treatments promptly with top providers, and providing services like case triage, nurse case management, and utilization review.
Additionally, MagnaCare assists employers in designing their ideal healthcare solutions. They help determine the appropriate level of coverage, audit bills and implement cost-saving programs. MagnaCare's Redirection of Care programs help members find lower-cost, high-quality alternatives for their healthcare needs. Overall, MagnaCare's self-insured health plans offer employers flexibility, cost control, and improved healthcare outcomes for their members.
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MagnaCare covers drug and alcohol rehab treatment
MagnaCare is a third-party administrator company that has been managing labour funds and providing self-funded health insurance plans for over 30 years. They aim to "uncomplicate the administration of healthcare benefits" by providing a best-in-class platform that brings together benefits technology, health insurance technology, and an HR platform.
MagnaCare offers coverage for drug and alcohol rehab treatment. Their plans may cover some or all of the costs of rehab, depending on the specific plan and the state of residence. MagnaCare's network includes over 130,000 doctors at 225 hospitals and care centres, providing a wide range of healthcare providers for their customers.
MagnaCare covers various treatments that are essential in the recovery process, including detox, which is typically the first step. Rehab facilities provide assisted detox, where medical staff oversee patients to ensure their comfort and safety. Medications such as benzodiazepines, anticonvulsants, clonidine, and antidepressants may be provided to alleviate withdrawal symptoms.
Inpatient or residential care is also covered by MagnaCare, where patients live in the treatment facility for a period ranging from 15 to 90 days. During this time, therapists assess the underlying causes of addiction and develop a treatment plan that may include a combination of traditional and alternative therapies.
MagnaCare also covers partial hospitalization programs, an intensive form of treatment sometimes referred to as day treatment. Additionally, they provide coverage for medications incorporated into the treatment and recovery process, such as buprenorphine, methadone, and naltrexone, which are approved by the Food and Drug Administration (FDA) for treating opioid and alcohol use disorders.
It is important to verify your specific MagnaCare insurance plan to determine the extent of coverage for drug and alcohol rehab treatment.
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MagnaCare works with MLMIC Insurance Company, New York's #1 medical liability insurance provider
MagnaCare is a third-party administrator company that has been managing labour funds and simplifying the administration of healthcare benefits for over 30 years. The company works with everyone from labour organisations and employers to brokers and self-insured plans.
Through their partnership, qualifying MagnaCare participating providers can receive discounts of up to 30% on MLMIC medical professional liability insurance premiums. This includes an exclusive 10% discount for qualifying MagnaCare Risk Purchasing Group (RPG) physicians, with additional discount opportunities for potential total savings of up to 30%. The RPG discount amount is reviewed annually and is subject to upward or downward adjustment, including potential removal, pending approval by the NYS Department of Financial Services.
By collaborating with MagnaCare, MLMIC can offer its insurance to a network of more than 70,000 healthcare providers. This partnership allows MLMIC to expand its reach and provide liability insurance to a wider range of physicians, surgeons, dentists, hospitals, and other healthcare professionals in New York.
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MagnaCare is accepted at NYC Health + Hospitals
MagnaCare is a third-party administrator company that simplifies the administration of healthcare benefits. They work with everyone from labour organisations and employers to brokers and self-insured plans. They provide a range of services, including case triage, nurse case management, utilisation review, formulary review, and care scheduling. They also offer network solutions, allowing clients to rent a portion of their desired network, whether it's physician-only or hospital-only, on a local or national scale.
MagnaCare is accepted at the following NYC Health + Hospitals locations for hospitals, post-acute/long-term care facilities, and Gotham Health Centers/Clinics:
Hospitals:
- NYC Health + Hospitals/Bellevue
- NYC Health + Hospitals/Elmhurst
- NYC Health + Hospitals/Harlem
- NYC Health + Hospitals/Jacobi
- NYC Health + Hospitals/Kings County
- NYC Health + Hospitals/Lincoln
- NYC Health + Hospitals/Metropolitan
- NYC Health + Hospitals/North Central Bronx
- NYC Health + Hospitals/Queens
- NYC Health + Hospitals/South Brooklyn Health (formerly known as NYC Health + Hospitals/Coney Island)
- NYC Health + Hospitals/Woodhull
Post-acute/long-term care facilities:
- NYC Health + Hospitals/Carter
- NYC Health + Hospitals/Carter LTACH
- NYC Health + Hospitals/Coler
- NYC Health + Hospitals/Gouverneur
- NYC Health + Hospitals/McKinney
- NYC Health + Hospitals/Sea View
Gotham Health Centers/Clinics:
NYC Health + Hospitals/Gotham Health, Belvis
MagnaCare also works with MLMIC Insurance Company to provide New York's #1 medical liability insurance to physicians, offering a 10% discount to participating providers.
To access information about your MagnaCare health plan, you can register for their member service portal to find a provider, check your benefits, manage your claims, and more.
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Frequently asked questions
No, MagnaCare is not an insurance company. It is a third-party health plan management company that provides a range of self-insured health plans for employers.
MagnaCare offers a wide range of products and services to meet the needs of organizations and their members. They provide comprehensive medical management programs that give patients the best possible care based on their medical needs. This includes case triage, nurse case management, utilization review, formulary review, and care scheduling.
Eligibility for coverage depends on each employer's specific group plans. Generally, this includes full-time employees working 30 or more hours per week, employees' spouses, and dependent children up to the age of 26.
To verify your MagnaCare insurance coverage, you can review your benefits online or call your insurance provider. They will be able to confirm your specific plan details and coverage options.
