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Does Medicare cover Alcohol and Drug Rehab Centers?

On this page, you will learn about Medicare coverage for substance abuse treatment and how to confirm what benefits are available under your specific plan.
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Provider Overview

Medicare Covered Drug Rehab Centers and Treatment Hotline

Medicare is the federal government’s health insurance program for certain people. It provides a wide range of medical healthcare solutions for Americans, including coverage for people dealing with drug or alcohol addiction.1 If you meet the criteria for Medicare coverage (discussed below), you can access the benefits.

If you’re dealing with a substance abuse issue, you probably have questions about your Medicare rehab coverage. It’s important to have an understanding of Medicare drug treatment so that you can begin the recovery process. Delaying addiction treatment will only lead to your condition worsening. So, let’ look a bit closer at how Medicare manages substance addiction issues.

Medicare coverage for Substance Use Disorder and Inpatient Mental Health

Medicare offers coverage for an array of medical and mental healthcare issues. It consists of 2 main parts: 2

  • Part A: This is the hospital part of the insurance. It covers inpatient hospital care, home health care, nursing facility services, and hospice care. 2
  • Part B: This is the medical part of the insurance. It covers most doctors’ services, mental health care, substance addiction care, hospital outpatient services, medical equipment, preventative care, lab tests, x-rays, and some ambulance services. 2
  • A drug coverage component of Medicare, Part D, covers certain prescription drugs. 3

With regard to Medicare drug abuse treatment coverage, the following programs and services are covered either in part or whole: 4

  • Inpatient rehab treatment (this fall within the Part A section of Medicare)
  • Outpatient treatment program (Part B would cover this type of rehab)
  • Opioid treatment programs such as medication-assisted therapy and opioid use disorder treatment
  • Screening and assessment
  • Psychotherapy for substance use disorder
  • Other forms of therapy
  • Intensive outpatient programs
  • Partial hospitalization programs
  • Post-hospitalization follow-up
  • Patient education about addiction

Finding Inpatient mental health treatment facilities that accept Medicare

According to research conducted by the National Institute on Drug Abuse, there is a strong connection between substance abuse and mental health disorders. 5 Approximately 50% of people with a mental illness will struggle with substance use disorder and the reverse holds true. 5 All mental illnesses can lead to an addiction problem, just as any substance addiction could lead to a mental health disorder. However, some mental illnesses stand out when it comes to substance use. These mental health disorders include: 5

  • Depression, including bipolar disorder
  • Anxiety
  • Anti-social personality disorder
  • Borderline personality disorder
  • ADHD

It’s critical to treat mental health disorders and substance abuse issues together so that you don’t cycle back to one problem or the other. You’ll have better long-term recovery success by treating these conditions in tandem.

Medicare provides coverage for some mental health services, such as:6

  • Screening
  • Medication management
  • Partial hospitalization programs
  • Medication
  • Counseling and therapy, including both individual and group therapy

How Long will Medicare Pay for a Rehab Facility?

Medicare uses different criteria to determine the length of time it will cover drug rehabilitation. Each person’s needs vary, but there is strong support that indicates a longer stay in rehab will provide better outcomes. The National Institute on Drug Abuse states that patients should be in drug rehab for at least 3 months for treatment to be most effective.7 To find out the length of time Medicare will cover your rehab, you can contact for more details.

What are Medicare Eligibility Requirements?

Medicare is available for certain categories of people. If you are in the qualifying group, you can enroll in this government-funded health insurance. Those who are eligible for Medicare are either: 8

  • 65 years and older.
  • Younger than 65 with a qualifying disability.
  • Those with end-stage renal disease (sometimes called ESRD), which is permanent kidney failure.

How to Find Medicare covered Rehab Facility?

When you look for drug rehab centers that accept Medicare, you can call the rehab facility directly and ask them if they accept it or call the number on the back of your Medicare card. For a faster response, you can verify your insurance online and get an instant answer.

Keep in mind that rehab centers that accept Medicare have been approved by the government. They must abide by certain requirements, including certification by the Substance Abuse and Mental Health Services Administration (SAMHSA) and enrollment in the Medicare program.4

Once you find a Medicare-covered rehab treatment provider near you, then you can be assured that they will be certified with SAMHSA.

What if Drug Addiction Treatment is not covered by Medicare?

If you’re concerned about Medicare not covering the entire cost of drug addiction treatment, American Addiction Centers (AAC) is here to assist you with finding a way to get the help you need. They can speak to your family or friends about financing the treatment, offer a potential financing plan, or arrange payments on a sliding-scale fee. You deserve to have a second chance at life. With a helping hand, you can move forward and begin the healing process.

American Addiction Centers employs certified, high-quality therapists and staff who are equipped to deal with all types of substance abuse. They offer an array of treatment plans to suit you wherever you are on your journey. Some of these treatment plans include:

Through participation in evidence-based therapies with Master’s-level therapists, you will be well on your way to a new future. Some therapies offered at an AAC rehab include:

  • Cognitive-behavioral therapy
  • Dialectical behavioral therapy
  • Family therapy
  • Yoga therapy
  • Music therapy
  • Animal-assisted therapy

Contact American Addiction Centers to speak to an intake coordinator about the admission process. Someone can verify your insurance and get you started with an evaluation. Call the 24/7 hotline at .

How to Read Your Insurance Provider Card
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  • 1Insurance Provider Name
  • 2Policy Member's Full Name
  • 3Policy Membership/Subscriber ID
Local Alcohol Rehab Near Me
Local Opioid Rehab Near Me
  1. Medicare Interactive. (2021). What happens when not all doctors accept Medicare—do you have to switch?
  2. The Official U.S. Government Site for Medicare. What Medicare covers.
  3. The Official U.S. Government Site for Medicare. Drug coverage (Part D).
  4. Medicare Interactive. Treatment for alcoholism and substance use disorder.
  5. National Institute on Drug Abuse. (2020). Common comorbidities with substance use disorders research report
  6. Centers For Medicare & Medicaid Services. (2020). Medicare & your mental health benefits.
  7. National Institute on Drug Abuse. (2018). Principles of drug addiction treatment: A research-based guide.
  8. The Official U.S. Government Site for Medicare. What’s Medicare?
  9. Medicaid.
  10. Center for Medicare Advocacy. Medicare Coverage of Mental Health and Substance Abuse Services.
  11. Inpatient Hospital Care.
  12. Mental Health Care (Outpatient).
  13. Mental Health Care (Inpatient).
  14. Inpatient Rehabilitation Care.

Check Your Policy Coverage

With the form below you can quickly and privately check your insurance benefits to see if you're covered for addiction treatment services. We’ll be able to tell you if your policy is in-network at an American Addiction Centers location.
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AAC Locations

Learn more about our treatment facilities

American Addiction Centers (AAC) owns and operates facilities at various locations nationwide to provide you or your loved one addiction and mental health care.
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Frequently asked questions

Can You Have Medicaid and Medicare?
Yes, some people are eligible for both Medicaid and Medicare.9 Medicare requirements are the same nationwide since the federal government applies them while every state administers Medicaid differently. If a patient is fully covered by Medicaid and also has Medicare, the majority of their healthcare expenses are covered.9
Does Medicare Pay for Substance Abuse Counseling?
Although Medicare’s coverage of mental health and substance abuse services isn’t as comprehensive as it is for other medical needs, in many cases it will cover substance abuse treatment, including psychotherapy.10 Beneficiaries can receive coverage if medical professionals find SUD treatment to be medically necessary and if it’s carried out at a Medicare-covered facility.10
Can You Have Medicare Cover Rehab for Alcoholism?
Yes, Medicare typically covers treatment for alcohol use disorders partially, both when it comes to inpatient stays and outpatient mental health services.11,12 However, the patient’s provider has to confirm that the treatment is medically necessary, they need to determine their plan of care, and the treatment has to be supplied by a Medicare-covered center.12
What to Do When Medicare Runs out for Rehab?
Medicare beneficiaries have coverage for up to 90 days of inpatient hospital treatment during a single benefit period plus 60 lifetime reserve days.11 The same goes for inpatient mental health care services.13 They are required to pay a daily coinsurance for every lifetime reserve day they use. If they use up all of their lifetime reserve days, they need to cover all additional costs on their own.11
What Does Medicare Cover for Long-Term Care?
In case of inpatient care, Medicare covers:6 Rehabilitation. A semi-private room. Nursing. Meals. Medication. Other hospital services and supplies. When it comes to outpatient treatment, Medicare helps pay for:12 Psychiatric testing and other diagnostics. Individual, group, and family counseling. Medication management. Partial hospitalization. Evaluation to check if current care is effective.
Does Medicare Cover Suboxone Treatment?
Buprenorphine, also known as suboxone, is an FDA-approved drug used to treat opioid use disorder. Medicare helps beneficiaries cover the cost of outpatient and inpatient treatment including medically necessary drugs, and suboxone can be one of them.14,12
Does Medicare Cover Methadone Treatment?
Methadone has been approved by the FDA as the treatment for opioid use disorder and Medicare covers it as part of either inpatient rehabilitation care and outpatient services.14,12

Guides for other health insurance providers

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  • You may receive treatment at one of our facilities at a reduced rate.
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