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Medicare Insurance for Addiction Treatment

Medicare is a federal health insurance program that helps people over the age of 65 afford quality healthcare. Does Medicare cover drug and alcohol addiction treatment? Yes, when you need addiction rehab, Medicare healthcare coverage can help with costs and cover at least some parts of your care. Depending on your plan and qualifications, it can make addiction treatment more accessible for those who need it.

This page is meant to help you find out about eligibility and how Medicare can help make the cost of rehab more affordable.

American Addiction Centers (AAC) strives to provide you with the most updated information on each carrier’s addiction insurance coverage, but policy changes and errors do occur. Please check with your insurance carrier directly to confirm coverage levels.


Does Medicare Cover Addiction Treatment?

Medicare generally does cover substance abuse rehab, but it may not cover all aspects of addiction treatment. Original Medicare Part A covers inpatient care for up to 190 days.1 The cost depends on your plan. You typically pay your deductible for the first 60 days and then cover a portion of the cost if you stay longer.

Costs vary further for outpatient care, depending on the type of treatment you need. Medicare mental health coverage is also included as required by the Affordable Care Act (ACA). It covers therapy for co-occurring disorders like anxiety, depression, and other mental health disorders.


How to Check Your Insurance Benefits?

Before choosing the right addiction treatment center for you, check your Medicare policy benefits to determine which costs will be covered by your insurance company and which will be out-of-pocket for you. Call the number on the back of your insurance card or log in to your account on Medicare’s website to learn more about what your specific policy plan covers.

Knowing exactly what your Medicare plan covers can give you peace of mind while you or your loved one is in rehab. You can do the work of getting and staying sober without worrying about unexpected costs or financial struggles. For more information on Medicare insurance plans and to check what your plan covers, call , click here, or fill out the form below.








Sources

    1. Medicare.gov. (n.d.). Inpatient Rehabilitation Care.
    2. Healthcare.gov. (n.d.). Mental health & substance abuse coverage.
    3. Medicare.gov. (n.d.). What’s Medicare?
    4. National Institute on Drug Abuse. (2018). Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition): Types of Treatment Programs.
    5. National Institute on Drug Abuse. (2014). Principles of Adolescent Substance Use Disorder Treatment: A Research-Based Guide: Treatment Settings.
    6. Medicare.gov. (n.d.). Your Medicare Coverage.

More resources about Medicare Insurance for Addiction Treatment: