Does Medicare Cover Rehab?

Yes, Medicare covers drug and alcohol rehab in most states. To learn about specific coverage, read our guide below.

Published On: May 14, 2023


Medicare is a federal health insurance program that provides coverage for people aged 65 and older and certain individuals with disabilities.

One of the biggest concerns for many people is whether or not Medicare covers the cost of drug and alcohol rehab. Substance abuse is a growing problem in the United States, and many people are looking for help to overcome addiction.

In this article, we will explore the coverage for alcohol and drug rehab under Medicare and the options available to individuals seeking help.

Medicare Coverage for Alcohol and Drug Rehab

Medicare offers coverage for substance abuse treatment, but the specifics of the coverage depend on the type of Medicare plan you have. Medicare Part A covers inpatient hospitalization for substance abuse treatment.

This includes detoxification services, medication management, and other necessary medical services. Medicare Part A covers up to 190 days of inpatient hospitalization for substance abuse treatment, after a deductible is paid.

Medicare Part B covers outpatient services for substance abuse treatment. This includes counseling, therapy, and other outpatient services. Medicare Part B covers up to 80% of the cost of outpatient services, after the annual deductible is paid.

Medicare Part C, also known as Medicare Advantage, is a type of Medicare plan offered by private insurance companies. Medicare Advantage plans must provide the same coverage as Original Medicare, but they can also offer additional benefits, such as coverage for prescription drugs and wellness programs. Some Medicare Advantage plans may also offer coverage for substance abuse treatment.

Medicare Part D covers prescription drugs, including medications used to treat substance abuse. Medicare Part D plans vary in their coverage of prescription drugs, so it is important to review the specific plan to determine coverage for medications used to treat substance abuse.

Options for Individuals Seeking Help:

If you or a loved one is struggling with addiction, there are a variety of options available for substance abuse treatment. In addition to Medicare coverage, there are other options for individuals seeking help.

One option is to seek treatment through a private insurance plan. Many private insurance plans offer coverage for substance abuse treatment, and some plans may offer more comprehensive coverage than Medicare.

Another option is to seek treatment through a state-funded program. Many states offer substance abuse treatment programs for individuals who cannot afford private insurance or who do not qualify for Medicare.

Conclusion

Medicare does provide coverage for substance abuse treatment, but the specifics of the coverage depend on the type of Medicare plan you have. Medicare Part A covers inpatient hospitalization for substance abuse treatment, while Medicare Part B covers outpatient services.

Medicare Part C and Part D may also offer coverage for substance abuse treatment. Individuals seeking help for substance abuse have a variety of options available, including private insurance plans and state-funded programs. It is important to review the specific coverage available under each plan to determine the best option for your needs.

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