Best Drug Rehab Centers That Accept Medicare in 2022

Drug rehab centers that accept Medicare are easy to find if your care is considered medically necessary. Medicare covers drug rehab centers as an essential health service, which includes therapy, prescription medicine, and patient education. Finding the best rehab center is simple if you use your state’s Medicare rehab list.

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UPDATED: Jun 28, 2022

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Written By: Chris TepedinoReviewed By: Laura WalkerUPDATED: Jun 28, 2022Fact Checked

The Rundown

  • To be eligible for Medicare coverage of drug rehab, care services must be deemed medically necessary
  • Medicare Part A and B cover inpatient and outpatient rehab services, including detox and therapy
  • Part D covers some prescription medicine associated with substance abuse treatment

From alcohol abuse to heroin addiction, getting help for a substance use problem is integral for your health. However, rehab can be expensive, and paying for it can be stressful.

Some people decide to skip recovery because they believe they can’t afford it. This isn’t the case — there are so many ways to pay for rehab that no one should feel like they don’t have an option.

For those that are eligible, drug rehab is covered by Medicare. Seniors over 65 and people who are disabled qualify for health insurance with Medicare.

Before you find drug rehab centers that accept Medicare, make sure you have the right coverage. When you’re ready, enter your ZIP code into our free tool to compare quotes for Medicare coverage.

Drug Rehab Centers That Accept Medicare

Where are outpatient or inpatient drug rehab centers that accept Medicare near me? The answer is Medicare does cover drug rehab centers, and you won’t have difficulty finding one near you.

Medicare covers procedures and treatments that are considered medically necessary. Given the nature of substance abuse and addiction, treatment is often medically-necessary.

The good news is that there are many affordable drug rehab centers that accept Medicare. Your rehab services can be covered if you meet the following qualifications:

  • The rehab services must be medically necessary
  • Your physician must create a care plan for you
  • Your treatment requires an approved facility

As long as you meet these requirements, your rehab will be at least partially covered by Medicare. Each state maintains a list of drug rehab centers that accept Medicare.

When choosing a drug rehab, you should consider its location. For example, a rehab center near you is more convenient and less costly. It makes it easy to get back and forth to outpatient services.

On the other hand, rehab centers farther from your house allow you privacy and a better chance at a fresh start. Whatever you decide, you can find the perfect rehab for your needs.

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What does Medicare cover for drug rehab?

As with all types of healthcare services, the services Medicare will cover for drug rehab depend on your coverage and the type of care you receive. To understand how much coverage you can receive from Medicare, you should understand the different parts.

Medicare for Inpatient Services

Medicare Part A covers inpatient services and hospitalization. As far as drug rehab is concerned, that includes inpatient residential rehab programs.

Under Medicare Part A, you can receive the following treatments:

  • Inpatient rehab care
  • Acute care and critical access hospitalization
  • Mental health care
  • Medically-necessary procedures needed during hospitalization

As long as a health service is deemed medically necessary by your doctor and approved by Medicare, Part A will cover inpatient services.

For example, services might include individual and group therapy, patient education, detox, relapse management, and aftercare planning.

Medicare for Outpatient Services

Medicare Part B covers outpatient services that don’t require you to stay full-time in a facility.

Part B covers both traditional outpatient rehab treatment as well as partial hospitalization. Partial hospitalization is best for people with more severe addiction problems who still want to return home at the end of the night.

To be eligible for partial hospitalization, a doctor must sign off that you need that level of treatment. Additionally, your treatment plan must include a minimum of 20 hours per week.

Similar to inpatient rehab, outpatient services include:

  • Addiction education
  • Individual and group therapy
  • Family therapy (only when it’s necessary to treat the addiction)
  • Recreational therapy
  • Drugs that need to be administered by a healthcare professional
  • Diagnostic tests for mental health

With Part B, you can also take an alcohol misuse assessment once a year. If your alcohol use is troubling, you might qualify for counseling sessions.

Medicare Advantage

Medicare Part C, or Medicare Advantage, is aninsurance plan from a private company you can purchase to give you more coverage. It includes all of the coverage of Part A and Part B, and usually has added benefits as well.

If you have Medicare Advantage, make sure you’re in-network for your healthcare, or you’ll be responsible for the total cost. With Medicare Advantage, you may have better access to mental healthcare and substance abuse treatments.

Medicare for Prescription Medications

Finally, Medicare Part D covers prescription medication and might cover the medication you need in your substance abuse treatment. This includes drugs that help treat opioid addiction but does not include methadone as a treatment for dependence.

While Part D doesn’t cover every drug, it offers coverage for anticonvulsants, antipsychotics, and antidepressants.

How much does drug rehab cost with Medicare?

Drug rehab can be surprisingly affordable or outrageously expensive — it all depends on the facility you choose and the services you receive.

The average cost of outpatient care is $2,400 per month, while inpatient residential rehabs cost around $17,000. On the extreme end of the scale, luxury drug rehabs can cost anywhere from $26,000 to $100,000 a month.

Medicare does cover drug rehab services, but there are limitations based on the part covering your service.

Medicare Part A

You’ll need to meet your deductible (which is currently $1,484 per period) and the coinsurance for the duration of your stay:

  • 1-60 days: $0
  • 61-90 days: $371 per day
  • 91 days and beyond: $742 per day

There are limits to Part A coverage. For example, you can only stay at an inpatient facility for 60 days at a time. You have a lifetime limit of 190 days. After that, you’ll need other forms of coverage.

Medicare Part B

The rate for Medicare Part B is generally $203, although it can be higher depending on your income.

Medicare covers up to 80% of costs for outpatient care after your deductible is met.

Medicare Part C

The cost of treatment with Medicare Part C depend on the details of your Advantage plan. Additionally, quotes from drug rehab centers that accept Medicare Part C vary by the type of facility you choose and the services you receive.

Medicare Part D

Medicare Part D rates vary by the plan you purchase and your income level. For example, if you make $88,000 as an individual or $176,000, you’ll have $12.30 added to your monthly rate.

Rates for drug rehab centers that accept Medicare don’t include prescription medication unless you have Part D or Medicare Advantage.

How can I pay for what Medicare doesn’t cover?

While Medicare doesn’t cover everything, you can explore these other options to ensure your drug rehab is paid for:

  • Sliding scale payment plan, which charges you for services based on your income
  • Private health insurance
  • Private funding, such as your own savings, help from family, or crowdfunding
  • Local or state programs
  • Non-profit centers

Even if you’re struggling with the idea of how much rehab can cost, consider it an investment in yourself. However you pay for it, drug rehab is worth it.

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Find Quotes for Medicare Today

Rehab is an essential service when you’re struggling with drug addiction or substance abuse. However, you don’t need to struggle to pay for it — as long as you’re eligible for Medicare, you can get your rehab services covered.

When you’re ready to find drug rehab centers that accept Medicare, the best place to start is to look at quotes for coverage. If you’re prepared to look at what quotes might look like for you, enter your ZIP code into our free tool today.

Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.

Chris Tepedino is a feature writer that has written extensively about home, life, and car insurance for numerous websites. He has a college degree in communication from the University of Tennessee and has experience reporting, researching investigative pieces, and crafting detailed, data-driven features. His works have been featured on CB Blog Nation, Flow Words, Healing Law, WIBW Kansas, and C...

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Written by Chris Tepedino
Insurance Feature Writer Chris Tepedino

Laura Walker graduated college with a BS in Criminal Justice with a minor in Political Science. She married her husband and began working in the family insurance business in 2005. She became a licensed agent and wrote P&C business focusing on personal lines insurance for 10 years. Laura serviced existing business and wrote new business. She now uses her insurance background to help educate...

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Reviewed by Laura Walker
Former Licensed Agent Laura Walker

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