Best Drug Rehab Centers That Accept Medicare (2024)
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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Schimri Yoyo
Licensed Agent & Financial Advisor
Schimri Yoyo is a financial advisor with active life and health insurance licenses in seven states and over 20 years of experience. During his career, he has held roles at Foresters Financial, Strayer University, Minnesota Life, Securian Financial Services, Delaware Valley Advisors, Bridgemark Wealth Management, and Fidelity. Schimri is an educator eager to assist individuals and families in ...
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UPDATED: May 29, 2023
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UPDATED: May 29, 2023
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
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Welcome to our informative article on the best drug rehab centers that accept Medicare. Delving into the key topics you need to know when searching for a reputable rehab center that accommodates Medicare insurance. We will discuss the criteria for selecting the best centers, the range of services offered, quality of care, success rates, and affordability.
We understand that finding the right rehab center is a critical decision, and we want to make the process easier for you. Simply enter your ZIP code below to compare rates from the best insurance providers.
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.
Frequently Asked Questions
Does Medicare cover drug rehab centers?
Yes, Medicare covers drug rehab centers as an essential health service, including therapy, prescription medicine, and patient education.
What does Medicare cover for drug rehab?
The services Medicare will cover for drug rehab depend on your coverage and the type of care you receive. Medicare Part A covers inpatient services and hospitalization, while Medicare Part B covers outpatient services that don’t require you to stay full-time in a facility.
How much does drug rehab cost with Medicare?
The cost of drug rehab with Medicare depends on the part covering your service. For instance, under Medicare Part A, you’ll need to meet your deductible ($1,484 per period) and the coinsurance for the duration of your stay.
How can I pay for what Medicare doesn’t cover for drug rehab?
If you’re looking for ways to pay for what Medicare doesn’t cover for drug rehab, you can explore other options, such as Medicaid, private insurance, sliding fee scales, or grants.
What types of drug rehab services are covered by Medicare?
Medicare covers both inpatient and outpatient drug rehab services, as long as they are considered medically necessary. Inpatient services are covered under Medicare Part A, while outpatient services are covered under Medicare Part B.
Can I choose any drug rehab center that accepts Medicare?
While Medicare covers drug rehab services, it’s important to choose a drug rehab center that is approved by Medicare. Each state maintains a list of drug rehab centers that accept Medicare, so you can search for approved centers in your area.
How much will I have to pay for drug rehab with Medicare?
The cost of drug rehab with Medicare varies depending on your coverage and the type of services you receive. Medicare Part A covers inpatient services and requires you to pay a deductible and coinsurance. Medicare Part B covers outpatient services and requires you to pay a monthly premium and coinsurance. Medicare Part C and Part D also have different costs and coverage limitations.
What if I can’t afford the cost of drug rehab with Medicare?
If you’re unable to afford the cost of drug rehab with Medicare, there are other options available to you. Some drug rehab centers offer sliding scale fees or payment plans, and you can also look into Medicaid or private insurance options. Additionally, some nonprofit organizations and charities may offer financial assistance for drug rehab.
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Schimri Yoyo
Licensed Agent & Financial Advisor
Schimri Yoyo is a financial advisor with active life and health insurance licenses in seven states and over 20 years of experience. During his career, he has held roles at Foresters Financial, Strayer University, Minnesota Life, Securian Financial Services, Delaware Valley Advisors, Bridgemark Wealth Management, and Fidelity. Schimri is an educator eager to assist individuals and families in ...
Licensed Agent & Financial Advisor
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.