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By BrightView
Author Dan Bielecki, LPCC-S, LICDC-CS
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Dan Bielecki, LPCC-S, LICDC-CS

Dan is a Licensed Professional Clinical Counselor with supervision designation (LPCC-S) and a Licensed Independent Chemical Dependency Counselor... read more

Published: April 23, 2022
Updated: April 21, 2022

Many of those who would benefit most from substance use disorder treatment are also worried about the potential cost. While working to overcome addiction, concerns about the financial aspects of treatment can keep patients from focusing on what they’re learning. However, Medicare coverage is one option that patients can use to pay for treatment.

Medicare covers most services when deemed necessary by your healthcare provider, even though the amount of coverage may vary depending on the treatment program needed. This shouldn’t be a barrier to seeking treatment, as the best addiction treatment centers will never turn away someone in need.

Ongoing addiction treatment doesn’t have to be expensive. If you are ready to learn about a drug addiction treatment center that can meet you where you are, BrightView is the place for you. We believe that we have a better approach to addiction treatment. You can reach us online or call us today at 1-833-510-HELP to learn more about paying for rehab with Medicare.

Medicare Coverage for Addiction Treatment

Medicare is a nationwide health insurance plan provided by the government. It’s available for anyone over 65 years old and certain individuals with disabilities. There’s a monthly premium based on the beneficiary’s income, and individuals earning a lower income will pay a lower monthly premium.

How much of the costs Medicare covers will depend on your plan.1 Typically, you’ll need to meet your yearly out-of-pocket limit before all costs are covered. Deductibles, coinsurance, and copayments will vary. Enrolling in treatment at a rehab center that accepts Medicare will ensure that you get the best possible coverage.

Substance Use Disorder Treatment with Medicare

Medicare generally categorizes substance use disorder treatments as a form of mental health treatment.

This is further broken down into three types of treatments, which include:

  • Inpatient care – Medicare Part A covers mental health services you receive from a hospital where you must be admitted as an inpatient.
  • Partial hospitalization – Medicare Part B can help cover partial hospitalization costs you receive through a hospital outpatient department or another healthcare provider.
  • Outpatient care – Medicare Part B helps also covers outpatient mental health services, including ones usually provided outside a hospital, such as at a doctor’s office or another healthcare provider.

Since there’s such a wide array of options, it’s impossible to give a one-size-fits-all answer to how much Medicare will pay for rehab. However, a good rule of thumb is that after your deductible has been paid, you can expect to pay around twenty percent of the costs of Medicare-approved treatments, as well as medications administered via clinics and professional interventions.

How long does Medicare pay for rehab? In general, inpatient care is covered for up to sixty days, and you would have to pay coinsurance for any days past that spent at a hospital or rehab facility. Outpatient care and partial hospitalization programs don’t require checking in to a hospital or rehab facility, so there is no strict time limit for coverage.

Get Started on the Road to Recovery at BrightView Today

Substance use disorders are a disease, and diseases can be treated. If you or one of your loved ones is facing a substance use disorder, you should be able to seek help without worrying about whether or not you’ll be able to afford it.

At BrightView, we’re available 24/7, and we will never turn anyone away, whether they have insurance, Medicare or Medicaid, or no insurance at all. We believe that your health coverage should never stop you from asking for help. Our phone lines are open all day long, allowing you to get support and guidance at your convenience by calling 1-833-510-HELP. Or, you can use our online contact form to request more information about Medicare coverage for rehab.

Finding treatment options that work with your finances and your schedule is crucial to ensuring the success of any recovery program. BrightView takes an evidence-based approach to treatment that can help you maintain recovery long-term. Discover more about what sets us apart when you contact BrightView today.

  1.  Medicare.gov – Opioid Use Disorder Treatment Services