Yes, substance abuse treatment is covered under Medicare. Medicare is the federal health insurance program in the United States primarily designed for individuals aged 65 and older. However, it also covers certain individuals with disabilities and those with end-stage renal disease.
Medicare Part A and Part B, also known as Original Medicare, provide coverage for a range of substance abuse and mental health services. Here are some of the specific services covered:
Inpatient Substance Abuse Treatment: Medicare Part A covers inpatient treatment in a general hospital or specialized psychiatric hospital for substance abuse.
Outpatient Substance Abuse Treatment: Medicare Part B covers outpatient treatment services, such as counseling and therapy, for substance abuse.
Medications for Substance Abuse: Some medications used to treat substance abuse, like certain opioid addiction treatments, may be covered under Medicare Part B or Medicare Part D (prescription drug coverage).
Screening and Counseling: Medicare covers annual alcohol misuse screening and counseling services for beneficiaries to address potential substance abuse issues.
Partial Hospitalization Program (PHP): Medicare may cover partial hospitalization programs for beneficiaries who require intensive outpatient treatment for substance abuse.
It's essential to note that while Medicare does provide coverage for substance abuse treatment, there may be some cost-sharing involved, such as copayments, coinsurance, or deductibles, depending on the specific services and settings. Additionally, the specific coverage details can vary based on the Medicare plan you have, as some beneficiaries opt for Medicare Advantage plans (Part C) that may offer additional benefits beyond Original Medicare.
If you or someone you know needs substance abuse treatment and has Medicare coverage, it's advisable to contact Medicare or review your plan's coverage documents to understand the specific benefits and costs related to substance abuse treatment services.