Guide to Medicare Insurance Coverage for Addiction Treatment

Explore trusted rehab centers that accept Medicare and provide compassionate, affordable care for addiction recovery. These facilities offer essential services like detox, therapy, and medication-assisted treatment for those eligible under Medicare. Whether you or a loved one is seeking help, the listings below include programs designed to support long-term healing. Discover your recovery options and find the right Medicare-approved facility near you.

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Last Edited: July 12, 2025
Author
Patricia Howard, LMFT, CADC
Clinically Reviewed
Andrew Lancaster, LPC, MAC
All of the information on this page has been reviewed and certified by an addiction professional.

Medicare Addiction Treatment Coverage | Find Rehab Centers That Accept Medicare Near You

Addiction doesn’t discriminate based on age or income, and recovery shouldn’t either. Many older adults and people with disabilities wonder if they can get help for substance use disorder through their Medicare insurance. The good news? Medicare addiction treatment coverage exists, and it could be the path that helps someone rebuild their life. Whether you’re looking for detox, inpatient rehab, outpatient services, or long-term recovery options, there are rehab centers that accept Medicare and provide compassionate, evidence-based care.

As journalist David Sheff once said, “Addiction isn’t about using drugs. It’s about what the drug does to your life.” The damage caused by substance abuse can be physical, emotional, and financial. According to the National Institute on Drug Abuse, nearly 1 million adults aged 65 and older live with a substance use disorder. And many don’t seek help because they believe they can’t afford it. That ends today.

What Is Medicare Addiction Treatment Coverage?

Medicare addiction treatment coverage refers to the mental health and substance abuse benefits included in Medicare Parts A, B, and D. These benefits cover a wide range of addiction-related services, from detox and inpatient rehab to counseling and medication-assisted treatment (MAT).

Medicare Part A (Hospital Insurance)

Part A covers inpatient hospital care, including rehab stays in a hospital or specialized facility. This includes medically necessary detox services and mental health hospitalization.

Medicare Part B (Medical Insurance)

Part B helps cover outpatient therapy, visits to psychiatrists or substance abuse counselors, partial hospitalization programs, and screenings for alcohol misuse.

Medicare Part D (Prescription Drug Coverage)

Part D covers medications used in addiction recovery, including those for MAT such as methadone (in specific settings), buprenorphine, and naltrexone.

Rehab Centers That Accept Medicare

Not all treatment centers accept Medicare, so it’s essential to search specifically for rehab centers that accept Medicare. These facilities understand how to bill Medicare properly and ensure patients receive the care they need without out-of-pocket surprises.

You can find Medicare-accepting centers offering:

Many state-funded rehab centers and nonprofit organizations also work with Medicare beneficiaries.

Who Qualifies for Medicare-Funded Addiction Treatment?

You may qualify for Medicare addiction treatment coverage if:

  • You are 65 or older
  • You are under 65 and have a qualifying disability
  • You have end-stage renal disease (ESRD)

Once enrolled, you’ll have access to substance abuse treatment services, provided they are deemed medically necessary by a licensed healthcare provider.

Dangers of Delaying Treatment

Addiction worsens over time. Waiting for help can lead to irreversible damage. Substance use increases the risk of heart disease, liver failure, cognitive decline, and death. Among Medicare beneficiaries, hospitalization rates related to alcohol and drug use have risen significantly in recent years.

The CDC reports that between 2007 and 2017, the number of older adults who died from a drug overdose more than doubled. Ignoring addiction doesn’t make it disappear—it makes recovery harder.

Hope Through Coverage and Compassion

Access to addiction treatment through Medicare is a life-saving opportunity. Whether you’re looking for help for yourself or a loved one, know this: Medicare coverage removes one of the biggest barriers to treatment—cost.

Treatment works. Recovery is real. And the right Medicare-covered rehab program can provide the support, therapy, and medical care needed to get better.

What to Ask When Searching for Medicare Rehab Programs

When calling rehab centers, ask:

  • Do you accept Medicare for addiction treatment?
  • What services are covered under my plan?
  • Are medications for MAT included?
  • Do you provide detox or residential care?
  • What is your discharge and aftercare plan?

A Brighter Tomorrow Is Within Reach

Choosing recovery is a brave first step, and Medicare makes it possible for more people than ever. If you or someone you love is struggling with addiction, you don’t have to go through it alone. Help is available, affordable, and waiting.

Recovery isn’t just for the wealthy or young. It’s for everyone with a heartbeat and a desire for change. As author Anne Lamott says, “Hope begins in the dark.” Let this be the day hope begins.

Explore our directory below to find trusted, compassionate rehab centers that accept Medicare near you. Your healing journey starts here.

Frequently Asked Questions
Do Medicare Advantage plans offer more addiction treatment benefits?
Often, yes. Medicare Advantage (Part C) plans may provide additional addiction treatment benefits, such as expanded provider networks, enhanced mental health services, or lower out-of-pocket costs. Benefits vary by plan and location.
Are there any costs involved in addiction treatment with Medicare?
Yes, while Medicare covers many addiction services, you may still have to pay deductibles, copays, or coinsurance. Some Medicare Advantage plans may also charge monthly premiums. Contact the rehab center or your plan provider for a detailed cost breakdown.
What addiction treatments does Medicare cover?
Medicare typically covers a wide range of addiction treatment services, including inpatient rehab, outpatient therapy, partial hospitalization programs (PHP), medically necessary detox, and medication-assisted treatment (MAT). Coverage depends on the type of Medicare plan and medical necessity as determined by a healthcare provider.
Does Medicare cover inpatient rehab for drug or alcohol addiction?
Yes, Medicare Part A generally covers inpatient rehab if it’s medically necessary. This includes room and board, therapy, and nursing care. However, coverage may be limited to a set number of days per benefit period, and there may be coinsurance or deductibles.
Can I go to a rehab center that accepts Medicare?
Absolutely. Many rehab centers across the U.S. accept Medicare. Look for facilities that are Medicare-certified and provide substance use treatment. DetoxToRehab.com offers a directory of trusted rehab centers that accept Medicare to help you find the right fit near you.
How do I find out if my Medicare plan covers addiction treatment?
You can check your coverage by logging into your Medicare account at Medicare.gov or calling 1-800-MEDICARE. Alternatively, the rehab center’s admissions team can often verify your benefits and explain what services are covered.
Does Medicare cover outpatient addiction treatment?
Yes. Medicare Part B may cover outpatient services like counseling, group therapy, and MAT for substance use disorders. This allows individuals to receive treatment while living at home and continuing their daily responsibilities.
Is detox covered by Medicare insurance?
In most cases, yes. If detox is deemed medically necessary, Medicare will cover detox services either in an inpatient hospital setting or as part of a rehab program. Always check with the specific facility or your plan to confirm.
Article Sources
Medical Reviewer
Medical Reviewer
Andrew Lancaster, LPC, MAC
Author
Author
Patricia Howard, LMFT, CADC