Medicare Coverage for Addiction Treatment

Understanding your Medicare behavioral health benefits

Does Medicare Cover Rehab?

Medicare covers substance abuse treatment including inpatient hospital stays, outpatient counseling, partial hospitalization, and medication-assisted treatment for substance use disorders.

What Treatment Does Medicare Typically Cover?

  • Medical detoxification
  • Inpatient/residential rehabilitation
  • Intensive outpatient programs (IOP)
  • Outpatient therapy and counseling
  • Medication-assisted treatment (MAT)
  • Partial hospitalization programs (PHP)

How to Verify Your Medicare Benefits

Coverage details vary based on your specific plan, network, and state of residence. The fastest way to determine your exact benefits is to call our free helpline at (855) 461-7830. Our navigators will contact Medicare on your behalf and provide a clear breakdown of your coverage.

Find Centers Accepting Medicare

Browse our directory to find treatment centers that accept Medicare insurance, or call (855) 461-7830 for personalized matching.

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What Does Medicare Cover for Addiction Treatment?

Medicare behavioral health benefits typically include coverage for the full continuum of addiction treatment services. Under the Mental Health Parity and Addiction Equity Act (MHPAEA), Medicare must provide substance use disorder treatment benefits comparable to medical/surgical benefits. Coverage generally includes:

  • Medical Detoxification — Medically supervised withdrawal management
  • Inpatient/Residential Treatment — 24/7 structured programs, typically 28-90 days
  • Partial Hospitalization (PHP) — Day programs with 5-7 hours of daily treatment
  • Intensive Outpatient (IOP) — 3-5 sessions per week, 3+ hours each
  • Outpatient Therapy — Individual and group counseling sessions
  • Medication-Assisted Treatment (MAT) — Suboxone, Vivitrol, and other FDA-approved medications

How to Verify Your Medicare Benefits

  1. Call our free helpline at (855) 461-7830 — our navigators will verify your benefits directly with Medicare
  2. Check your member portal — Log into your Medicare account online for plan details
  3. Call Medicare directly — The member services number is on the back of your insurance card
  4. Ask about prior authorization — Some Medicare plans require pre-approval for residential treatment

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Last updated: March 2026

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