In the best-case scenarios, navigating health insurance and Medicare can be challenging. Many patients aren’t sure what drug rehab services are covered, or if/how Medicare covers detox. Thankfully, we are here as a resource for all of these questions and more.
In this article, we’ll explain whether or not Medicare covers detox and give you other important information that you should know.
How Does Medicare Cover Detox and Drug Rehab?
If you have Medicare, then you probably know about the four parts: A, B, C, and D. Each part will cover different areas, but when you need an inpatient detox program covered, you will be using Medicare Part A, which covers hospital stays.
Before you can enter treatment, though, you will need a Medicare-approved healthcare provider to give you a referral to treatment. This process is generally simple, and only requires your provider to acknowledge that you need addiction treatment. Once Medicare has approved you for treatment, you will be clear to use Part A to cover inpatient treatment programs.
Medicare Part A covers inpatient rehabilitation for people with substance use disorders. Because detox is an inpatient program, your Medicare coverage will cover the cost for medical supervision during detox and drug rehab following detox, up to 60 days without a copay. Under Part A, covered services include:
- Diagnosis of and education about substance use disorders
- Talk therapy and other addiction treatment options
- Prescriptions designed to minimize withdrawal symptoms, like methadone or suboxone
Of course, from there, many patients will still need additional treatment. That’s why another part of Medicare, Part B, covers both outpatient addiction and co-occurring mental health services.
Through this plan, you can receive outpatient treatments and therapy following your detox and inpatient stay. However, if you need prescription drugs during your outpatient addiction treatment, then you will need Medicare Part D to cover them.
With all of this said, it’s important to remember that only some drug rehabs accept Medicare.
FAQ
What is Medicare?
Medicare is a federal health insurance program primarily for individuals aged 65 and older, but it also covers certain younger people with disabilities and those with End-Stage Renal Disease. It helps cover hospital care, medical services, and prescription drugs.
Does Medicare cover detox services in Ohio?
Yes, Medicare does cover detox services in Ohio, but coverage depends on the specific Medicare plan and the type of detox treatment required. Original Medicare (Part A and Part B) typically covers inpatient detox services, while Medicare Part D may cover prescription medications related to detox.
What types of detox services are covered by Medicare?
Medicare covers a range of detox services, including inpatient hospital detoxification, outpatient detox programs, and medications necessary for detox. Coverage specifics can vary, so it’s essential to check with your Medicare plan provider.
Are there any out-of-pocket costs for detox services under Medicare?
There may be out-of-pocket costs for detox services under Medicare, such as deductibles, copayments, and coinsurance. The exact costs will depend on your specific Medicare plan and the type of detox services you receive.
How can I find a Medicare-approved detox facility in Ohio?
To find a Medicare-approved detox facility in Ohio, you can visit the Medicare website or contact Medicare directly for assistance. Additionally, you can ask your healthcare provider for recommendations or use the provider directory available through your Medicare plan.
Can I Use My Medicare Benefits?
Even though you are covered by Medicare, they may not cover addiction treatment from your chosen provider. Before you enter into any detoxification program, speak with the treatment center about your options with private insurance and Medicare.
More than anything, patients need to know that they will receive the best possible care. It’s important to remember that the care you need today may be different from the care you need tomorrow. There are many types of therapy available at Ridgeview Behavioral Hospital, so reach out if you need assistance in the Middle Point, Ohio area.
Call (419) 949-8590 to speak with one of our treatment specialists and learn more about our programs. Take our 😍 Mental Health Assessment or our 🧐 Addiction Test.
