Medicare Coverage In the United States For Treatment For Drug And Alcohol Addiction

Last updated: 22 June 2022


List of Drug Rehabs Covered by Medicare and Other Addiction Services

Here is access to our entire drug rehabilitation database. Please select a state first and then further narrow your search through the county/city, addiction services or payment option fields. If you need help locating the right treatment for you, do not hesitate to contact one of our treatment specialists at 1-800-304-2219.


Medicare is defined as a federal social insurance program which provides basic health care coverage for persons 65 years or older whom have paid into social insurance throughout his or her life, it also provides health coverage for young people with disabilities. By the year 2010, Medicare was providing coverage for close to 50 million Americans, almost 10 million of those Americans were young people with disabilities. Medicare uses about 30 different private insurance companies across the United States to help determine coverage needs and amounts. Almost 50 percent of the health care charges are covered my Medicare, and the rest are covered out of pocket or by the users other insurance company if applicable.

To be eligible for Medicare you must be a United States citizen for at least five years and be 65 years or older. If people with disabilities under the age of 65 are receiving Social Security Disability Insurance, they may also be eligible for Medicare. If you are 65 years or older and a US resident for more than 5 years, you must also have been paying your Medicare taxes for at least ten years. The coverage of Medicare has four different parts; there are hospital insurance, medical insurance, Medicare advantage plans, and prescription-drug plans. Medicare does not pay for all of individual medical costs; you will have out of pocket costs involved, unless you have other private health insurances, there are premiums, deductibles, and coinsurance, which must be paid out of pocket.

Call 1-800-304-2219 to talk to a rehab specialist

Medicare can be beneficial health programs for people 65 years or older and persons with disabilities, for as long as you have paid into it over the years and meet the other requirements you are eligible for coverage. For many seniors and retirees, private health insurance is not always an option as they may be living on a fixed income. Medicare offers a solution for that were close to 50 percent of your medical and health needs can be covered. Many senior Americans are currently enrolled in this federal program across the United States.

Medicare will pay for treatment of alcohol addiction and drug addiction. According to a National Survey on Drug Use and Health. In 2017, around 9.4% of men and 5.2% of women 12 years of age and older had a substance abuse disorder. Men are more likely to abuse illicit drugs than women, yet women are just as prone to addiction. American Indians and Alaska Natives had the highest rate of substance abuse and dependency in 2017. Demographics from all across the United States struggle with drug addiction. Many Americans who are 65 years old, have a disability, or who live well below the poverty line have Medicare insurance.

Part A of the Medicare program will pay for inpatient drug rehabilitation. Someone who uses their Medicare will pay the same co-pay as for any other type of inpatient hospitalization. Part B of Medicare will pay for outpatient treatment. This will include treatment at a clinic or a hospital outpatient department for example. Regardless of the type of substance abuse problem you are struggling with, Medicare can help cover some of the cost. This can also include things such as patient education regarding diagnosis and treatment.

Some Medicare beneficiaries will use his or her coverage for post-hospitalization follow-up. Structured Assessment and Brief Intervention is also covered by Medicare. This is the early intervention approach to help addicts. When someone has not quite reached the severity level of a full-blown addiction, early intervention is used. This can be done through a primary care physicians office or an outpatient hospital department. Early intervention is important to prevent severe drug addictions from taking hold. If someone can intervene early, many of the problems will be prevented.

Public health services within the United States treat drug and alcohol addiction with three major components. Initially, this is screening and assessments, such as an assessment to determine if drug addiction is there. There is brief intervention done by engaging the patient and helping them understand there is a drug problem. Lastly, there is a referral to treatment for brief therapy, or drug addiction treatment.

Frequently Asked Questions

Do Most Drug Treatment Centers Accept Medicare?
How Does Medicare Work for Drug & Alcohol Treatment?
What Does Medicare Cover for Drug Rehab?
Who is Eligible for Medicare Help for Drug Rehab?


Marcel Gemme, DATS

Marcel Gemme, DATS


on June 22, 2022

More Information

Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed. He also dealt with the families and friends of those people; he saw first-hand how much strain addiction puts on a family and how it can tear relationships apart. With drug and alcohol problems constantly on the rise in the United States and Canada, he decided to use the Internet as a way to educate and help many more people in both those countries. This was 15 years ago. Since then, Marcel has built two of the largest websites in the U.S. and Canada which reach and help millions of people each year. He is an author and a leader in the field of drug and alcohol addiction. His main focus is threefold: education, prevention and rehabilitation. To this day, he still strives to be at the forefront of technology in order to help more and more people. He is a Licensed Drug and Alcohol Treatment Specialist graduate with Honours of Stratford Career Institute. Marcel has also received a certificate from Harvard for completing a course entitled The Opioid Crisis in America and a certificate from The University of Adelaide for completing a course entitled AddictionX: Managing Addiction: A Framework for Succesful Treatment.