Does Medicare Cover Drug Addiction Treatment? | Personal finance
Medicare also covers other methods of treating substance use disorders, including teletherapy and home care, when deemed reasonable and necessary.
What you will pay: outpatient
For outpatient treatment for substance use disorders, you pay the Medicare Part B deductible, which is $ 203 in 2021. You pay a 20% co-payment for additional services.
What you will pay: Hospitalized patient
A deductible of $ 1,484 applies to inpatient care for a substance use disorder for each benefit period. You will not owe any coinsurance for the first 60 days of a hospital stay. But you may owe a 20% copayment of the Amount approved by Medicare for substance abuse treatment services you receive from doctors and other providers while you are hospitalized.
For days 61 to 90 of a psychiatric hospital stay, you will owe $ 371 per day in coinsurance. Your daily coinsurance increases to $ 742 per “lifetime reserve day” after day 90, and you have up to 60 lifetime reserve days in total. After that, you pay all the costs.
Other coverage options
Some Advantage of Medicare the plans provide better coverage for substance use disorders and other mental health issues. If these plans are available where you live, you may want to consider them. At a minimum, all Medicare Advantage plans must cover everything that Original Medicare covers.