Medicare coverage of treatment for alcoholism and drug abuse
Section IV.k. Mental Health Services
Question 4 of 4 (use "Last" or "Next" buttons to see more)
Medicare will help pay for treatment of alcoholism and drug abuse in both inpatient and outpatient settings if:
Medicare Part A helps pay for your care if you are hospitalized for substance abuse treatment. Your out-of-pocket costs are the same as for any other type of hospital stay.
Note: Medicare only covers a total of 190 days spent in a psychiatric hospital for an entire lifetime. If someone reaches that limit, Medicare may cover further inpatient mental health care in a general hospital but not a psychiatric hospital. This rule only applies to free-standing psychiatric facilities that are not considered a part of general hospitals.
Medicare Part B helps pay for outpatient substance abuse treatment services from a clinic or hospital outpatient department.
Medicare will pay 80 percent of its approved amount for mental health services, including treatment for alcoholism and drug abuse, and you or your supplemental insurance are responsible for the remaining 20 percent.
Covered services include, but are not limited to:
The costs and coverage above reflect Original Medicare coverage of alcoholism and substance abuse treatment. Know that Medicare Advantage plans must cover the same services as Original Medicare; however, your plan will likely require you to see an in-network mental health care provider. If you have a Medicare Advantage plan, contact your plan to see what your copayments are for seeing an in-network mental health provider.