Does Medicare Pay For Inpatient Rehab?

Does Medicare Pay For Inpatient Rehab?

Medicare does not pay for inpatient drug rehab. Medicare is limited to outpatient treatment at a certified clinic, a physician's office or home health care, as well as hospitalization for medically necessary treatment of conditions that result from drug and alcohol abuse.

Medicare also does not pay for residential treatment, day treatment, hospital treatment, outpatient rehabilitation or treatment at non-approved facilities.

Will medicaid pay for treatment?

Medicaid will pay for treatment at certified treatment facilities, outpatient centers and physicians' offices. Medicaid will pay for treatment only if you are a legal resident of the state you're in, meet income requirements, are a child or have one of the following diagnoses:


Drug (other than methadone) addiction

Methadone addiction

Opioid addiction


Schizo-affective disorder

Mental health condition requiring treatment in a hospital for at least 3 months, or a mental retardation condition requiring treatment in a hospital for at least 6 months

What if I don't have insurance?

If you don't have health insurance, the Affordable Care Act provides ways to obtain health insurance and affordable health care.

What are the costs of inpatient addiction treatment?

Inpatient rehab programs are offered at various levels of care, and depending on the facility, the length of stay and the level of treatment you require, the costs will vary. A few factors that can affect the cost of treatment include:

The quality of the treatment center

The location of the treatment center

The length of stay

The level of care required

Do I have to get a drug test before I can go to treatment?

It's a good idea to have a drug test before entering treatment, as you'll be drug free while in treatment.

Do I have to get sober before I go to treatment?

Before you can enroll in a treatment program, you must be sober. Many inpatient treatment programs require you to be sober for at least a week or two before admission. If you're using illicit drugs such as heroin or cocaine, you'll need to be drug-free for a period of time before you can enter treatment.

How long does inpatient treatment last?

The length of stay depends on your treatment needs and the program you choose. Treatment programs range from 30 to 90 days. Check with the treatment facility to find out its policies on length of stay.

How do I find an inpatient treatment program?

The following are some steps to help you find an inpatient rehab program:

Enter the appropriate keywords into a search engine, such as “inpatient rehab” or “alcohol rehab.”

Contact your insurance company and ask your claims representative or customer service representative for a list of inpatient treatment centers that accept your plan.

Ask your doctor for a list of inpatient treatment centers that accept your plan.

Check with your local health department.

Contact the National Association of Alcoholism and Drug Abuse Counselors or the National Association of Addiction Treatment Providers (NAATP) for a list of treatment centers.

If you are looking for treatment for a loved one, look for a program that offers family programs and 12-step support.

Click here to find a treatment center

What else do I need to know about inpatient treatment?

Before choosing an inpatient treatment center, you should find out:

The programs offered

The philosophy of the treatment center

The qualifications of the staff

The cost

The facilities

The client-to-staff ratio

The method of treatment

What happens during treatment?

The amount of time you spend each day in treatment and the total number of treatment hours vary from program to program.

Each program is different, so check with the program to find out what your day will be like.

During treatment, you'll be evaluated to diagnose your substance use disorder and determine the level of care you require. The treatment team will recommend a treatment plan based on your addiction, health history, treatment needs and the facility's program model.

The treatment team will create an individualized treatment plan for you and may recommend the following:

Group counseling

One-on-one counseling

Family counseling

12-step meetings

Medical care

You'll learn about:

The drugs you abuse

The addiction cycle

Coping skills

Family issues

Relationship issues

How to manage stress

How to set goals

How to cope with cravings

How to build a sober support system

How to deal with relapse

You'll learn new ways to cope with the pressures that can trigger drug use. You might learn relaxation techniques, anger management and other skills that can help you avoid drugs and alcohol in the future.

You'll receive individual and group counseling throughout your stay. The goal is to reduce your dependence on drugs and alcohol and learn how to deal with your addiction before returning to your community.

What is intensive outpatient rehab?

Intensive outpatient rehab (IOP) may be an option if you aren't able to commit to an inpatient treatment program.

As an outpatient, you'll attend a treatment program at a facility that has designated hours for treatment. You can attend in the morning or in the evening, as you choose, and spend as much or as little time at the facility as you like.

If you're looking for outpatient treatment, IOP may be a good option for you.

Who is a good candidate for intensive outpatient rehab?

If you're looking for intensive outpatient rehab, you should be able to commit to attending the

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