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Medicare Treatment in Virginia

173 facilities accept this payment option

Medicare coverage for addiction treatment services for eligible individuals, including coverage details and finding Medicare-accepting providers.

How to Check Coverage

  1. Review your Medicare coverage using your Medicare Summary Notice or the Medicare.gov website
  2. Understand whether you have Original Medicare or a Medicare Advantage plan
  3. Check if the treatment provider accepts Medicare assignment
  4. Verify coverage for specific services you're seeking
  5. Understand Part A (hospital) vs Part B (medical) coverage for different treatment settings
  6. Check if you have supplemental coverage that helps with costs

Information to Collect

  • Your Medicare number (from your Medicare card)
  • Information about any Medicare Advantage or supplemental plans
  • Part D prescription drug plan information if applicable
  • Contact information for your plan if you have Medicare Advantage

Frequently Asked Questions

Does Medicare cover addiction treatment?

Yes, Medicare covers substance use disorder treatment including screening, outpatient treatment, inpatient hospital treatment, partial hospitalization, and medication-assisted treatment.

What's the difference between Part A and Part B coverage?

Part A covers inpatient hospital treatment for substance use disorders. Part B covers outpatient treatment, office visits, and medications administered in clinical settings. Part D covers prescription medications.

Are there deductibles and copays?

Yes, standard Medicare cost-sharing applies. Part B typically requires a deductible and 20% coinsurance. Medicare Advantage plans may have different cost-sharing. Supplemental insurance can help cover these costs.

Does Medicare cover MAT?

Yes, Medicare covers medication-assisted treatment. Part B covers office visits and some medications administered in clinical settings. Part D covers take-home prescriptions like buprenorphine.

How do I find Medicare-accepting providers?

Use Medicare's Care Compare tool on Medicare.gov, ask treatment facilities directly about Medicare participation, or check with your Medicare Advantage plan's provider directory.

Is residential treatment covered?

Medicare covers medically necessary inpatient hospital treatment for substance use disorders under Part A. Coverage for other residential settings may be limited. Check specific coverage for the type of program you're considering.