Paying For Rehab With Medicaid And Medicare

What Are Medicaid And Medicare?

Some of the most commonly used methods for paying for drug and alcohol rehab, Medicaid and Medicare are federal- and state-funded health insurance programs. These insurance programs can provide free or low-cost drug and alcohol addiction treatment. Each program has different requirements for eligibility.

Every state has different rules for eligibility and treatment coverage. Rules for eligibility also change annually. If you were turned down for Medicaid or Medicare in the past, you could be eligible now.

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Medicaid For Drug And Alcohol Rehab

Medicaid is a public insurance program for low-income families. Under the 2010 Affordable Care Act (ACA), also known as “Obamacare,” insurance providers (including Medicaid) must cover all basic aspects of drug and alcohol dependency recovery. While Medicaid covers substance abuse treatment, not all facilities accept Medicaid as a form of payment. To find a recovery provider that accepts Medicaid, get in touch with the Substance Abuse and Mental Health Services Administration (SAMHSA). Additionally, individuals can find a directory of rehabs and insurance providers here to aid in the search for local treatment centers and centers throughout the country.

Featured Centers Accepting Medicare and/or Medicaid

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Serenity Mountain Recovery Center for Women

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Medicaid Eligibility

To be eligible for Medicaid, applicants must be one of the following:

• Over 65 years old
• Under 19 years old
• Pregnant
• A parent
• Within a specified income bracket

In some states, Medicaid covers all adults below a certain income level. Those who receive Supplemental Security Income are often automatically eligible for Medicaid.

The ACA requires people to earn less than 133 percent of the federal poverty level (FPL) to be eligible for Medicaid. A person living above the poverty level may still be eligible for government insurance if they fall in the right income bracket.

Even if someone meets income requirements, they may not be eligible for Medicaid. Each state has its own rules for Medicaid eligibility.

What Does Medicaid Cover?

Medicaid recipients don’t have co-payments for addiction treatment in most states. For states that charge co-payments, there is an out-of-pocket maximum set for Medicaid recipients. For more information on financial assistance options for treatment centers, click here to contact a treatment provider.

Medicaid covers all or part of the following services:

• Screenings
• Intervention
• Maintenance and craving medications
• Family counseling
• Inpatient care
• Long-term residential treatment
• Detox
• Outpatient visits
• Other mental health services

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Medicare For Drug And Alcohol Rehab

Medicare is available to anyone over 65 years old and those with disabilities. Medicare is available for a monthly premium, which is based on the recipient’s income. People who earn less pay lower premiums.

Medicare can cover the costs of inpatient and outpatient drug rehabilitation. It consists of four parts that cover different parts of addiction recovery programs.

Dual Eligibility

A person can be eligible for both Medicaid and Medicare. If someone is eligible for both, they can apply benefits from each program to their treatment. If you are over 65 or disabled, you may be eligible for both programs.

If you are eligible, the caseworker will walk you through the application process. Or, if you already have Medicaid or Medicare, you can find a drug or alcohol rehab facility on the SAMHSA website.

For more information about available recovery options, contact a treatment provider.