How Medicare Covers Substance Abuse and Mental Health Patients

How to Navigate Medicare and Mental Health at a Behavioral Hospital - Port  St. Lucie Hospital, Inc. | Florida Mental Health Services

While health insurance policies like Medicare cover a wide array of treatment services for people with drug abuse disorders and mental illness, special rules limit reimbursement and coverage. Medicare’s coverage of these types of services for behavioral health, drug abuse disorders, and mental illness are not as extensive as their coverage for other types of services.

Substance use disorders and alcoholism treatment

Health insurance policies will pay for SUD and alcoholism treatment in both outpatient and inpatient settings. Part A of the policy will pay for inpatient drug abuse therapy; people will pay the same as co-players for other kinds of inpatient hospitalization. Likewise, Part B of the policy will pay for outpatient, outpatient drug abuse therapy services from hospitals, outpatient departments, or clinics. Covered services and items for alcoholism and SUD therapies include:

Patient education when it comes to treatment and diagnosis

Psychotherapy

Outpatient prescription medications through Part D…