Medicare is a federal program that helps pay for health benefits for people living in the U.S. who are either disabled or 65 and older. For people that do have Medicare and require drug or alcohol rehabilitation in Philadelphia, Medicare may cover certain treatment programs and treatment services. Medicare comes in different "Parts", with Parts A-D covering various forms of treatment.
Part A (Insurance for Hospital Stays) - Medicare Part A covers inpatient addiction treatment, and up to 60 days in rehab without a co-pay but individuals will have to pay a deductible. Medicare only covers 190 days of inpatient care total, this applies to the individual's lifetime.
Part B (Medical Insurance) ? Medicare Part B covers up to 80% of the costs associated with outpatient substance abuse rehab. This includes outpatient services, therapy/counseling, treatment for co-occurring mental health disorders such as anxiety disorders or depression and drugs administered by clinics. It also pays for professional interventions.
Part C (Medicare-approved Private Insurance) Medicare Part D is an option for people who want additional coverage apart from Medicare Parts A, B, and D. Individuals who have Part C may have more options available to them, but out-of-pocket costs and coverage is different and may be more expensive.
Part D (Prescription Insurance) Medicare Part D pays for substance abuse related medications. Including medications needed for withdrawal symptoms during detoxification and medications required for maintenance therapy such as buprenorphine or methadone.
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