Medicare is a federal health insurance program that helps pay for health benefits for individuals living in the Unites States who are either disabled or 65 and older. For individuals that do have Medicare and require drug or alcohol recovery services in Mount Sinai, Medicare will cover certain recovery programs and treatment services. Medicare consists of different "Parts", with Parts A-D covering certain forms of treatment.
Part A (Insurance for Hospital Stays) - Medicare Part A pays for inpatient substance rehabilitation, and up to 60 days in rehab without a co-pay but policy holders will be required to pay a deductible. Medicare only pays for a total of 190 days of inpatient care, this applies to the person's lifetime.
Part B (Medical Insurance) ? Medicare Part B pays up to 80% of the fees associated with outpatient substance abuse treatment. This includes outpatient care, therapy/counseling, treatment for co-occurring mental health disorders such as anxiety disorders or depression and drugs dispensed by clinics. It also pays for professional intervention services.
Part C (Medicare-approved Private Insurance) Medicare Part D is an alternative for clients who want additional coverage aside from what the other parts of Medicare have to offer. People who have Part C can 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 covers substance abuse related medications. Including medications needed for withdrawal symptoms during detoxification and those used for maintenance therapy such as methadone or buprenorphine.
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