Rehabs Accepting Medicare Insurance for Addiction and Mental Health in Malibu

Medicare is a federal health insurance program designed to provide affordable healthcare coverage to individuals aged 65 and older, as well as younger people with specific disabilities. Addiction and mental health rehabs accepting Medicare Insurance ensure that beneficiaries can access high-quality addiction treatment services without the burden of excessive costs. These facilities provide comprehensive care, including detoxification, inpatient treatment, outpatient programs, and counseling services, making recovery accessible to millions of Americans.



FAQs - Malibu Rehabs Accepting Medicare Insurance for Addiction and Mental Health



Yes, Medicare covers drug and alcohol rehab under its mental health and behavioral health benefits. Coverage typically includes detoxification, inpatient treatment, outpatient counseling, and medication-assisted treatment (MAT). For example, a Medicare beneficiary recovering from opioid addiction might access covered services, including methadone maintenance therapy and individual counseling.

Medicare provides coverage for a range of addiction treatment services, including:
  • Detoxification: Medically supervised withdrawal management.
  • Inpatient Rehabilitation: Residential treatment with 24-hour care.
  • Outpatient Therapy: Flexible treatment options for ongoing recovery.
  • MAT: Use of medications like buprenorphine in conjunction with therapy.
  • Aftercare Support: Services aimed at preventing relapse and supporting long-term recovery. These services ensure a holistic approach to addiction recovery.

To find rehabs that accept Medicare Insurance:
  • Use the Medicare Provider Directory: Available on the official Medicare website.
  • Contact Medicare Customer Service: Representatives can guide you to approved facilities.
  • Reach Out to Treatment Centers: Many rehab facilities openly state whether they accept Medicare and can provide details about covered services.

Yes, Medicare often requires preauthorization for specific rehab services, particularly inpatient care. Beneficiaries need to work with their healthcare providers to submit a treatment plan and obtain approval before starting certain programs.

Out-of-pocket costs depend on the specific Medicare plan. For Original Medicare (Parts A and B), costs may include deductibles, coinsurance, and co-pays. Medicare Advantage (Part C) plans may have additional cost-sharing requirements but often include an annual out-of-pocket limit.

Yes, Medicare covers both inpatient and outpatient rehab. Inpatient care is covered under Part A, while outpatient therapy and services are covered under Part B. This dual coverage ensures that beneficiaries receive care tailored to their level of need.

Medicare provides coverage for dual-diagnosis treatment, addressing both substance use disorders and co-occurring mental health conditions. For example, a beneficiary with depression and alcohol addiction might receive integrated therapy and medication management.

If a preferred rehab center is not Medicare-approved, services may not be covered. Beneficiaries should ensure that the facility is Medicare-certified to avoid unexpected costs. Alternatively, they can explore other Medicare-approved options in their area.

The duration of coverage depends on medical necessity and the specific type of treatment. For inpatient rehab, Medicare Part A typically covers up to 90 days per benefit period, with additional coverage available through lifetime reserve days. Outpatient services are generally covered as long as they are deemed medically necessary.

Medicare generally does not cover holistic therapies like yoga, acupuncture, or meditation unless they are part of an evidence-based treatment program approved by Medicare. Beneficiaries should confirm coverage specifics with their plan.


Difference Between Medicare Health Insurance and Medicare Medical Insurance

Medicare Health Insurance and Medicare Medical Insurance focus on different aspects of healthcare but work together to support addiction treatment. Medicare Health Insurance typically refers to Part B, which covers outpatient services, including counseling and therapy. Medicare Medical Insurance (Part A) focuses on inpatient services, such as detoxification and residential treatment. For example, Medicare Part A might fund a 30-day inpatient rehab stay, while Part B covers follow-up outpatient therapy.

Medicare Health and Medical Insurance Plans

Medicare offers various plans to meet the needs of its beneficiaries:

Health Insurance Plans

Medical Insurance Plans

Supplemental and Medicare Insurance

Medicare Assistance with Mental Health Treatment in Malibu


Inpatient Options

Medicare Part A covers psychiatric hospital stays and residential treatment programs for individuals with severe mental health conditions. For instance, a beneficiary with bipolar disorder and substance use issues may benefit from an integrated inpatient program.

Outpatient Options

Medicare Part B covers outpatient mental health services, including individual therapy, group counseling, telehealth sessions, and medication management. For example, someone managing PTSD and addiction might attend weekly therapy sessions and receive medications through Medicare.

About Medicare Insurance

Medicare, established in 1965, is a federal health insurance program serving over 60 million Americans. Administered by the Centers for Medicare & Medicaid Services (CMS), Medicare’s mission is to ensure access to affordable, high-quality healthcare for older adults and individuals with disabilities. By offering comprehensive coverage options, including addiction treatment and mental health care, Medicare plays a crucial role in promoting healthier lives and supporting recovery journeys for millions of beneficiaries.

Sources