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Drug Rehab Programs Accepting Medicaid and Medicare

For some individuals who qualify, government assistance programs like Medicaid or Medicare can make drug or addiction rehab programs affordable.

Medicaid & Medicare Rehab Coverage

Deciding to attend a center for addiction treatment can be a pivotal life moment for someone suffering from a drug or alcohol addiction. During this time, individuals and family members need to focus on the healing process—not the cost of treatment. Insurance companies and government programs, such as Medicaid, have made inpatient programs and other addiction recovery services much more affordable. At The Phoenix Recovery Center, we are committed to helping you build a sustainable life through emotional, physical, and mental well-being. Before getting started, we will help you understand all your payment options so you can get the help you need without the financial burden.

What Is Medicaid & Medicare?

For some individuals, health insurance may be too expensive, and they have to rely on the assistance of government programs such as Medicaid. Medicare is federally funded insurance that covers medical bills for qualifying individuals, and Medicaid is state and federal-funded insurance that can also cover treatment for those individuals who qualify. Some of the most common ways of paying for drug and alcohol recovery treatment are using Medicare and Medicaid.

You might be wondering “Does Medicaid cover rehab?” What about Medicare? Both Medicaid and Medicare can be used to cover drug or alcohol recovery. Though there are some qualifications and eligibility requirements, many individuals enrolled in drug rehab programs use one of these government programs to cover their expenses and make substance abuse recovery affordable. The price of treatment should never be a reason to not seek treatment, and that is why The Phoenix gladly serves as one of the residential treatment centers that accepts Medicaid.

Medicaid Drug Rehab Programs

Medicare & Medicaid Eligibility

To use Medicare for an addiction recovery program at a rehabilitation center, the individual must meet certain eligibility requirements:

  • Age 65 or older.
  • Younger than 65 and have a disability.
  • Younger than 65 and have end stage renal disease (permanent kidney failure that requires dialysis or a transplant).

If Medicare isn’t a possibility, some individuals qualify for Medicaid coverage. In the state of Utah, the requirements to qualify for Medicaid coverage are as follows:

  • Age 19-64
  • U.S. citizen or qualified alien
  • Resident of the state of Utah
  • Household income up to 5% federal poverty level
  • Ineligible for any other Medicaid program (with the exception of
  • Medically Needy or Refugee Medicaid)
  • Meet one of three targeted categories:
    • Group 1: Chronically homeless.
    • Group 2: Involved in the justice system and needing substance use
    • or mental health treatment.
    • Group 3: Needing substance use or mental health treatment

It is also possible that a person can qualify for both Medicare and Medicaid, known as a dual-eligible beneficiary. This means that services not covered by one plan may be covered by the other. Between Medicare and Medicaid drug rehab funding, these insurance options can be used to make treatment affordable for those who qualify.

What Is Covered by Medicare and Medicaid?

Medicaid and medicare coverage varies by state. In the state of Utah, these are the guidelines for what these programs will cover.

Medicaid and Medicare can cover part of or all of the following:

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

Medication coverage will depend on the medication and eligibility. If you have additional questions, you can contact the Phoenix to speak to one of our staff members.

How Long Does Medicare Pay for Rehab?

The best way to determine if your individual case will be covered by Medicare or Medicaid is to contact the representatives directly. It may also be beneficial to contact a caseworker to walk you through the process of using Medicaid or Medicare coverage for rehab. These individuals can help you find inpatient drug rehab centres that accept medicaid.

Phoenix Recovery Experience

Patients and their families who choose The Phoenix Recovery Center for drug and alcohol rehabilitation gain the tools to recover from their addiction, and they learn and develop disease-management skills.

Substance abuse treatment at The Phoenix Recovery Center is carefully tailored and defined by research. We make every effort to support recovery and outcomes that prepare patients and their families to manage addiction and reclaim a meaningful life. We equip those we help with the tools they need to overcome substance abuse, including both the knowledge and the applied behaviors they need to continue on a path to success.

We look forward to answering your questions about Medicaid or Medicare coverage for rehab treatment and supporting you in your healing process as you reclaim the life you desire. Call us at (801) 438-3185 to learn more about using Medicare and Medicaid.

If you or a loved one is suffering from an addiction, Call Now for Immediate Help: (801) 438-3185

The Phoenix Recovery Center
489 W. South Jordan Pkwy
Suite 400
South Jordan, UT