FAQs about Substance Abuse and Medicare Coverage

Questions about Medicare for Substance Abuse

Healing Minds accepts Medicare in order to better serve our community. Mental health and substance abuse disorder treatment are critical components of overall health and well-being. If you are a Medicare beneficiary dealing with these issues, you may have questions about what services are covered by Medicare.

Below we will answer some frequently asked questions about mental health and substance use disorder coverage in Medicare. Read on to learn what mental health and substance abuse treatments Medicare covers—and what it doesn’t.

Q: Does Medicare cover mental health services?

A: Yes, Medicare does cover mental health services. Medicare Part B covers outpatient mental health services such as therapy sessions with licensed clinical social workers, psychiatrists, and psychologists. Medicare Part A covers inpatient mental health care for individuals who require hospitalization.

Q: What mental health services are covered by Medicare?

A: Medicare covers a range of mental health services, including individual therapy, family therapy, and group therapy. It also covers psychiatric evaluations, medication management, and partial hospitalization programs.

Q: Does Medicare cover substance abuse disorder treatment?

A: Yes, Medicare does cover substance abuse disorder treatment. Medicare Part B covers outpatient treatment for substance abuse disorders, such as therapy sessions with licensed clinical social workers, psychiatrists, and psychologists. Medicare Part A covers inpatient substance use disorder treatment for individuals who require hospitalization.

Q: What substance abuse disorder treatments are covered by Medicare?

A: Medicare covers a range of substance abuse disorder treatments, including detoxification services, outpatient counseling, medication-assisted treatment, and residential treatment programs.

Q: Are there any limitations on the number of mental health or substance abuse disorder services that Medicare will cover?

A: Initially, Medicare will cover up to 50% of the cost of therapy sessions for the first 20 sessions. After that, Medicare may cover additional sessions, but only if the therapist can provide evidence that the continued therapy is medically necessary. Similarly, there are limits on the number of substance abuse disorder treatment days that Medicare will cover.

Q: Can I choose any mental health or substance abuse disorder provider for my services?

A: You can choose any provider who accepts Medicare and is licensed to provide mental health or substance abuse disorder services.

Q: Is there a deductible or copayment for mental health or substance abuse disorder services?

A: Yes, Medicare Part B beneficiaries are responsible for a 20% coinsurance payment for each mental health or substance abuse disorder service. Medicare Part A beneficiaries may also be responsible for a deductible.

Q: What if I require emergency mental health or substance abuse disorder services?

A: Medicare covers emergency mental health or substance abuse disorder services just like it covers other emergency services. You should seek care at the nearest hospital emergency department.

Therapists Accepting Medicare in Reno

In conclusion, Medicare does cover mental health and substance abuse disorder services. By understanding your coverage and working with providers who accept Medicare, you can access affordable mental health and substance use disorder care and improve your overall well-being.

Healing Minds accepts all Medicare patients in order to help to serve the needs of our community. We accept Medicare and most major forms of insurance.

We believe that everyone can benefit from therapy, and should have access to professionals with other specializations to get the full scope of care they need. Healing Minds is a team of therapists in Reno, NV who have come together under this model.

If you or a loved one is facing an emotional crisis, help is here. If you have any questions or you would like more information, you can contact your insurance provider directly to find out more about your specific options. You can also speak with a mental health professional to learn more about your options.

Schedule an Appointment

At Healing Minds, we have therapists that can help you deal with difficult times and mental health issues and substance abuse. Working with a therapist can make the difference you need to step towards a full, whole life once again.

If you or a senior you know is struggling with substance abuse issues, please reach out to schedule a therapy appointment with a trained practitioner. We offer in person or Telehealth therapy from the comfort of your own home. Reach out today if you have any questions about your Medicare coverage with our office.