Opioid Use Disorder treatment services
Medicare Coverage Information
Overview
Medicare provides comprehensive coverage for opioid use disorder treatment, including medication-assisted treatment, counseling, and support services. Beneficiaries can access a range of treatments to help manage and overcome opioid addiction.
- Covers medication-assisted treatment (MAT) for opioid use disorder
- Includes counseling and behavioral therapy services
- Prescription medications for addiction treatment are covered
- Treatment must be provided by Medicare-approved healthcare providers
- Supports both outpatient and inpatient treatment options
- Medicare Part B beneficiaries
- Medicare Part D prescription drug plan participants
- Individuals diagnosed with opioid use disorder
- Treatment must be prescribed by a qualified healthcare professional
- Part B typically covers 80% of approved outpatient treatment services
- Beneficiaries may pay 20% coinsurance after meeting annual Part B deductible
- Part D covers prescription medications for opioid use disorder treatment
- Some Medicare Advantage plans may offer additional coverage or lower out-of-pocket costs
- Treatment must be deemed medically necessary
- Requires referral and documentation from healthcare provider
- Some specific treatment methods may have limited coverage
- Annual visit or treatment limits may apply
- Consult with your primary care physician about treatment options
- Verify specific coverage details with your Medicare plan
- Call 1-800-MEDICARE for comprehensive information
- Request a referral to a Medicare-approved treatment provider
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- MedicareOpioid Use DisorderAddiction TreatmentSubstance Abuse CoverageMedicare Part B
Related Coverage Topics
Questions About Opioid Use Disorder treatment services?
Our experts can help you understand your Medicare coverage for opioid use disorder treatment services. Get personalized guidance on costs, eligibility, and next steps.