Does Medicare Cover Inpatient Drug & Alcohol Rehab? Yes- Evolve Handles the Process for You
Verify your insurance coverage for drug and alcohol detox.
Does Medicare cover inpatient rehab at Evolve Recovery Center? Yes, residential rehab is often a covered behavioral health benefit for individuals on Medicare. Our admissions team is here to help you with verification and obtaining a pre- authorization at no cost to you. In many cases, you can be admitted as early as the same day or the next.
You don’t have to keep struggling alone. Take the first step toward recovery today and reach out for help. At Evolve Recovery Center, we offer comprehensive alcohol and substance use disorder treatment utilizing evidence-based approaches to meet your unique needs.
Our staff of highly qualified addictions specialists is trained in behavioral therapy approaches, including cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), motivational interviewing (MI) and acceptance and commitment therapy (ACT). Additionally, we offer specialized and integrated treatment for those who have co-occurring disorders and veterans.
What Medicare Covers for Residential Rehab
Does Medicare cover 30 day rehab? Yes, Medicare drug rehab coverage may cover residential stays of 30,60 or 90 days, depending on your individual needs and whether the care is considered medically necessary. Covered services often include individual and group therapy, dual-diagnosis treatment, medication management and family counseling.
The exact amount of coverage and out-of-pocket expenses will depend on the specific Medicare plan that you are enrolled in.
How Long Will They Pay For?
The length of your stay is determined by medical necessity and your treatment progress. Our clinical staff at Evolve works closely with Medicare to help ensure you get the care you need and will advocate for continued treatment by providing the necessary clinical documentation for extended stays when appropriate.
Prior Authorization: What It Is and Who Handles It
Most Medicare plans require prior authorization before they will cover your treatment. A prior authorization is an approval that Medicare requires for certain services, such as inpatient stays, surgeries, procedures and some medications. Insurance providers use this process as a cost-saving measure.
To be approved for a prior authorization, Medicare must deem your treatment to be appropriate and medically necessary before it will cover the cost of your treatment.
This process can be very overwhelming for most people. Our admissions team is here to help. As part of our Evolve Recovery Center Medicare verification, we will contact Medicare for you, confirm your coverage and secure any prior authorizations that may be required. In most cases, this can be completed within 24-72 hours.
Protecting Your Job While in Rehab (FMLA)
If your concern about loss of employment is keeping you from seeking the help you need, the Family and Medical Leave Act (FMLA) may protect your job while you focus on getting better.
Under the law, eligible employees are allowed up to 12 weeks of unpaid leave per year without the risk of losing their jobs. Our staff at Evolve Recovery Center will help you complete the required paperwork and make the process as stress-free as possible.
What Rehab at Evolve Looks Like
Our team of highly qualified addiction professionals and medical staff at Evolve Recovery Center is here to help you begin your recovery journey. We offer 24/7 support that ensures your unique needs are met.
Our accredited inpatient programs in Georgia, Massachusetts, New Jersey and Florida utilize an evidence-based treatment approach that includes working with you to develop an individualized treatment plan to meet your unique needs, including care for any dual diagnoses such as anxiety, depression, post-traumatic stress disorder (PTSD), personality disorders, bipolar disorder and attention-deficit hyperactivity disorder (ADHD)
How to Use Your Medicare Insurance at Evolve ( 3 steps)
Once you have decided that you are ready to begin treatment for your substance use disorder, obtaining a benefits verification from Medicare will help to determine if inpatient rehab is a covered benefit under your plan. There are three steps to get the process started.
Step 1: Call Evolve at 888-369-7727 and speak with a member of our admissions team.
Step 2: We will verify your eligibility and benefits with Medicare and begin the prior authorization process if required.
Step 3: In most cases, we can confirm your eligibility and benefits, obtain any required prior authorization from Medicare and get you admitted on the same day.
Frequently Asked Questions
Yes. Medicare Part A residential rehab typically covers inpatient treatment at certified facilities. Coverage depends on medical necessity and your benefit period status.
A benefit period starts on the day you’re admitted for inpatient treatment. It ends after you have been gone 60 days in a row without receiving inpatient hospital or skilled nursing care (SNF). If you are admitted to a hospital or skilled nursing facility again after those 60 days, a new benefits period begins.
Evolve accepts Medicare at most locations. Call our admissions team to confirm that the specific facility qualifies.
Yes. Medicare covers treatment for co-occurring mental health conditions, including anxiety, depression, personality disorders, bipolar disorder and attention-deficit hyperactivity disorder (ADHD) and substance use disorders when medically necessary.
Residential rehab is covered after detox under Medicare Part A, as long as it is deemed medically necessary. Our staff at Evolve Recovery Centre will submit any required clinical documentation to Medicare to ensure you get the care you need.
Verify Your Medicare Benefits Today
Call today, and we’ll verify your Medicare benefits to help you get started. There is no obligation, and our admissions team will confidentially guide you through the process at no cost to you.