
Finding the right addiction treatment can feel overwhelming, especially when considering the cost of care. Fortunately, for many Baltimore residents, Medicare and Medicaid provide vital coverage options that make addiction treatment more accessible. Understanding how these programs work and what they cover can empower individuals to seek the help they need. Below, we explore how Medicare and Medicaid can be utilized for addiction treatment and how Unlimited Bounds can support you through this process.
Medicare for Addiction Treatment
Medicare is a federal health insurance program designed primarily for individuals aged 65 and older, as well as for certain younger individuals with disabilities. For those struggling with addiction, Medicare provides coverage for various treatment services, including inpatient care, outpatient services, and prescription medications that can aid in recovery. Understanding the different parts of Medicare is essential when determining what will be covered:
• Part A covers inpatient hospital stays, including addiction treatment services provided in a hospital or other rehabilitation facility. This is especially helpful for individuals requiring medically supervised detox or residential care.
• Part B covers outpatient services, including visits to healthcare providers, counseling, therapy sessions, and some preventive services. This allows individuals to seek intensive outpatient programs (IOP) or partial hospitalization programs (PHP) while living at home.
• Part D offers coverage for prescription medications, including those used in medication-assisted treatment (MAT) for opioid addiction, such as methadone or buprenorphine.
Medicare recipients can also opt for a Medicare Advantage plan (Part C), which may offer additional benefits beyond standard Medicare coverage. It’s important to check with your provider to ensure that your chosen treatment facility accepts your specific Medicare plan.
Medicaid for Addiction Treatment
Medicaid, on the other hand, is a joint federal and state program that provides health coverage to low-income individuals and families. In Maryland, Medicaid offers comprehensive coverage for addiction treatment services, making it a valuable resource for many Baltimore residents struggling with substance use disorders.
Under Medicaid, individuals can access a wide range of services, including:
• Inpatient and outpatient addiction treatment programs, including residential care, PHP, and IOP
• Detoxification services, which are covered as part of medical treatment for substance abuse
• Counseling and behavioral therapy, essential for both individual and group therapy sessions
• Medication-assisted treatment (MAT) for opioid addiction, with coverage for medications such as methadone, buprenorphine, and naloxone
In Maryland, the Medicaid program includes the HealthChoice plan, which helps individuals access a network of providers and specialists. Importantly, many addiction treatment centers in Baltimore, including Unlimited Bounds, accept Medicaid for their services. This ensures that individuals from low-income households or those without private insurance have access to quality, life-saving care.
How to Get Started with Medicare or Medicaid for Addiction Treatment
Before starting treatment, it’s essential to confirm what services your Medicare or Medicaid plan covers. Here are some steps to follow:
1. Verify eligibility: If you’re not already enrolled in Medicare or Medicaid, visit the Social Security website to determine your eligibility. Medicaid eligibility in Maryland is based on income, and Medicare is typically available for individuals 65 and older or younger individuals with disabilities.
2. Contact your insurance provider: Reach out to your Medicare Advantage plan or Medicaid managed care organization (MCO) to confirm coverage for addiction treatment services. If you have original Medicare, confirm whether Part A or Part B will cover the type of treatment you need.
3. Work with your treatment provider: When choosing an addiction treatment center, ensure that the facility accepts Medicare or Medicaid. The admissions team can guide you through the process and help you understand the next steps.
How Unlimited Bounds Can Help
Unlimited Bounds is committed to making addiction treatment accessible for all Baltimore residents. We proudly accept Medicare for our comprehensive services, which include outpatient, intensive outpatient (IOP), and partial hospitalization (PHP) programs. Additionally, we offer free drug treatment services for individuals who qualify based on financial need. Our team will work with you to ensure that your insurance coverage aligns with your treatment plan, helping you navigate the process and access the care you deserve.
At Unlimited Bounds, we understand that finances shouldn’t be a barrier to recovery. Whether you’re utilizing Medicare, Medicaid, or are in need of financial assistance, we are here to support you every step of the way. If you or a loved one is struggling with addiction, contact us today to learn more about our programs and how we can help you on your path to recovery.
By utilizing programs like Medicare and Medicaid, addiction treatment becomes more accessible to individuals and families across Baltimore. Don’t hesitate to reach out—Unlimited Bounds is here to guide you through the insurance process and get you the help you need for lasting recovery.