Rehab Centers That Accept Medicare in New York
Medicare covers essential addiction treatment services for seniors 65+ and individuals with disabilities. While coverage includes medical detox, inpatient rehabilitation, and outpatient counseling, it's important to understand Medicare's structure: Part A covers hospital-based inpatient care, Part B covers outpatient services, and there's a 190-lifetime day limit for inpatient psychiatric facilities.
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Rehab Centers That Accept Medicare in New York
Featured 30 Centers Accepting Medicare
From 379 facilities that accept Medicare, we've highlighted 30 starting points based on clear criteria.
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Showing 30 of 379 total facilities accepting Medicare
What Medicare Covers
Medicare provides solid coverage for addiction treatment, but with some important limitations to understand. Part A covers inpatient detox and short-term residential treatment (typically after a hospital stay). Part B covers outpatient counseling, therapy sessions, and medication-assisted treatment including Suboxone and Vivitrol.
Deductible Status
Whether you've met your annual deductible
Example range: Part A / Part B (updated annually) (varies by plan)
Network Status
In-network vs out-of-network rates
Per-Session Costs
Copays or coinsurance amount
Example range: $0 after deductible copay or 20% (Part B) coinsurance
Level of Care
Inpatient vs outpatient rates differ
Get your exact costs: Call 1-800-MEDICARE (1-800-633-4227)
Common Plan Structures
- HMO:Requires in-network care, lower costs
- PPO:Can use out-of-network, higher flexibility
- EPO:In-network only, no referrals needed
- POS:Hybrid of HMO and PPO
Plan Source Matters
- Employer plan:Group benefits vary by company
- Marketplace:ACA plans with metal tiers
- Medicare Adv:Extra benefits vs Original Medicare
- Covers inpatient rehab after hospital stay
- Part B covers outpatient counseling
- Covers MAT medications and counseling
- No preauthorization for emergency detox
- Covers mental health (dual diagnosis)
- 190-lifetime day limit for inpatient psychiatric
- Does not cover long-term residential
- Must be 65+ or disabled
- Post-hospital stay requirement for some services
- 20% coinsurance can add up
What to Have Ready Before Calling
💡 Having this ready reduces call time and ensures you get accurate information
1Call Your Benefits Line
Call 1-800-MEDICARE (1-800-633-4227) or the number on your card
1-800-MEDICARE (1-800-633-4227)2Ask These Questions
- • What is my deductible and how much have I met?
- • What is my copay for outpatient therapy?
- • Does my plan cover inpatient treatment?
- • Do I need prior authorization?
- • General coverage information for the insurance plan
- • Whether a specific facility is in-network
- • Typical copays and deductibles for the plan
- • Prior authorization requirements
- • General admission process questions
- • Specific treatment history or records
- • Whether someone is currently in treatment
- • Details about their specific claims
- • Dates of service or diagnoses
- • Any personal health information
How to Talk to Insurance as a Family Member:
"Hi, I'm calling to understand what addiction treatment benefits are covered under [plan type]. I'm not asking about a specific person's claims, just what the policy covers in general." This approach gets you the information you need while respecting privacy laws.
Ask for a formal denial letter that includes:
- Specific reason for denial
- Policy section reference
- Appeal rights and deadlines
You have the right to appeal. Most insurers have 2-3 levels of appeals. The facility's billing team can often help you with this process.
- Different level of care (e.g., IOP instead of inpatient)
- In-network facility alternatives
- Single-case agreement for out-of-network
Federal law requires insurers to cover mental health and substance abuse treatment at the same level as medical/surgical care. If denied, ask if the same restriction would apply to medical treatment.
Frequently Asked Questions About Medicare
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