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Recovery Is Possible

Medicare insurance mental health and substance abuse rehab

Compassion Recovery Centers accepts Medicare, offering mental health and substance abuse treatment options for individuals eligible under this program. According to recent data, nearly 65 million Americans are enrolled in Medicare in 2025, with expanded mental health coverage that includes outpatient therapy, inpatient services, and substance use disorder treatment.

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MEDICARE INSURANCE

What Does Medicare Cover?

Medicare is one of the largest health insurance programs in the United States, serving more than 65 million Americans as of 2025. 

It offers coverage through different parts: Original Medicare (Part A and Part B) and Medicare Advantage (Part C), along with prescription drug coverage (Part D). These options give patients flexibility in how they access care for both medical and behavioral health needs.

In addition, Medicare works with hundreds of thousands of hospitals, treatment centers, and healthcare professionals across the country, making it one of the most widely accepted insurance programs for those seeking mental health or addiction treatment.

If you’re attending Compassion Recovery, we accept Medicare insurance for mental health and substance abuse treatment. Your exact coverage and out-of-pocket costs will depend on your Medicare plan type, whether you have Original Medicare (Part A and Part B) or a Medicare Advantage (Part C) plan. To get quick answers about your benefits, call us at 909-314-1097 for a free consultation.

Medicare provides coverage for inpatient and outpatient mental health services, substance use disorder treatment, and prescription medications. Under federal law, Medicare is required to include behavioral health benefits, giving patients access to therapy, rehab programs, and continuing care.

With one of the nation’s most widely accepted insurance programs, Medicare makes it easier to attend treatment centers like Compassion Recovery. Because we work with Medicare, you can receive the maximum coverage available for your care, helping you focus fully on recovery.

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Mental health treatment

Medicare provides coverage for a wide range of mental health services. Depending on whether you have Original Medicare (Part A and Part B) or a Medicare Advantage (Part C) plan, your benefits may include both inpatient and outpatient treatment. Most plans also include prescription drug coverage under Part D. Common services covered include:

Medicare covers support for both inpatient and outpatient programs. For inpatient care, you may be responsible for a deductible and daily coinsurance after a set number of days. For outpatient care, such as therapy or counseling, Medicare generally covers 80% of the approved cost, leaving you with a 20% coinsurance. If you are enrolled in a Medicare Advantage plan, your copayments and coverage rules may differ.

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Substance abuse

Medicare covers substance use disorder treatment in much the same way it covers mental health care. This means you can use your benefits for many of the services offered at Compassion Recovery. Depending on your plan type, coverage may include:

Medicare may cover medically supervised detox to manage withdrawal safely.

Part A helps pay for hospital or residential rehab stays.

Part B covers therapy and programs while living at home.

Part D plans can cover approved medications for recovery.

Medicare includes therapy and counseling for co-occurring mental health needs.

Ongoing support may be covered to help maintain long-term sobriety.

Medicare provides coverage for both inpatient and outpatient programs. For inpatient rehab, coverage falls under Medicare Part A, which may include hospital stays or treatment in a qualified facility (after your deductible). For outpatient care, Medicare Part B generally covers therapy, counseling, and group programs at 80% of approved costs, with the patient responsible for the remaining 20%.

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Our Program Defined

We believe recovery is always possible

We strive to offer the best treatment experience and believe that through our proven program, that we can help you not only overcome mental illness, but achieve a fulfilling life full of gratitude and compassion beyond what seems possible at the beginning of your path to recovery.

Dual Diagnosis Coverage

Medicare provides coverage for dual diagnosis treatment, which includes care for both mental health conditions and substance use disorders. Many programs integrate these services under one plan, allowing patients to address both issues together.

If you have Original Medicare, coverage may apply separately under Part A (inpatient hospital or rehab care) and Part B (outpatient therapy and counseling). For those with Medicare Advantage (Part C), dual diagnosis services are often combined, helping reduce duplicate costs.

For example, at Compassion Recovery, Medicare may help cover inpatient rehab for substance use along with therapy for depression, anxiety, or other mental health conditions. By combining both services into a single treatment plan, you may reduce out-of-pocket costs while receiving complete, coordinated care.

What Are Your Costs With Medicare?

Your costs with Medicare depend on the type of plan you have and the services you receive. In most cases, you can expect one of these scenarios:

  • Inpatient Care (Medicare Part A): You may pay a deductible for each benefit period ($1,632 in 2025), plus daily coinsurance if your stay extends beyond 60 days.

  • Outpatient Care (Medicare Part B): Medicare covers 80% of approved services, and you are responsible for the remaining 20% coinsurance. The standard Part B deductible in 2025 is $257.

  • Prescription Coverage (Medicare Part D): Costs vary depending on your drug plan, formulary, and whether your medications are generic or brand-name.

These costs are always capped by your out-of-pocket limits if you are enrolled in a Medicare Advantage (Part C) plan. Advantage plans may charge set copays for office visits, outpatient programs, or inpatient stays, depending on the tier of coverage.

Part A covers inpatient hospital or rehab stays. In 2025, you’ll pay a $1,632 deductible per benefit period, plus coinsurance if your stay exceeds 60 days.

Part B covers outpatient services like therapy, counseling, and group programs. You’ll pay the $257 annual deductible and then 20% coinsurance on approved services.

Combines Part A and Part B, often with extra benefits like mental health telehealth visits, care coordination, or reduced copays.

Costs vary by plan but usually include fixed copays (example: $40–$50 per outpatient visit or daily copays for inpatient stays).

Many plans also include Part D prescription coverage.

Covers approved medications for mental health and addiction treatment.

Costs depend on your plan’s formulary (drug list) and whether your medications are generic or brand-name.

Includes premiums, deductibles, and copays/coinsurance.

Optional add-on for those with Original Medicare.

Helps pay for deductibles, copays, and coinsurance that Part A and Part B don’t fully cover.

Useful for reducing out-of-pocket costs during longer treatment programs.

You’ll also need to factor in your Medicare deductibles and coinsurance. For 2025, the Part A inpatient deductible is $1,632 per benefit period, with daily coinsurance applying after 60 days in a hospital or treatment facility. The Part B deductible is $257 per year, after which you typically pay 20% coinsurance for outpatient services like therapy, counseling, or group programs.

If you are enrolled in a Medicare Advantage (Part C) plan, your costs may look different, with fixed copays for outpatient visits, daily inpatient charges, or reduced deductibles. Some Advantage plans even cap your annual out-of-pocket costs, which Original Medicare does not.

Your actual costs can vary based on your plan type, whether you have Original Medicare, Medicare Advantage, or a Medigap policy to cover extra expenses. To get the most accurate estimate, Compassion Recovery can verify your Medicare benefits and explain your coverage before you begin treatment.

Compassion Recovery Accepts Medicare

Compassion Recovery Centers is proud to accept Medicare for mental health and substance abuse treatment. This means eligible patients can use their benefits for inpatient rehab, outpatient programs, therapy, and prescription coverage.

Using an in-network provider like Compassion Recovery helps reduce your out-of-pocket costs and ensures you receive the maximum coverage available under your Medicare plan. Choosing an out-of-network facility could leave you responsible for the full cost of treatment.

Working with a Medicare-approved rehab center is one of the best ways to keep your treatment affordable. If you’d like help confirming your benefits, contact us today for free insurance verification and a confidential consultation.

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Getting Started With Medicare Insurance

Medicare is one of the largest health insurance programs in the United States, covering more than 65 million people in 2025. It provides access to both mental health services and substance abuse treatment. At Compassion Recovery, we make it simple to use your Medicare benefits for rehab or therapy.

Here’s how to get started:

  • Talk to your doctor. In many cases, you’ll need a referral for certain services to be covered.

  • Contact Compassion Recovery. We can verify your Medicare benefits, explain what’s covered, and help estimate your out-of-pocket costs.

  • Get prior authorization if needed. For some inpatient or specialized programs, Medicare or your Medicare Advantage plan may require prior approval. Our team can help submit this request.

  • Begin treatment. Once coverage is confirmed, you can start your program at Compassion Recovery with confidence that your Medicare benefits are in place.

If you need emergency care, Medicare Part A covers hospital treatment, including detox if it is medically necessary. For outpatient needs, Medicare Part B covers therapy, counseling, and group sessions. Getting started is as easy as reaching out so we can guide you through every step.

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Mental health disorders, substance use disorders, and other behavioral disorders can be extremely damaging to your health, your future, and your prospects. It’s vital that you get the treatment you need. That means ensuring it’s accessible and available. At Compassion Recovery, we work to ensure we stay in network for the nation’s top insurance providers, so we can keep costs as low as possible for our patients. If you need help working out the cost of your stay with Compassion, or your insurance coverage, call us at 909-314-1097 for more information. We’re here to help.

Start feeling better today with Compassion Recovery by your side