covers opioid use disorder treatment services in opioid treatment programs.
You won't have to pay any copayments for these services if you get them from an opioid treatment program provider who's enrolled in Medicare and meets other requirements. However, the Part B
still applies. Medicare pays doctors and other providers for office-based opioid use disorder treatment, including management, care coordination, psychotherapy and counseling activities.
These services, which help people recover from opioid use disorder, include:
- Medication (like methadone, buprenorphine, naltrexone, and naloxone)
- Counseling
- Drug testing
- Individual and group therapy
- Intake activities
- Periodic assessments
Medicare covers counseling, therapy, and periodic assessments both in person and, in certain circumstances, by virtual delivery (using audio and video communication technology, like your phone or a computer).
Talk to your doctor or other health care provider to find out where to go for these services. You can also visit Medicare.gov/talk-to-someone and select "Find treatment near you" on the “Find treatment for opioid misuse” card.
Medicare Advantage Plans must also cover opioid treatment program services. If you’re in a Medicare Advantage Plan, your current opioid treatment program must be Medicare-enrolled to make sure your treatment stays uninterrupted. If not, you may have to switch to a Medicare-enrolled opioid treatment program. Since Medicare Advantage Plans can apply copayments to opioid treatment program services, you should check with your plan to see if you have to pay a copayment.