Addictions Treatment Center: Does Medicare Part B Cover Inpatient Gambling Addiction Facilities?

Question by John: Does Medicare part B cover inpatient gambling addiction facilities?
Couldnt find the answer to this. Assuming the facility accepts Medicare, of course. I doubt I would have trouble getting it documented as “necessary” or whatever medicare would require. Also, what percentage if they do not cover it all. Facilities such as CORE, algamus, etc. Thank you!

Best answer:

Answer by Flower
Medicare Part B is for out-patient services. Part A is for in-patient services but gambling is not a medical conditon and would not be covered.

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One Response to “Addictions Treatment Center: Does Medicare Part B Cover Inpatient Gambling Addiction Facilities?”

  • mbrcatz:

    Not exactly.

    Medicare part A covers hospitalization in a regular or psychiatric hospital (note, there’s a lifetime maximum number of days covered). Medicare part B covers doctors services, 80% of the medicare rate.

    If your “treatment center” is not a hospital, and the “counselors” are not Medicare providers, you’re not going to have any coverage at all.