Will Medicare Advantage Cover Medication-assisted Treatment?

This entry was posted on by .

Yes, Medicare Advantage (Part C) plans cover medication-assisted treatment (MAT). By law, Medicare Advantage plans must provide at least the same level of coverage as Original Medicare, which covers MAT under the Part B prescription drug benefit for patients in an intensive outpatient program (IOP).

Key details regarding Medicare Advantage coverage for MAT include:

  • Comprehensive Coverage: MAT is covered when it is included as part of your specific plan’s benefits.
  • Reduced Costs: Many Medicare Advantage plans offer lower copavments for MAT compared to Original Medicare.
  • Financial Protection: Unlike Original Medicare, these plans often include an out-of-pocket maximum, which limits the total amount you pay for covered services during the year.
  • Integrated Care: At facilities like Recovery Cove, MAT is integrated into evidence-based programs alongside therapy and counseling.

Because specific copays and network requirements vary by provider, it is recommended that you verify your specific plan details with your insurance carrier or treatment facility to understand your exact out-of-pocket costs.

Related FAQs