Insurance Guide
Medicare Coverage for Addiction Treatment in NJ
Medicare covers medically necessary detox and a growing set of addiction treatment services. Coverage expanded significantly under the 2020 rule adding Opioid Treatment Programs as a covered benefit.
Coverage overview
Part A covers inpatient detox and rehab in a hospital setting. Part B covers outpatient services, PHP, IOP, and Opioid Treatment Programs. Medicare Advantage plans must offer at least equivalent benefits.
Plans covered on this page
- Medicare Part A
- Medicare Part B
- Medicare Advantage
This page is educational. Benefits and prior-authorization rules change; always verify with your plan’s member services line above.
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