Medicare Covered Opioid Treatment

Opioid use disorder treatment services

Medicare Part B (Medical Insurance) covers opioid use disorder treatment services provided by opioid treatment programs (OTPs).

Your Costs in Original Medicare

You pay nothing for these services if you get them from an OTP that’s enrolled in Medicare. There is no deductible in the original part B. Counseling and therapy services are covered in person, by virtual delivery (using 2-way audio/video communication technology), or over the phone.

Things to Know: 

Marin Treatment Center is a Certified Medicare Opioid Treatment Provider.

Marin Treatment Center is a Medicare contracted Opioid Outpatient clinic that serves Marin, Sonoma, San Francisco, Alameda, and Contra Costa Bay Area, residents.

If you have both Medicare and Medicaid, Medicare is now the primary payer for OTP services. In states where Medicaid used to cover OTP services, Medicaid is now the secondary payer.

If you’re in a Medicare Advantage Plan, you may have to switch from your current opioid treatment provider (if they’re not enrolled in Medicare) to a Medicare-enrolled opioid treatment provider to make sure your treatment is paid by Medicare. You may also be charged a copayment.

Contact Marin Treatment Center at 415-457-3755 to learn more about how your Medicare Insurance can cover your Pain Management and Opioid Use Disorder.