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Insurance & payment coverage, plainly explained

We don't ask for your insurance ID or policy number here — tools that do usually feed straight into one specific facility's admissions team, and we don't do call routing. What we can do instead: show you which licensed centers near you already list your payment type, and give you the plain facts before you call.

Medicaid

Medicaid covers substance use disorder treatment in every state as part of essential health benefits, though exactly which services are covered and how much you’ll owe varies by state program.

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Medicare

Medicare covers addiction treatment too — which part applies (A, B, or D) depends on the level of care. See our dedicated guide below for the breakdown.

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Private insurance

Federal parity law generally requires private plans that cover mental health/substance use treatment to cover it on par with medical and surgical benefits — but in-network vs. out-of-network status still changes your real cost significantly.

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Cash / self-pay

Cash pricing varies a lot by level of care and region. Many centers offer payment plans, and the number that matters most for insured families is usually the plan’s out-of-pocket maximum, not the sticker price.

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Sliding fee scale

Sliding-fee-scale programs, often nonprofit or community health centers, set your cost based on income — worth asking about directly even if a center doesn’t advertise it prominently.

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Free / no charge

State-funded and SAMHSA-supported programs exist in every state for people without insurance or the ability to pay. Availability and wait times vary; our directory flags free/no-charge options where listed.

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Can't wait to sort out payment first?SAMHSA's National Helpline, 1-800-662-4357, is free, confidential, and open 24/7 — they can point you to state-funded options regardless of insurance status. In crisis, call or text 988.
Insurance & payment coverage guide · RecoveryHome