Medicare Accepted for Outpatient Drug & Alcohol Treatment
Integrity Treatment Partners is one of the few Joint Commission Verified programs on Long Island that fully accepts Medicare Part B and Medicare Advantage plans.
Hope and Healing are Within Reach with Your Medicare Plan
At Integrity Treatment Partners in Baldwin, Nassau County, we believe that quality addiction treatment should be accessible to everyone. Yes, Medicare Part B typically covers 80% to 100% of the cost for medically necessary outpatient addiction treatment services.
Unlike many other clinics, we handle all the billing for you so you can focus on recovery. Our goal is not just sobriety, but to equip you with the tools and support for a fulfilling, substance-free life.
Understanding Your Medicare Coverage
Medicare Part B covers a wide range of outpatient mental health and substance use disorder services, including:
- Screenings for alcohol and substance use.
- Individual and Group Therapy tailored to your needs.
- Co-Occurring Disorder Treatment (Dual Diagnosis) for underlying mental health conditions.
- Psychiatric Care including comprehensive medication management.
- Intensive Outpatient Programs (IOP): Available in both morning and evening sessions to fit your schedule.
- Medication-Assisted Treatment (MAT): Coverage for medications such as Vivitrol, Suboxone, Sublocade, and Brixadi.
Why Choose Integrity Treatment Partners?
Medicare Makes Quality Care Accessible
We work with specific Medicare and Medicare Advantage plans to help you maximize your benefits for our outpatient services.
Experienced and Compassionate Team
Our professionals are dedicated to providing supportive, evidence-based care in a respectful environment.
Focus on Long-Term Recovery
Our goal is not just sobriety, but to equip you with the tools and support for a fulfilling, substance-free life.
Our Outpatient Programs for Medicare Clients
Intensive Outpatient (IOP)
Ideal for those needing more support than traditional outpatient care but not residential supervision. Multiple therapy sessions per week allow you to live at home and maintain work/family commitments.
Regular Outpatient (OP)
Ongoing support with less frequent sessions. Suitable for stepping down from IOP or for less severe challenges, focusing on relapse prevention and coping skills.
Medicare Coverage for MAT Medications
Coverage varies significantly by drug type (Part B vs. Part D) and administration method. Note that medications like Brixadi, Sublocade, and Vivitrol are typically covered under medical benefits.
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| Aspect | Original Medicare Part B (Physician-Administered) | Original Medicare Part D (Outpatient Prescriptions) | Medicare Advantage (Part C) |
|---|---|---|---|
SublocadeInjectable Buprenorphine | Covered in office (buy-and-bill); common | Generally not covered | Must match Original; often prior auth required |
VivitrolInjectable Naltrexone | Covered in office (medical benefit) | Rarely covered | Similar to Original; may require prior auth |
SuboxoneOral/Sublingual | Not covered (self-administered) | Covered (protected class); prior auth common | Covered under drug benefit; prior auth frequent |
| Prior Authorization | Rarely needed | Common (50-70% of plans) | Often required |
| Billing (Outpatient) | Buy-and-bill (ASP + 6%) | Pharmacy prescription | Varies by plan; may need in-network |
| Patient Cost-Share | 20% coinsurance after deductible | Tier copay; $2,000 OOP cap (2025) | Varies; often lower copays but plan OOP max |
Financial Peace of Mind on Your Recovery Journey
We believe financial concerns should not be a barrier to receiving life-saving treatment. In addition to accepting Medicare and Medicare Advantage Plans, Integrity Treatment Partners offers:
Flexible Payment Plans
For any out-of-pocket expenses, we can discuss flexible monthly structures.
Financial Assistance
Hardship options available. Speak with our admissions team to find a way to afford care.
Frequently Asked Questions
Does Medicare cover Suboxone or Methadone?▼
Do you accept Medicare Advantage (Part C)?▼
Is there a waiting list for Medicare patients?▼
Ready to Start Your Recovery?
Call us today to schedule your intake. We can verify your Medicare benefits and get you started on your recovery journey. Same-day assessments available.
Need Immediate Help?
Our admissions team is available 24/7 to verify your Medicare benefits and answer questions.
(516) 200-1669Contact UsPrograms Covered
These programs are typically covered by most insurance plans:
Accredited & Licensed
The only Joint Commission accredited outpatient provider on Long Island. Licensed by NYS OASAS.
Learn more about our credentials
Serving Nassau County
Integrity Treatment Partners is conveniently located in Baldwin, NY, serving residents of:
- • Oceanside (5 min)
- • Freeport (5 min)
- • Rockville Centre (8 min)
- • Merrick (10 min)
Proudly Serving Nassau County Communities
Integrity Treatment Partners provides outpatient addiction treatment and mental health services to residents throughout Nassau County and surrounding areas. We proudly serve the following communities from our centrally located facility in Baldwin, NY: