Providence Saint Patrick Hospital
Missoula, Montana
57 treatment centers across Montana that work with Medicare.

Gambling addiction is treated far more often in Montana's listed programs than in the directory nationally — 28 of the 55 centers here that report on it, against roughly a quarter of centers elsewhere. Tribal and Indian Health Service payment arrangements are another Montana signature: 25 of the 57 listed centers report accepting IHS or tribal funding, more than three times as common here as across the directory as a whole.
All 57 Montana treatment centers in this directory report accepting Medicare, alongside Medicaid and private insurance. What that reporting does not tell you is what your own plan will pay, which depends on your coverage, your deductible and the specific service — so treat these listings as a starting point for calls you make yourself, not as confirmation of benefits.
Forty-four of the 57 listed centers report serving veterans and military families, and 40 report accepting TRICARE. If you hold Medicare alongside VA or TRICARE benefits, ask the facility which payer it will bill first and what that means for your share.
Thirty-eight of the 57 report medication-assisted treatment and 49 report dual-diagnosis or co-occurring care, with 57 using evidence-based approaches and 40 describing trauma-informed care. Coverage for MAT often runs through Part B or Part D depending on the medication, so ask how yours is billed.
Fifty-five of the 57 listed centers report serving adults 65 and over, and 41 also serve adolescents aged 13 to 17. If a Medicare beneficiary in your family needs care, ask whether the program has experience with older adults specifically, including medical complexity and mobility.
Distance shapes care in Montana more than paperwork does. Many people drive several hours to a metro area for residential or medically supervised care and then step down to something closer to home, which is why 55 of the 57 listed centers report virtual or telehealth options and 54 report outpatient rehab — the parts of a treatment plan that do not require you to be in the building every week.
Cost flexibility is unusually common here too. Forty-two of the 57 report a sliding scale and 8 report scholarships or grants, which can matter for the gaps Medicare leaves — copays, non-covered services, or a level of care your plan will not authorize. Ask about these directly; they are not automatic and each facility sets its own criteria.
Medicare has benefits that can apply to substance use treatment, including inpatient care under Part A, outpatient and office-based services under Part B, and medications under Part D or a Medicare Advantage plan. What is actually covered, and how much you pay, depends on your specific plan, your deductible status and whether the facility bills Medicare. Confirm the details with Medicare or your plan administrator, and again with the facility's billing office before you start.
All 57 Montana centers in this directory report accepting Medicare, and they are spread across the state rather than clustered in one place. Filter by city or by level of care, then call the facility directly using its own listed contact details to ask whether it bills Medicare for the specific program you need.
Call the number on the back of your Medicare or Medicare Advantage card and ask about your substance use disorder benefits, then ask the facility's admissions or billing staff to run a benefits check with your member ID. Getting the same answer from both sides is the most reliable way to verify Medicare insurance for rehab before admission.
Original Medicare does not use networks the same way commercial plans do, but a provider must accept Medicare assignment for standard cost-sharing to apply. Medicare Advantage plans do use networks, so if you have one, ask the plan for its in-network behavioral health providers in Montana and confirm the facility's status directly.
Medically supervised withdrawal management may be covered when it is medically necessary and delivered in a setting that bills Medicare, though coverage rules differ between inpatient and outpatient detox. Ask the facility whether its detox service is billed under Part A or Part B and what your plan requires in the way of documentation or prior authorization.
Cost depends on your deductible, coinsurance, the level of care and whether you also have Medicaid, a Medigap policy or another secondary payer. No honest figure can be quoted in advance, so ask the facility for a written estimate of your expected responsibility and ask your plan what it will pay.
Yes. All 57 listed centers report accepting Medicaid as well as Medicare, which matters for dual-eligible Montanans because Medicaid may pick up cost-sharing Medicare leaves behind. Tell both the facility and your plans that you hold both, so claims are coordinated in the right order.
Telehealth is widely available here, with 55 of the 57 listed centers reporting virtual services, which can cover counseling, dual-diagnosis care and some medication follow-up. Medicare telehealth rules for behavioral health have their own conditions, so ask the provider how virtual visits are billed and whether an in-person visit is required at any point.
Sliding-scale fees, tribal and IHS billing, and telehealth appointments are all widely reported by Montana programs, which gives you more than one way to make the numbers work — the 57 centers listed here can be filtered by city, level of care and the services you need. Write down two or three, call each one directly using its own contact details, and ask what it bills Medicare for and what your share would be. If you or someone you love is in immediate danger, call or text 988, or dial 911 for an emergency.
28 of the 55 that report it in Montana — 51%, against 24% across the directory.
25 of the 57 that report it in Montana — 44%, against 13% across the directory.
17 of the 26 that report it in Montana — 65%, against 40% across the directory.
8 of the 57 that report it in Montana — 14%, against 7.5% across the directory.
42 of the 57 that report it in Montana — 74%, against 41% across the directory.
Missoula, Montana
Great Falls, Montana
Helena, Montana
Helena, Montana
Belgrade, Montana
Butte, Montana
Kalispell, Montana
Box Elder, Montana
Polson, Montana
Helena, Montana
Helena, Montana
Butte, Montana
Broadus, Montana
Great Falls, Montana
Havre, Montana
Conrad, Montana
Butte, Montana
Kalispell, Montana
Kalispell, Montana
Ronan, Montana
Missoula, Montana
Great Falls, Montana
Havre, Montana
Anaconda, Montana
and 7 more
Reported by 57 of the 57 listed here.
and 3 more
Reported by 55 of the 57 listed here.
and 3 more
Based on the 49 that report it; others have not said.
and 8 more
Reported by 57 of the 57 listed here.
Based on the 37 that report it; others have not said.
Based on the 45 that report it; others have not said.
Malibu, California
Madeira Beach, Florida
Monument, Colorado