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Senior Methadone

Senior Methadone: Treatment at 65 and Older

Methadone for opioid use disorder is dispensed through federally certified opioid treatment programs, not written as an ordinary prescription. Dosing usually starts on site daily, with take-home doses earned over time, and older patients are often monitored more closely because of heart rhythm and interaction concerns.

Daily attendance shapes everything else, so distance and opening hours are worth checking before anything else. Ask about early morning dosing, take-home policy, transport arrangements and whether counseling happens at the same site. Listings record which medications a provider offers and the payment types accepted.

Rehab Centers Near You

Top 12 Senior Methadone Drug and Alcohol Rehab Centers

SAKINA Mental Health Care – Behavioral Science Abu Dhabi

Behavioural Sciences Pavilion, Sheikh Khalifa Medical City, Al Karamah Street, Abu Dhabi, AE

4.9★★★★★~~100~~

DetoxInpatientPHP+2

Accepts InsuranceSelf-Pay

Co-occurring DisordersTeensSeniors+1

Arabic spoken

SAKINA is the mental health network of SEHA, Abu Dhabi's public healthcare provider and part of PureHealth. Its Behavioural Science centre in Abu Dhabi city occupies the former Behavioural Sciences Pavilion at Sheikh Khalifa Medical City, and the wider network links inpatient psychiatric hospitals, outpatient hubs and satellite clinics across the emirate. The addiction psychiatry specialty treats substance use disorders and behavioural addictions, listing comprehensive assessment, medically supervised detoxification and stabilisation, dual-diagnosis management, work on…

1.2 miAl Hadiqah al Markaziyah18 miZayed International AirportServes1 town

Levels of care

Detox Centers · Evening Treatment · Hospital Addiction Treatment · Inpatient Rehab · Medical Detox · Online Rehab and Telehealth · Outpatient Rehab · Partial Hospitalization Program (PHP) · Weekend Rehab

Therapies

Addiction Counseling · Counseling and Therapy · Individual Therapy · Ketamine Therapy · Specialized Therapy

Mental health

Alzheimer's and Dementia Care · Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Psychosocial Rehabilitation · +1 more

Groups served

Adult Rehab · Rehab for Pregnant Women · Senior Detox · Senior IOP · Senior MAT · Senior Methadone · Senior Outpatient Rehab · Senior PHP · Senior Rehab · Senior Residential Rehab · +6 more

Languages

Arabic Speaking Rehab

Coastal Detox Inc – Stuart

1131 SE Indian Street, Stuart, FL, 34997

4.8★★★★★~~290~~

Joint Commission

DetoxHospital detoxInpatient+5

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersMATMethadone+10

Spanish spoken

The address on record is 1131 SE Indian Street in Stuart, Florida. It is recorded as offering residential treatment, partial hospitalization and intensive outpatient. This is recorded as treating co-occurring conditions rather than one in isolation. Care runs on site, with accommodation included for the duration. Family involvement is listed as part of the provision. Federal registration is held through SAMHSA, and licensing sits with the Florida Department of Children and Families.

3.0 miSouth Fork Saint Lucie River34 miPresident Donald J. Trump International AirportServes7 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · Carfentanil Rehab · +53 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Anxiety Retreat · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Buprenorphine-Assisted Detox · +61 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · +8 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Social Skills Training · +1 more

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Couples Rehab · +78 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · HIV Treatment · Housing and Employment Support · Housing Assistance · Nutrition and Fitness Counseling · Peer Support · Practical Support · +5 more

Languages

Spanish Speaking Rehab

Insurance accepted

Aetna · Ambetter (Centene) · AmeriHealth · Avmed · CarePlus Health Plans · Cigna Healthcare · ComPsych · Emblem Health · First Health · Golden Rule Insurance Company · +10 more

Recovery Centers of America – Earleville

314 Grove Neck Road, Earleville, MD, 21919

4.7★★★★★~~445~~

Joint Commission

DetoxHospital detoxInpatient+3

Accepts InsuranceAccepts TRICAREAccepts State Insurance+1

Co-occurring DisordersMATMethadone+11

Deaf and HoH

Recovery Centers of America operates from 314 Grove Neck Road in Earleville, Maryland. Provision here is recorded as detox and residential treatment. The record shows medication-assisted treatment, so buprenorphine or methadone may be available. This is residential provision, so someone lives at the facility throughout. Remote appointments appear on the record, useful where travel is difficult. Support for veterans appears on the record. SAMHSA holds the federal registration and the Maryland Behavioral Health Administration the…

2.3 miKnight Island25 miWilmington AirportServes20 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · +54 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Anxiety Retreat · +59 more

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · Group Therapy · +3 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and Trauma · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Social Skills Training · Trauma Treatment

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Couples Rehab · Court Ordered Detox · +66 more

Support services

Case Management · Community Outreach · Employment Support · Health and Wellness Support · Health Education · HIV Treatment · Housing and Employment Support · Housing Assistance · Intervention Services · Peer Support · +6 more

Languages

Deaf and Hard of Hearing Detox · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Residential Rehab

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · ComPsych · Highmark Health · Independence Blue Cross · TRICARE

Retreat of Broward Inc – Pompano Beach

100 NW 17th Avenue, Pompano Beach, FL, 33069

4.8★★★★★~~188~~

Joint Commission

DetoxHospital detoxInpatient+2

Accepts InsuranceAccepts TRICARESelf-Pay

Co-occurring DisordersMATMethadone+11

The site sits at 100 NW 17th Avenue in Pompano Beach, Florida. The record shows detox and residential treatment. Medication-assisted treatment is part of what is listed, which for opioid dependence means buprenorphine, methadone or naltrexone alongside counseling. People stay on site for the duration, which is what inpatient care means here. The listing notes trauma-focused treatment. Both federal registration through SAMHSA and Florida Department of Children and Families licensing are on record.

5.4 miNorth Fork Middle River11 miFort Lauderdale Hollywood International AirportServes10 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · +7 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · PTSD Treatment · +4 more

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Couples Rehab · Court Ordered Detox · +64 more

Support services

Case Management · Community Outreach · Education and Job Training · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · Nutrition and Fitness Counseling · +6 more

Insurance accepted

Aetna · Anthem / Elevance Health · Carelon Behavioral Health · Cigna Healthcare · Humana · MultiPlan / PHCS · TRICARE · Tufts Health Plan

Banyan Delaware – Milford

21 West Clarke Avenue, Milford, DE 19963

4.6★★★★★~~407~~

Joint Commission

DetoxHospital detoxInpatient+6

Accepts InsuranceAccepts MedicaidAccepts TRICARE+1

Co-occurring DisordersMATMethadone+9

Banyan Delaware operates from 21 West Clarke Avenue in Milford. The site sits in Sussex County, which shapes which public funding routes apply. Nearby communities include Houston, Lewes and Lincoln. Delaware draws people across long distances for treatment, so travel time is worth weighing against waiting time. Hospital inpatient care, detox, residential treatment, intensive outpatient and outpatient care are delivered here, alongside medication-assisted treatment, an opioid treatment program, telehealth appointments and care for co-occurring mental…

0.5 miIce Cream Island16 miDover Civil Air Terminal/Dover Air Force BaseServes26 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · +2 more

Mental health

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Court Ordered Detox · +76 more

Support services

Case Management · Community Outreach · Employment Support · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · Peer Support · +6 more

Insurance accepted

Aetna · America's Choice · AmeriHealth · Anthem / Elevance Health · Avmed · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Cigna Healthcare · Medicaid · Optum · +3 more

MCAT LLC – Cohasset

1 Chief Justice Cushing Highway, Cohasset, Massachusetts, 2025

4.8★★★★★73

Joint Commission

DetoxResidentialTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts TRICARE+2

Co-occurring DisordersMATMethadone+9

Spanish spokenDeaf and HoHFrench spoken+5

MCAT LLC is located at 1 Chief Justice Cushing Highway in Cohasset, within 4.5 miles of Hingham and North Scituate. Within around 8 miles that includes North Scituate, Weymouth, Scituate and Hull. Norfolk County is the relevant authority here, which matters for anyone using state-funded care. MCAT LLC delivers detox and residential treatment. Buprenorphine, methadone or naltrexone can be prescribed alongside therapy. Remote appointments are offered, useful for anyone without transport. Veterans are a named…

0.9 miScituate Hill12 miBoston Logan International AirportServes47 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · +4 more

Mental health

Groups served

Support services

Languages

Creole Speaking Rehab · Deaf and Hard of Hearing Detox · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Residential Rehab · French Speaking Rehab · German Speaking Rehab · Hebrew Speaking Rehab · Polish Speaking Rehab · +2 more

Insurance accepted

Medicaid · TRICARE

Archstone Behavioral Health – Lake Worth

501 West Perry Street, Lake Worth, FL, 33462

4.6★★★★★~~170~~

Joint Commission

DetoxResidentialPHP+4

Accepts InsuranceAccepts TRICARESelf-Pay

Co-occurring DisordersMATMethadone+10

The listing gives 501 West Perry Street, Lake Worth, Florida as the location. On record, this provider offers detox, residential treatment and intensive outpatient. Medication for opioid use disorder is offered here alongside talking treatment. The model is residential: people move in for the length of the program. Support for veterans appears on the record. Registration is federal, through SAMHSA; licensing is held with the Florida Department of Children and Families.

1.4 miSouth Palm Beach7.6 miPresident Donald J. Trump International AirportServes10 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Addiction Counseling · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · +5 more

Mental health

Groups served

Adult Rehab · Couples Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's PTSD Rehab · Men's Rehab · Men's Residential Rehab · +64 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Peer Support · Practical Support · +3 more

Insurance accepted

Aetna · Anthem / Elevance Health · Cigna Healthcare · Humana · TRICARE · UnitedHealthcare (UHC)

Intentional Longevity – Asheville

370 North Louisiana Avenue, Suites D-3 and D-4, Asheville, North Carolina, 28806

4.8★★★★★46

CARF accredited

DetoxOutpatientTelehealth+1

Accepts MedicaidAccepts MedicareSelf-Pay

Co-occurring DisordersMATMethadone+7

Intentional Longevity – Asheville is located at 370 North Louisiana Avenue, Suites D-3 and D-4 in Asheville, Buncombe County, North Carolina and delivers addiction detox, medication-assisted treatment (MAT) and outpatient services (OP). Care is provided on an outpatient basis, so people continue living at home. Those looking in the Asheville area should confirm current openings when they call. Details here draw on the Substance Abuse and Mental Health Services Administration treatment locator, the federal register…

2.3 miSwannanoa River11 miAsheville Regional AirportServes10 towns

Substances treated

Adderall Rehab · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · Fentanyl Patch (Duragesic) Rehab · Fentanyl Rehab · Heroin Rehab · Hydrocodone Rehab · Hydromorphone (Dilaudid) Rehab · +27 more

Levels of care

Aftercare and Continuing Care · Buprenorphine-Assisted Detox · Carfentanil Detox Program · Codeine Detox Program · Continuing Care · Detox by Substance · Detox Centers · Discharge Planning · Evening Treatment · Fentanyl Detox Program · +27 more

Therapies

Addiction Counseling · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy · Motivational Interviewing

Groups served

Adult Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Medicare Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Pregnant Women Detox · +21 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Peer Support · Practical Support · Recovery Support Services · Self Help Groups

Insurance accepted

Medicaid · Medicare · TRICARE

URP Lake Worth LLC – Lake Worth

Lake Worth, FL, 33461

4.7★★★★★~~276~~

Joint Commission

DetoxResidentialAftercare

Accepts InsuranceSelf-Pay

Co-occurring DisordersMATMethadone+8

Records place URP Lake Worth LLC in Lake Worth, Florida. According to the federal listing this provider runs detox and residential treatment. Medication-assisted treatment forms part of the provision listed here. People stay on site for the duration, which is what inpatient care means here. Trauma care appears on the record alongside the rest. Registration is federal, through SAMHSA; licensing is held with the Florida Department of Children and Families.

2.9 miIbis Isle4.1 miPresident Donald J. Trump International AirportServes10 towns

Substances treated

Adderall Rehab · Alcohol Detox · Ativan (Lorazepam) Rehab · Benzodiazepine Rehab · Carfentanil Rehab · Chronic Pain and Substance Use · Cocaine Rehab · Codeine Rehab · Concerta Rehab · Crack Cocaine Rehab · +45 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · Abstinence-Based Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Anxiety Retreat · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · +50 more

Therapies

12 Step Rehab · Acupuncture · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Community Reinforcement Approach · Contingency Management · Counseling and Therapy · Couples Counseling · +8 more

Mental health

Groups served

Adult Rehab · Couples Rehab · Early HIV Intervention · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Rehab · Men's Residential Rehab · Men's Trauma Rehab · +14 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · +8 more

Insurance accepted

Aetna · Anthem / Elevance Health · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Highmark Health · NYSHIP · TRICARE

Amazing Grace Center – Portsmouth

802 Clare Avenue, Portsmouth, OH, 45662

4.6★★★★★~~202~~

CARF accredited

DetoxIOPOutpatient+2

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersMATMethadone+10

Deaf and HoH

The provider's premises are at 802 Clare Avenue, Portsmouth, Ohio. It is recorded as offering detox, intensive outpatient and outpatient care. Medication-assisted treatment forms part of the provision listed here. Treatment runs on an outpatient footing, with people returning home between appointments. Remote appointments appear on the record, useful where travel is difficult. Trauma-specific provision is recorded here. SAMHSA holds the federal registration and the Ohio Department of Mental Health and Addiction Services the state…

2.0 miScioto River36 miTri-State Airport / Milton J. Ferguson FieldServes9 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol Rehab · Ativan (Lorazepam) Rehab · Benzodiazepine Rehab · Carfentanil Rehab · Chronic Pain and Substance Use · Cocaine Rehab · Codeine Rehab · Concerta Rehab · +45 more

Levels of care

Aftercare and Continuing Care · Alcohol Detox Program · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Carfentanil Detox Program · Cocaine Detox Program · Codeine Detox Program · Continuing Care · Crack Cocaine Detox Program · Crystal Meth Detox Program · +39 more

Therapies

Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy · Matrix Model Treatment · +2 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Trauma · Mental Health Conditions · Trauma Treatment

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · +73 more

Support services

Languages

CARF Accredited Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Detox · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Aetna · Ambetter (Centene) · AmeriHealth · Anthem / Elevance Health · Buckeye Health Plans · CareSource · Humana · Medicare · Molina Healthcare · TRICARE · +2 more

Detox3 photos

SOAP MAT LLC – Vista

1939 West Vista Wahy Suite A, Vista, California, 92083

4.7★★★★★83

COA accredited

DetoxOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+2

Co-occurring DisordersMATMethadone+11

Spanish spokenDeaf and HoHRussian spoken+1

SOAP MAT LLC – Vista is based on 1939 West Vista Wahy Suite A in Vista, San Diego County. The facility offers addiction detox, medically supervised detox, alcohol withdrawal management, drug withdrawal management, polysubstance detox and opioid withdrawal management. Care is provided on an outpatient basis, so people continue living at home. This location is registered for substance use treatment. Details on this page are drawn from the federal treatment locator maintained by the Substance…

4.7 miSaint Malo Beach4.0 miMcClellan-Palomar AirportServes9 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · +38 more

Levels of care

Aftercare and Continuing Care · Alcohol Detox Program · Buprenorphine-Assisted Detox · Carfentanil Detox Program · Codeine Detox Program · Detox by Substance · Detox Centers · Discharge Planning · Evening Treatment · Fentanyl Detox Program · +27 more

Therapies

Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Individual Therapy · Motivational Interviewing · Trauma Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Trauma · Mental Health Conditions · Psychosocial Rehabilitation · Social Skills Training · Trauma Treatment

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Adult Rehab · Court Ordered Detox · +80 more

Support services

Languages

Deaf and Hard of Hearing Detox · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab · Polish Speaking Rehab · Russian Speaking Rehab · Spanish Speaking Rehab

Insurance accepted

Carelon Behavioral Health · Medicaid · Medicare · Optum · UnitedHealthcare (UHC)

BrightView Health – Henderson

500 North Green Street, Henderson, Kentucky, 42420

4.7★★★★★40

Joint Commission

DetoxPHPOutpatient+2

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersMATMethadone+6

Deaf and HoH

BrightView Health – Henderson operates from 500 North Green Street in Henderson, Henderson County, Kentucky, offering addiction detox, medication-assisted treatment (MAT), outpatient services (OP) and partial hospitalization program (PHP). Care runs to a scheduled timetable, so people return home outside sessions. Anyone searching around Henderson may want to check availability and admission criteria directly. Records for this location come from the federal treatment locator run by the Substance Abuse and Mental Health Services Administration. Program…

1.7 miHenderson Towhead14 miEvansville Regional AirportServes7 towns

Substances treated

Levels of care

Aftercare and Continuing Care · Alcohol Detox Program · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Buprenorphine-Assisted Detox · Carfentanil Detox Program · Clonidine and Lofexidine Detox · Cocaine Detox Program · Codeine Detox Program · Continuing Care · +42 more

Therapies

Addiction Counseling · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Community Reinforcement Approach · Contingency Management · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy · Matrix Model Treatment · +2 more

Mental health

Psychosocial Rehabilitation · Social Skills Training

Groups served

Adult Rehab · Men's Dual Diagnosis Rehab · Men's Medicare Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Senior Detox · Senior MAT · Senior Methadone · Senior Outpatient Rehab · +10 more

Support services

Case Management · Community Outreach · Employment Support · Health and Wellness Support · Housing and Employment Support · Housing Assistance · Peer Support · Practical Support · Recovery Support Services · Suicide Prevention Services

Languages

Deaf and Hard of Hearing Detox · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Aetna · Anthem / Elevance Health · BCBS (Blue Cross Blue Shield) · CareSource · Humana · Medicaid · Medicare · Molina Healthcare · Optum · TRICARE · +1 more

More Senior Methadone Addiction Rehabs 13–80 of 1,039

Evolutions Treatment Center – Miami

16565 NE 4th Avenue, Miami, FL, 33162

4.6★~~(500)~~

DetoxResidentialOutpatient+1Accepts InsuranceAccepts Medicaid+5

Concerted Care Group Elkton LLC – Elkton

1275-B West Pulaski Highway, Elkton, MD, 21921

4.8★~~(60)~~

IOPOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

VA Puget Sound Healthcare System – Tacoma

9600 Veterans Drive SW, Tacoma, WA, 98493

4.5★~~(404)~~

DetoxResidentialIOP+4Accepts InsuranceAccepts Medicaid+6

Recovery Centers of America – South Amboy

901 Ernston Road, South Amboy, NJ, 8879

4.5★~~(333)~~

DetoxResidentialPHP+4Accepts InsuranceAccepts TRICARE+2

Suburban Health Clinic of Toms River – Toms River

10 Mule Road, Toms River, NJ, 8755

5.0★~~(20)~~

IOPOutpatientTelehealth+1Accepts MedicaidAccepts Medicare+2

Elev8 Center New York LLC – New York

151 West 136th Street, New York, NY, 10030

4.6★~~(109)~~

DetoxResidentialTelehealth+2Accepts InsuranceAccepts Medicaid+4

RS Jiwa Islam Klender

Jl. Bunga Rampai X, Perumnas Klender, Malaka Jaya, Kec. Duren Sawit, Jakarta, ID

4.6★~~(2,123)~~

InpatientOutpatientAccepts InsuranceSelf-Pay

Everest Recovery Center – Ludlow

14 Chestnut Place, Ludlow, Massachusetts, 1056

5.0★~~(32)~~

OutpatientTelehealthAftercareAccepts MedicaidAccepts Medicare+3

Serenity Health LLC – Elkton

953 West Pulaski Highway, Elkton, MD, 21921

4.8★~~(18)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+3

BrightView Health – Marietta

324 Pike Street, Marietta, OH, 45750

4.7★~~(37)~~

DetoxIOPOutpatient+1Accepts InsuranceAccepts Medicaid+5

BrightView Health – Springfield

201 North Yellow Springs Street, Springfield, OH, 45504

4.6★~~(49)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+5

Complete Healthcare – Columbus (1539 West Broad Street)

1539 West Broad Street, Columbus, OH, 43222

4.6★~~(32)~~

DetoxPHPIOP+4Accepts InsuranceAccepts Medicaid+5

Recovery Concepts lll LLC – Chicago

5334 South Archer Avenue, Chicago, Illinois, 60632

4.9★~~(36)~~

OutpatientTelehealthAftercareAccepts InsuranceAccepts Medicaid+2

Bangkok Hospital Pattaya – Mental Health Center (Sunlight Clinic)

301 Sukhumvit Road, Naklua, Bang Lamung, Pattaya, TH

4.5★~~(4,733)~~

DetoxHospital detoxInpatient+1Self-Pay

Family Center of Thomas Jefferson Univ – Philadelphia

1233 Locust Street, Philadelphia, PA, 19107

5.0★~~(11)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

Island Crossing Counseling Services – Arlington

5700 172nd Street NE, Arlington, WA, 98223

4.5★~~(163)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+6

The Salvation Army Bridge – Auckland

7-15 Ewington Avenue, Auckland, NZ

4.6★~~(91)~~

ResidentialOutpatientAftercareSelf-Pay

JFK Alcohol and Drug Abuse Trt Ctr – Black Mountain

201 Tabernacle Road, Black Mountain, North Carolina, 28711

4.6★~~(47)~~

DetoxHospital detoxInpatient+3Accepts InsuranceAccepts Medicaid+5

Bel Air Recovery Center LLC – Bel Air

2014 South Tollgate Road, Bel Air, MD, 21015

4.7★~~(37)~~

DetoxOutpatientAftercareAccepts InsuranceAccepts Medicaid+4

Lansdowne Treatment Services – Lansdowne

53 North Union Avenue, Lansdowne, PA, 19050

4.9★~~(17)~~

IOPOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

RSUP Prof. dr. I.G.N.G. Ngoerah

Jl. Diponegoro, Dauh Puri Klod, Seminyak, ID

4.5★~~(8,988)~~

InpatientOutpatientSelf-Pay

Serenity Health LLC – Aberdeen

780 West Bel Air Avenue, Aberdeen, MD, 21001

4.9★~~(12)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+2

Fort Help Mission Inc – San Francisco

1101 Capp Street, San Francisco, California, 94110

5.0★~~(11)~~

DetoxOutpatientAftercareAccepts InsuranceAccepts Medicaid+2

Riverside Treatment Services – Edgewood

2205 Pulaski Highway, Edgewood, MD, 21040

4.8★~~(39)~~

OutpatientTelehealthAftercareAccepts InsuranceAccepts Medicaid+2

AdCare Rhode Island Inc – North Kingstown

1950 Tower Hill Road, North Kingstown, RI 02852

4.5★~~(391)~~

DetoxResidentialAftercareAccepts InsuranceAccepts Medicaid+5

Clearbrook Treatment Center MA LLC – Baldwinville

83 Hospital Road, Baldwinville, Massachusetts, 1436

4.4★~~(337)~~

DetoxHospital detoxInpatient+3Accepts InsuranceAccepts Medicaid+4

Organization for Recovery – Plainfield

519 North Avenue, Plainfield, NJ, 7060

4.5★~~(31)~~

DetoxIOPOutpatient+2Accepts MedicaidAccepts Medicare+4

Metro Treatment of Florida LP – Tarpon Springs

1919 North Pinellas Avenue, Tarpon Springs, FL, 34689

4.4★~~(108)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+3

Wausau Comprehensive Treatment Center – Wausau

210 Washington Street, Wausau, Wisconsin, 54403

4.4★~~(101)~~

DetoxPHPOutpatient+2Accepts InsuranceAccepts Medicaid+5

American Center for Psychiatry and Neurology – Abu Dhabi

BHC Compound No. 32, Delma Street (13th) and Al Karama Street (14th) intersection, Al Manhal, Abu Dhabi, AE

4.5★~~(2,381)~~

IOPOutpatientAccepts InsuranceSelf-Pay

Chicago Treatment and – South Cicero Avenue, Cicero

1849 South Cicero Avenue, Cicero, Illinois, 60804

4.9★~~(20)~~

OutpatientAftercareAccepts MedicaidSelf-Pay

The Salvation Army Bridge – Dunedin

160 Crawford Street, Dunedin, NZ

4.4★~~(82)~~

DetoxResidentialIOP+2Self-Pay

Suburban Health Clinic – Union

43 Progress Street, Union, NJ, 7083

4.7★~~(20)~~

IOPOutpatientTelehealth+1Accepts MedicaidAccepts Medicare+2

Behavioral Health of the Palm Beaches – Lake Worth

7859 Lake Worth Road, Lake Worth, FL, 33467

4.3★~~(783)~~

DetoxHospital detoxInpatient+4Accepts InsuranceAccepts Medicaid+2

Veterans Affairs Medical Center – San Francisco

4150 Clement Street, San Francisco, California, 94121

4.3★~~(454)~~

DetoxHospital detoxInpatient+5Accepts TRICAREState Funded+1

Recovery Village Cherry Hill – Cherry Hill

761 Cuthbert Boulevard, Cherry Hill, NJ, 8002

4.3★~~(298)~~

DetoxResidentialPHP+5Accepts InsuranceAccepts TRICARE+2

New Era Rehabilitation Center Inc – New Haven

311 East Street, New Haven, Connecticut, 6511

4.4★~~(29)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+4

Middletown Medical LLC – Red Bank

600 State Route 35, Red Bank, NJ, 7701

4.5★~~(51)~~

IOPOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

Healthcare Resource Centers – Westfield

130 Southampton Road, Westfield, Massachusetts, 1085

4.7★~~(23)~~

OutpatientTelehealthAftercareAccepts InsuranceAccepts Medicaid+4

Sunrise Treatment Center – Springfield

1421 Parker Court, Springfield, OH, 45504

4.5★~~(17)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+3

Connecticut Counseling Centers Inc – Meriden

285 Kensington Avenue, Meriden, Connecticut, 6451

4.6★~~(11)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+5

Strive to Serenity LLC – Chicago

7124 West Grand Avenue, Chicago, Illinois, 60707

4.7★~~(21)~~

OutpatientTelehealthAftercareAccepts MedicaidSelf-Pay

APT Foundation Inc – North Haven

352 State Street, North Haven, Connecticut, 6473

4.3★~~(332)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+6

Abbasia Hospital for Mental Health and Addiction Treatment

1 Salah Salem Street, corner of Ramses Street extension (next to Cairo Fairgrounds metro station, Line 3), Abbasia, Cairo, EG

4.3★~~(138)~~

DetoxHospital detoxInpatient+3Self-Pay

Cleveland Treatment Center Inc – Cleveland

1127 Carnegie Avenue, Cleveland, OH, 44115

4.5★~~(74)~~

OutpatientTelehealthAftercareAccepts MedicaidAccepts Medicare+2

NYC HHC Metropolitan Hospital Center – New York

1900 2nd Avenue, New York, NY, 10029

4.3★~~(1,995)~~

InpatientOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+7

RSKO Jakarta (Rumah Sakit Ketergantungan Obat)

Jl. Lapangan Tembak No.75, Cibubur, Kec. Ciracas, Jakarta, ID

4.3★~~(397)~~

DetoxHospital detoxInpatient+1Accepts InsuranceSelf-Pay

Metro Treatment of Florida LP – West Palm Beach

1497 Forest Hill Boulevard, West Palm Beach, FL, 33406

4.3★~~(97)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+4

APT Foundation Inc – Guilford

439 Boston Post Road, Guilford, Connecticut, 6437

4.3★~~(332)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+6

MedMark Treatment Center – Louisville

4922 Poplar Level Road, Louisville, Kentucky, 40219

4.6★~~(22)~~

OutpatientTelehealthAftercareAccepts InsuranceAccepts Medicaid+6

Reflections of Hope LLP – Wilmington

33 Darlington Avenue, Wilmington, North Carolina, 28403

4.7★~~(14)~~

OutpatientTelehealthAftercareAccepts MedicaidAccepts Medicare+3

BHG Pawtucket Treatment Center – Pawtucket

82 Pond Street, Pawtucket, RI 02860

4.8★~~(6)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+6

American Habitare and Counseling Inc – Newark

687 Frelinghuysen Avenue, Newark, NJ, 7114

4.3★~~(30)~~

DetoxPHPIOP+4Accepts InsuranceAccepts Medicaid+3

BrightView Health – Cleveland

5850 Ridge Road, Cleveland, OH, 44129

4.3★~~(61)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+5

Lowell Comprehensive Treatment Center – Lowell

22 Olde Canal Drive, Lowell, Massachusetts, 1851

4.4★~~(38)~~

IOPOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+5

Ocean Medical Services Inc – Toms River

2001 Route 37 East, Toms River, NJ, 8753

4.4★~~(37)~~

IOPOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

Community Medical Services – Missoula

2415 South Catlin Street, Missoula, MT 59801

4.5★~~(31)~~

OutpatientTelehealthAftercareAccepts InsuranceAccepts Medicaid+3

Boston Medical Center/Brighton – Brighton

736 Cambridge Street, Brighton, Massachusetts, 2135

4.2★~~(2,330)~~

DetoxHospital detoxInpatient+4Accepts InsuranceAccepts Medicaid+3

Brightview Health – Ocean City

12417 Ocean Gateway, Ocean City, MD, 21842

4.3★~~(38)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+5

American Center for Psychiatry and Neurology – Dubai

Office 39-43, 2nd Floor, Sunset Mall, Jumeirah Street, Jumeirah 3, Dubai, AE

4.4★~~(672)~~

OutpatientAccepts InsuranceSelf-Pay

American Center for Psychiatry and Neurology – Mirdif

Mirdif 35, 60C Street, 1st Floor, Shop 6-7, Mirdif, Dubai, AE

4.7★~~(13)~~

OutpatientAccepts InsuranceSelf-Pay

BHG Madison Treatment Center – Madison

176 Cude Lane, Madison, Tennessee, 37115

4.6★~~(14)~~

OutpatientTelehealthAftercareAccepts InsuranceAccepts Medicaid+5

BHG Brainerd Treatment Center – Brainerd

2215 South 6th Street, Brainerd, Minnesota, 56401

4.4★~~(52)~~

OutpatientTelehealthAftercareAccepts InsuranceAccepts Medicaid+4

Cecil Community Recovery Center LLC – Elkton

409 West Pulaski Highway, Elkton, MD, 21921

5.0★~~(4)~~

IOPOutpatientTelehealth+1Accepts MedicaidAccepts Medicare+4

Rumah Sakit Jiwa Manah Shanti Mahottama

Jl. Kusuma Yudha No. 29, Ubud, ID

4.9★~~(1,067)~~

DetoxHospital detoxInpatient+1Self-Pay

CONTACT Suchtbehandlung – Bern

Zieglerstrasse 30, Bern, CH

4.3★~~(54)~~

DetoxOutpatient

Heliopolis Hospital for Mental Health and Addiction Treatment (Al-Matar)

Airport Road, behind El Taawon petrol station, next to Novotel hotel (beside the EgyptAir administrative complex), Heliopolis, Cairo, EG

4.9★~~(62)~~

DetoxHospital detoxInpatient+2Self-Pay

South Portland Comprehensive Treatment – South Portland

400 Western Avenue, South Portland, ME 04106

4.4★~~(32)~~

OutpatientTelehealthAftercareAccepts InsuranceAccepts Medicaid+5

Why Trust RehabSeekers.com?

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Common questions

Answered from what is listed here.

Is methadone safe for people over 65?

Yes, with cautious dosing. The methadone label states patients aged 65 or older may have increased sensitivity to the medication, so dose selection should be cautious and usually start at the low end of the range. The label ties this caution to more frequent decreased liver, kidney or heart function and other drug therapy.

Methadone also carries a boxed warning for QT prolongation, so prescribers review cardiac history and other medicines before and during treatment.

Methadone Medication Clinichttps://rehabseekers.com/medications/mat/methadone/

What is the QT warning on methadone?

Methadone's boxed warning lists life-threatening QT prolongation, and states that QT interval prolongation and serious arrhythmia, including torsades de pointes, have occurred during treatment. Prescribers are told to closely monitor anyone with QT risk factors, a history of cardiac conduction abnormalities, or who takes medicines affecting cardiac conduction.

The label notes QT prolongation has also been reported in patients with no prior cardiac history who received high doses.

Medication Assisted Treatment (MAT)https://rehabseekers.com/medications/mat/

Does methadone affect the heart in older adults?

It can, which is why cardiac risk is reviewed. The label associates QT prolongation cases more commonly with higher doses above 200 mg a day, though not only with them, and increased methadone plasma concentrations have been linked to toxicity including QT prolongation.

When prolongation develops, the label directs a look at modifiable causes: other cardiac-active medicines, drugs causing electrolyte changes, and drugs that slow methadone metabolism.

Senior Rehabhttps://rehabseekers.com/specialized/senior-rehab/

What dose of methadone is used for elderly patients?

Dosing usually starts at the low end of the range. The methadone label directs cautious dose selection for patients 65 and older, reflecting the greater frequency of decreased liver, kidney or heart function, other diseases and other drug therapy in this group. The treating practitioner at the opioid treatment program sets and adjusts the actual dose.

No age-specific maintenance range is published, so adjustments rest on response, sedation and the person's other medicines.

Methadone Maintenancehttps://rehabseekers.com/medications/mat/methadone/methadone-maintenance/

Does methadone need kidney testing in seniors?

Checking kidney function is advised. The methadone label states older patients are more likely to have decreased kidney function, so dose selection needs care and it may be useful to evaluate kidney function regularly during treatment. Programs typically fold this into routine medical review alongside heart and liver status.

Senior MAThttps://rehabseekers.com/specialized/senior-rehab/senior-mat/

Does Medicare cover methadone treatment?

Yes. Medicare covers methadone for opioid use disorder in the hospital under Part A and at an Opioid Treatment Program under Part B. The program must be enrolled in Medicare. Coverage continues for as long as treatment is reasonable and necessary, with no fixed cutoff.

Medicare lists Part D as possibly covering buprenorphine and naltrexone, but methadone for this use is paid through Part A or Part B.

Medicare MAThttps://rehabseekers.com/insurance-accepted/medicare/medicare-mat/

How much does methadone cost with Medicare?

Individuals with Original Medicare usually pay no copayments for services at a Medicare-enrolled Opioid Treatment Program, but the annual Part B deductible applies, which is $283 in 2026. The standard Part B premium in 2026 is $202.90 a month.

Because dosing is daily, ask the program about its weekly rate if you are paying without coverage.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

Does Medicaid pay for methadone if I also have Medicare?

Yes. Someone with both Medicare and full-benefit Medicaid is dually eligible, and Medicare pays first for Medicare-covered services. Medicare states that individuals with both programs pay nothing for services they receive through their state Medicaid program.

Medicaid and Medicare are each recorded at nearly every certified dispensing site serving older adults, well above the site average.

Medicaid Rehabhttps://rehabseekers.com/insurance-accepted/medicaid/

What services does an opioid treatment program provide besides methadone?

Medicare lists Opioid Treatment Program services as medications, overdose-reversal medicines and education, drug testing, counseling, individual and group therapy, peer recovery support and intensive outpatient services. Programs must provide counseling, though someone who declines counseling is not barred from receiving medication.

Aftercare and continuing care is noted almost universally at certified programs serving older adults, with outpatient care close behind.

Outpatient MAT Clinichttps://rehabseekers.com/programs/outpatient/mat/

Do seniors have to go to the clinic every day for methadone?

Not necessarily. Under the revised 42 CFR Part 8, published February 2, 2024, a practitioner may allow take-home doses from the start of treatment based on clinical judgment and documented reasons, rather than fixed time-in-treatment steps. The first dose at minimum is given under direct supervision at the program.

SAMHSA's guidance lists maximum supplies of 7 days in the first 14 days, 14 days from day 15 and 28 days from day 31.

Methadone Clinichttps://rehabseekers.com/addictions/opioid/methadone/

Can an older adult get take-home methadone doses?

Yes, when the treating practitioner judges it appropriate. The decision rests on clinical judgment and documented reasoning, which can take in medical conditions, home stability and risk. State rules do not override the federal change but may be more restrictive than it, so local limits can be tighter.

Ask the program what its state allows before assuming the federal ceilings apply in full.

Medically Supervised Opioid Taperinghttps://rehabseekers.com/medications/mat/opioid-tapering/

What if I cannot get to the methadone clinic because of transportation?

Take-home flexibility was designed for exactly this. SAMHSA states the Part 8 take-home provisions remove the barrier of frequent visits for individuals without reliable transportation. Mobile medication units, defined as extensions of an opioid treatment program, can also carry out program activities to reach underserved or hard-to-reach individuals.

The Eldercare Locator, run by the Administration for Community Living, connects older adults to local services including transportation at 1-800-677-1116.

Senior Outpatient Rehabhttps://rehabseekers.com/specialized/senior-rehab/senior-outpatient-rehab/

Can methadone be delivered to a nursing home?

Only through an exception request. SAMHSA states an opioid treatment program must submit a patient exception request when medication is delivered to a third party such as a nursing home, or picked up by a designated other for someone who cannot come in. A 2017 commentary reports nursing homes and home health agencies generally do not administer methadone for opioid use disorder.

That commentary notes skilled nursing facilities may give it temporarily during short-term rehabilitation.

Senior Residential Rehabhttps://rehabseekers.com/specialized/senior-rehab/senior-residential-rehab/

Can methadone for opioid use disorder be filled at a pharmacy?

No. SAMHSA states Part 8 does not allow methadone for opioid use disorder to be prescribed outside an opioid treatment program. A program may set up a medication unit inside a pharmacy where state law and space allow, but the medication still runs through the certified program rather than an ordinary prescription.

Certified dispensing sites are thinner on the ground than office-based prescribing, so daily travel distance is worth checking first.

Suboxone and Buprenorphinehttps://rehabseekers.com/medications/mat/buprenorphine/

Can I start methadone by telehealth?

Partly. Part 8 allows admission after a screening exam that determines need and an initial dose, without waiting for a full physical exam, and that screening may be done by telehealth. SAMHSA recommends an audio-visual platform for methadone because it carries a higher sedation risk than buprenorphine.

The full physical examination must be completed within 14 days of admission, and the first dose is given on site under supervision.

Senior Telehealthhttps://rehabseekers.com/specialized/senior-rehab/senior-telehealth/

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Senior methadone is methadone treatment for opioid use disorder in adults 65 and older. Federal rules keep methadone for this purpose inside Opioid Treatment Programs, specialized clinics where the medication is dispensed rather than prescribed, so an older adult’s treatment is shaped by two systems at once: the drug label’s cautions about age, and the clinic rules that govern visits and take-home doses.

That dispensing rule is what sets this page apart from the rest of the senior rehab family. Therapy and day programs can happen almost anywhere; methadone cannot. A regular physician cannot write it for opioid use disorder and a pharmacy cannot fill it that way, which makes distance, transportation and visit frequency part of the clinical picture for a 70-year-old in a way they are not for other treatments.

This page walks through the safety questions specific to later life, what an Opioid Treatment Program provides, the 2024 federal rule changes on take-home doses and telehealth, how long treatment runs, who the clinic may talk to, and what Medicare members actually pay.

Is Methadone Safe for Adults 65 and Older?

Yes, with cautious dosing and monitoring. The methadone label states that patients 65 and older may have increased sensitivity to the drug, so dose selection is careful and usually starts at the low end of the range, reflecting how often this age group carries decreased liver, kidney or heart function, other diseases and other drug therapy.

The label’s boxed warning is about the heart. QT interval prolongation and the serious arrhythmia torsades de pointes have occurred during methadone treatment, more commonly in association with doses above 200 mg a day but not only there, and prolongation has been reported in patients with no prior cardiac history who received high doses. Prescribers are told to monitor anyone with risk factors for QT prolongation, a history of cardiac conduction abnormalities, or medicines that affect conduction, and the label notes that use in patients already known to have a prolonged QT interval has not been systematically studied.

Kidneys and the Starting Dose

Older patients are more likely to have reduced kidney function, and the label says it may be useful to evaluate kidney function regularly during treatment. No published source gives a maintenance dose range specific to age 65 and older; the label’s instruction is simply to begin low and adjust with care, which is the treating practitioner’s call.

Medicines That Stack

When any drug known to prolong the QT interval is added, the label calls for close monitoring of cardiac conduction, and it points to modifiable risk factors such as electrolyte-shifting drugs and medicines that slow methadone’s metabolism. The American Geriatrics Society’s Beers Criteria add two blunt cautions for this age group: avoid combining an opioid with a benzodiazepine, and avoid running three or more sedating, centrally acting drugs at once. Alcohol stacks the same way, which is one reason a parallel look at senior MAT options belongs in the conversation.

One list, every prescriber. Keep a single written list of every medication, supplement and eye drop, and show it to the OTP practitioner and to every other prescriber. At this age the risk rarely comes from methadone alone; it comes from the combination nobody saw whole.

What Does Senior Methadone Treatment Include?

Medicare’s description of Opioid Treatment Program services runs well past the dose: drug testing, counseling, individual and group therapy, peer recovery support, overdose-reversal medicines with education on using them, and intensive outpatient services where needed. Counseling must be offered, but declining it does not cost a patient the medication.

Admission got simpler under the federal rule revision published on February 2, 2024, the first substantial rewrite of the opioid treatment rules in more than 20 years. A screening examination that establishes need and an initial dose is enough to start, the full physical examination follows within 14 days, and the old requirement of a year of opioid use before admission is gone. Where the week’s structure needs more than dosing and counseling, a senior IOP can run alongside the medication.

Starting by Telehealth

The screening exam can happen by telehealth, with an audio-visual connection preferred for methadone because it sedates more than buprenorphine; audio-only is allowed only when the patient sits with a licensed practitioner registered to dispense controlled medications. The first dose is still taken under supervision at the clinic. The online rehab and telehealth page covers remote care more broadly.

Can Seniors Get Take-Home Doses?

Yes. Since the 2024 revision, the treating practitioner can allow take-home methadone from early in treatment based on documented clinical judgment rather than fixed time-in-treatment steps, within ceilings of 7 days of medication during the first 14 days, 14 days from day 15, and 28 days from day 31. State rules may be stricter than the federal ones, so the clinic will know the local limit. Federal materials are explicit that the flexibility was designed to remove the burden of frequent visits for patients without reliable transportation, which describes a good share of adults who no longer drive.

Homebound, in a Nursing Home, or Without a Ride

Delivery of medication to a third party such as a nursing home, or pickup by a designated person for a patient who cannot come in, requires the clinic to submit a patient exception request. A 2017 commentary in a psychiatric journal reports that nursing homes and home health agencies generally do not administer methadone for opioid use disorder, though a skilled nursing facility may give it temporarily during short-term rehabilitation, so families planning a move should raise this early. Mobile medication units, defined in the same federal rules, can bring dosing closer to hard-to-reach patients.

How Long Does Methadone Treatment Last?

As long as it helps: Medicare covers opioid use disorder treatment services for as long as they are reasonable and necessary, with no built-in endpoint. There is no rule that an older adult must come off methadone at any age, and published guidance on when to taper in later life is lacking.

The same 2017 commentary notes that long-term patients who do taper sometimes move as slowly as one milligram a week, and that older adults grow more vulnerable to drug interactions and side effects as health conditions accumulate, which argues for reviewing the regimen rather than racing to end it. A New York City study cited there found 13% of adults in methadone maintenance were over age 60, so clinics are not new to this question.

Who Can the Clinic Tell?

Nobody, by default. Federal confidentiality rules for substance use treatment records bar an Opioid Treatment Program from sharing information identifying someone as a patient unless the patient gives written consent or a court orders it, with narrow exceptions. For an older adult, that consent is also the practical tool: signing a release naming a spouse, an adult child or a nursing home is what lets the clinic coordinate care with them.

How Much Does Senior Methadone Cost?

Usually nothing per visit with Original Medicare: members pay no copayments for services at a Medicare-enrolled Opioid Treatment Program once the Part B deductible, $283 in 2026, is met. The standard Part B premium is $202.90 a month. No government source publishes a cash price for daily dosing, so self-pay quotes come from each clinic.

The parts matter. Methadone for opioid use disorder is paid under Part A during a hospital stay and under Part B at the clinic; Part D is the route for take-home prescriptions of buprenorphine or naltrexone, the medications covered on the senior Suboxone page. A dual-eligible member does even better: Medicare pays first, and Medicare states that members with both programs pay nothing for services received through their state Medicaid program. For wider context, the Medicare rehab page covers the whole benefit. General market rates by level of care:

Typical US market rates before insurance
Level of care	Monthly	Daily
Medical detox (7–14 days)	$1,500 – $5,200 per week	$215 – $745
Residential inpatient	$6,200 – $26,000	$205 – $865
PHP	$7,200 – $14,000	$240 – $465
IOP	$2,700 – $9,200	$90 – $305
Outpatient	$1,300 – $5,200	$45 – $175

Outpatient treatment in the middle half of states runs $1,200 to $5,500 a month before coverage, or $40 to $180 a day, the band most relevant to clinic-based medication with counseling; state funded methadone exists for those outside Medicare.

Two numbers worth saving. For treatment referrals at any hour, the National Helpline run by federal health agencies answers at 1-800-662-HELP (4357), free and confidential. For rides, meals and other local aging services that make daily dosing workable, the Eldercare Locator at 1-800-677-1116 connects you to your area agency on aging.

How Do I Find a Methadone Clinic for a Senior?

Search FindTreatment.gov for Opioid Treatment Programs near you and ask each one three questions: whether it is enrolled in Medicare, how it handles QT monitoring for older patients, and how soon take-home doses become realistic given the person’s health and home situation. The answers vary enough to be worth comparing.

Clinics treating older adults with methadone are brought together on the senior methadone page, with the methadone clinic page covering the service for all ages and the methadone medication clinic page explaining the medication itself. Each listing shows the levels of care offered, the payments the program says it accepts, licensing and accreditation shown where The Joint Commission or CARF lists the facility, and how far the site is from the nearest airport.

References and Citations

U.S. Food and Drug Administration — methadone prescribing information: boxed warning on QT prolongation, geriatric use, kidney function and drug interactions.
U.S. Department of Health and Human Services — February 2024 revision of the federal opioid treatment program rules: admission, telehealth screening, take-home dose ceilings, exception requests and mobile medication units.
Medicare.gov — opioid use disorder treatment services, Opioid Treatment Program cost sharing, Part B and Part D roles, and dual-eligibility payment rules for 2026.
American Geriatrics Society — 2023 Beers Criteria on opioid and benzodiazepine combinations and sedating drug stacking in older adults.
Psychiatric Services — 2017 commentary on methadone maintenance and aging, including long-term care access and tapering in older adults.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.