We list 16 rehabs that accept medicare in Puerto Rico, based on SAMHSA's FindTreatment.gov data, with the most in Mayaguez (3), San Juan (3), and Aibonito (2). Compare services, insurance accepted and accreditation, or call for free help choosing.
Medicare: the basics
Yes, Medicare covers many types of substance use disorder treatment. Part A covers inpatient hospital care, Part B covers outpatient services, partial hospitalization, intensive outpatient programs and opioid treatment programs, and Part D covers many addiction medications. Original Medicare generally does not cover non-hospital residential rehab, and costs like deductibles still apply. Read the full guide →
2026 rankings
Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank
Best for: Veterans (VA care)Joint Commission
Why it made our list: Joint Commission accredited; offers detox, residential care, IOP, and outpatient care; accepts private insurance, Medicaid, and Medicare.
Best for: Residential treatmentCARFCOA
Why it made our list: CARF and COA accredited; offers residential care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, outpatient care, MAT, and dual diagnosis care; accepts Medicaid and Medicare.
Best for: Intensive outpatient careJoint Commission
Why it made our list: Joint Commission accredited; offers PHP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Intensive outpatient careJoint Commission
Why it made our list: Joint Commission accredited; offers PHP; accepts private insurance, Medicaid, and Medicare.
Best for: Outpatient care with MATJoint Commission
Why it made our list: Joint Commission accredited; offers outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Detox and residential care
Why it made our list: Offers detox, residential care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Outpatient care with MATCOA
Why it made our list: COA accredited; offers outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
San Juan, PR 00921
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
San Juan, PR 00921
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Aibonito, PR 00705
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Cidra, PR 00739
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Saint Just, PR 00978
CARF · COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance
“Get help” calls our free helpline, not this facility.
Guaynabo, PR 00965
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Mayaguez, PR 00680
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare
“Get help” calls our free helpline, not this facility.
San Juan, PR 00917
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Caguas, PR 00725
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Mayaguez, PR 00680
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Fajardo, PR 00738
Levels of care
Payment accepted
Medicaid · Medicare
“Get help” calls our free helpline, not this facility.
Mayaguez, PR 00681
COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Naranjito, PR 00719
COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Aibonito, PR 00705
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Guayama, PR 00784
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Cayey, PR 00736
Levels of care
Payment accepted
Medicare · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
We list 16 rehabs that accept medicare in Puerto Rico, based on SAMHSA's FindTreatment.gov data (updated October 2026).
The most listings are in Mayaguez (3), San Juan (3), and Aibonito (2).
Look for state licensing and accreditation (The Joint Commission or CARF), the right level of care for your needs, evidence-based therapies, and insurance compatibility. Read our guide to choosing a rehab or call (833) 589-6933 to talk it through.
Most private plans and Medicaid cover substance use treatment when it's medically necessary, but benefits vary by plan and network. Call (833) 589-6933 for a free, confidential benefits check.
Source: SAMHSA FindTreatment.gov, data updated October 2026. Listings are not endorsements.
