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Are mental health services included in coverage from Medicare?

Updated: Jun 4, 2021




Are mental health services included in coverage from Medicare? Medicare covers mental health services in several different settings. Medicare Part A covers mental health care services you get in a hospital that require you to be admitted as an inpatient. Medicare Part B may provide partial hospitalization coverage if you meet specific requirements, and your doctor certifies that you would otherwise need inpatient treatment. Medicare Part B covers certain outpatient mental health services. There is no cost for your yearly depression screening if your doctor or health care provider accepts Medicare assignment. You will have to pay 20% of the Medicare-approved amount for visits to your doctor or other health care provider to diagnose or treat your condition. The Part B deductible applies. If you get your services in a hospital outpatient clinic or hospital outpatient department, you may have to pay an additional copayment or coinsurance amount to the hospital. If you are enrolled in a Medicare Supplement or Medicare Advantage, your deductible, copay, or coinsurance may be different or less depending on the plan you have chosen. Medicare Advantage plans may also offer additional mental health services. Please check your Medicare Advantage Summary of Benefits to see if your plan provides any supplemental benefits. New Chapter Insurance - your local Medicare Expert - can help you understand the many parts of Medicare and determine what the right fit is for you.



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