Inpatient Hospital Coverage: Treatment for mental or nervous disorders (in a Psychiatric hospital) is covered for up to 190 days. Medicare covers all but the Medicare Part A deductible and the specified coinsurance for days 61-150. Special Medicfill covers the Medicare Part A deductible and specified dollar amount of the coinsurance for up to 190 days.

Outpatient Mental Health Care: Treatment for outpatient mental health care is covered. Medicare covers 80% of the reasonable charged after the Medicare Part B deductible. Special Medicfill covers the Medicare Part B deductible and 20% of the reasonable charges. This includes Telehealth.

If you have a behavioral health condition (like depression, anxiety, or another mental health condition), Medicare may pay your provider to help manage that condition. Some providers that manage behavioral health conditions may offer integrated care services, like the Psychiatric Collaborative Care Model. This model is a set of integrated behavioral health services, including care management support that may include:

• Care planning for behavioral health condition(s)
• Ongoing assessment of your condition
• Medication support
• Counseling
• Other treatment your provider recommends

Telehealth: Medicare covers certain telehealth services you get from a doctor or other health care provider who’s located elsewhere using technology to communicate with you in real time including services for substance use disorders and co-occurring mental health disorders for the diagnosis, evaluation, and treatment of a mental health disorder, as well as routine behavioral health services.

Medicare-covered mental health care includes:

• Services provided by marriage & family therapists and mental health counselors.
• Partial hospitalization services that are given by a Community Mental Health Center or by a hospital to outpatients. This structured day program offers outpatient psychiatric services as an alternative to inpatient psychiatric care.
• Intensive outpatient program services that include intensive psychiatric care, counseling, and therapy. These services may be given in hospitals, Community Mental Health Centers, Federally Qualified Health Centers, Rural Health Clinics, and Opioid Treatment Programs (when services are for the treatment of Opioid Use Disorder).
• Partial hospitalization and intensive outpatient services are for more hours a day than care you’d get in a doctor’s or therapist’s office. Learn more.
• Telehealth specific for mental health services.