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April 28, 2022

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Some people find it difficult to distinguish mental health problems from age-related issues. You might think feeling sad or anxious is normal as you grow older, particularly if you have serious health problems and lose your loved one. The decline in quality of health can cause seniors to have mental problems, including depression. When you feel sad and hopeless, you can talk to your medical provider about finding the right treatment.

Depression screening: All Medicare Part B beneficiaries are covered for one depression screening every year at no cost, so long as the doctor accepts the Medicare assignment.

Medicare outpatient mental health services

Medicare Part B provides outpatient mental health services like those provided by doctors and clinics. In general, your outpatient medical care is 20% of your reimbursement for Medicare-assigned services. Medicare offers a variety of psychotherapy services, such as psychotherapy. Medicare does not pay for certain forms of therapeutics.

For most other prescription needs, you'll need to enroll in a stand-alone Medicare Part D Prescription Drug Plan if you have Original Medicare

Alcohol misuse screening: All Medicare Part B beneficiaries who aren't alcohol-dependent are covered for one alcohol misuse screening every year. If your doctor determines you misuse alcohol, you may qualify for up to four counseling sessions per year.

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Medicare coverage of preventive mental health services

Medicare provides a comprehensive list of preventative services to address depression and substance use; these include screenings. It generally must be obtained through an eligible provider in a Medicare-enrolled medical institution for coverage of Part B. Mental illness insurance includes preventative measures like:

Medicare Part A pays for up to 190 days of psychiatric hospital care in your lifetime. Even during inpatient stays, Medicare Part B still covers certain mental health benefits, such as physician services.

Part B also covers outpatient mental health services for the treatment of substance abuse.

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Medicare Coverage of Counseling and Mental Health Services

Mental and physical health are equally important. Eventually, your feelings increase as we age. Sometimes, doctors have the ability to provide the care they are seeking. Medicare covers many mental health services for staying healthy, e.g. counseling services, diagnostics, and preventive checks.

Services may include therapy with a mental health professional, diagnostic services, and occupational therapy (if it's part of your treatment). These programs don't cover meals or transportation to the facility. Partial hospitalization programs can be another treatment option for those who need more intensive care but don't want to be fully hospitalized.

Mental health services help diagnose and treat people with mental health disorders, like depression and anxiety. These visits are often called counseling or therapy. Things to know Part B covers mental health services and visits with these types of health professionals: Psychiatrists or other doctors Clinical psychologists Clinical social workers Clinical nurse specialists.

Certain prescription drugs that aren't usually “self administered” (drugs you would normally take on your own), like some injections. Diagnostic tests. Partial hospitalization. A one-time “Welcome to Medicare” preventive visit . This visit includes a review of your possible risk factors for depression.

Call 911 if you're in an immediate medical crisis. Medicare Part B (Medical Insurance) Part B covers certain doctor's services, outpatient care, medical supplies, and preventive services.

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