Your Medicare Coverage
Is my test, item, or service covered?
Mental health care (partial hospitalization)
How often is it covered?
In some cases, Medicare Part B (Medical Insurance) covers partial hospitalization. These programs are usually given through hospital outpatient departments and local community mental health centers. For Medicare to cover a partial hospitalization program, a doctor must certify that you would otherwise need inpatient treatment. Also, your doctor and the partial hospitalization program must accept Medicare payment.
Who's eligible?
All people with Medicare are covered.
Your costs in Original Medicare
You pay:
- 40% of the Medicare-approved amount for each service you get from a qualified professional, and
- 20% of the Medicare-approved amount for each day of service you get in a hospital outpatient department or a community mental health center.
Related resources
- Mental health care (inpatient)
- Mental health care (outpatient)
- Substance Abuse & Mental Health Services Administration
- National Institute of Mental Health
- Find hospitals
If you need immediate help for yourself or someone in a crisis, call the National Suicide Prevention Lifeline at 1-800-273-TALK or 1-800-SUICIDE (1-800-273-8255). TTY users should call 1-800-799-4TTY (1-800-799-4889).
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