Mental Health Care (Partial Hospitalization) Detailed
Coverage: Conditions that must be met before Medicare will provide coverage, and limits to coverage.
Medicare covers mental health care furnished by a doctor or health care professional who can be paid by Medicare. Ask your doctor, psychologist, social worker, or other health professional if they accept Medicare payment before you get treatment.
Partial Hospitalization: Partial hospitalization for mental health care is a structured program of active treatment that is more intense than the care received in your doctor's or therapist's office. For Medicare to cover a partial hospitalization program, a doctor must say that you would otherwise need inpatient treatment.
CoPayment: The amount you need to pay.
You pay a set copayment amount for each day of service.
Medicare Part: The part of Medicare that pays for this service or supply.
Organization Name: The organization name that this coverage topic is associated with.
Carrier (Part B)
Important Notes: Details regarding important notes about the coverage.
You must pay an annual $100 deductible for Part B services and supplies before Medicare begins to pay its share. Actual amounts you must pay may be higher if a doctor, health care provider, or supplier does not accept assignment.