Mental health care (inpatient)

If you or someone you know is in crisis, call or text 988 or chat 988lifeline.org.

Call 911 if you're in immediate medical crisis.

Medicare Part A (Hospital Insurance) covers mental health care services you get when you're admitted as a hospital patient. Medicare Part B (Medical Insurance) covers the services you get from a doctor or other health care provider while you’re in the hospital.

Your costs in Original Medicare

You pay this for each benefit period: 

  • $1,632 deductible 
  • Days 1–60: $0 per day
  • Days 61–90: A $408 copayment per day
  • Days 91 and beyond: An $816 copayment per each " lifetime reserve day " after day 90 (up to a maximum of 60 reserve days over your lifetime) 
  • Each day after the lifetime reserve days: All costs
  • 20% of the  Medicare-approved amount  for mental health services you get from doctors and other health care providers while you're a hospital inpatient.

What it is

Mental health care services help diagnose and treat people with mental health disorders, like depression and anxiety.

Things to know

You can get these services either in a general hospital or a psychiatric hospital (a facility that only cares for people with mental health disorders). There’s no limit to the number of benefit periods you can have, whether you’re getting mental health care in a general or psychiatric hospital.

However, if you're in a psychiatric hospital (instead of a general hospital), Part A only pays for up to 190 days of inpatient psychiatric hospital services during your lifetime.

Medicare doesn't cover:

  • Private duty nursing
  • A phone or television in your room
  • Personal items, like toothpaste, socks, or razors
  • A private room, unless medically necessary 

 

Is my test, item, or service covered?