Mental health care (intensive outpatient program services)
Part B (Medical Insurance)
Covers certain doctors’ services, outpatient care, medical supplies, and preventive services.
Your costs in Original Medicare
- You pay a percentage of the Medicare-approved amountfor each service you get if your doctor or certain other qualified mental health professional accepts
Medicare-approved amount
The payment amount that Original Medicare sets for a covered service or item. When your provider accepts assignment, Medicare pays its share and you pay your share of that amount.assignment.Assignment
An agreement by your doctor, provider, or supplier to be paid directly by Medicare, to accept the payment amount Medicare approves for the service, and not to bill you for any more than the Medicare deductible and coinsurance. - After you meet the Part B deductible, you also pay coinsurance for each day of intensive outpatient program services you get in a hospital outpatient setting or community mental health center.
What it is
Intensive outpatient programs offer a level of care for mental health conditions (including substance use disorders) between traditional once-weekly therapy or counseling, and inpatient or partial hospitalization psychiatric care. The services are for more hours a day than care you'd get in a doctor's or therapist's office and may include group and individual therapy sessions.
Things to know
- You don’t need to qualify for inpatient treatment to get intensive outpatient program services.
- You may benefit from intensive outpatient program services if your care plan states you require at least 9 hours of therapeutic services per week.