Mental health care (intensive outpatient program services)
Medicare Part B (Medical Insurance)
covers intensive outpatient program services you get at a hospital, community mental health center, Federally Qualified Heath Center, or Rural Health Clinic. Part B also covers these services at Opioid Treatment Programs when you’re getting treatment for Opioid Use Disorder (OUD).
Your costs in Original Medicare
- You pay a percentage of the
Medicare-approved amount
for each service you get if your doctor or certain other qualified mental health professional accepts
assignment.
- 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 more rigorous 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.
Is my test, item, or service covered?
