Mental health care (intensive outpatient program services)
Medicare Part B (Medical Insurance)
covers services that include intensive psychiatric care, counseling, and therapy. These services must be given in hospitals, Community Mental Health Centers, Federally Qualified Heath Centers, Rural Health Clinics, and Opioid Treatment Programs (when services are for the treatment of Opioid Use Disorder).
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 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.
Is my test, item, or service covered?
