Your Medicare Coverage

Is my test, item, or service covered?

Mental health care (partial hospitalization)

How often is it covered?

Medicare Part B (Medical Insurance) covers partial hospitalization. Partial hospitalization services are provided under a partial hospitalization program, furnished by a hospital to its outpatients or by a community mental health center.

Who's eligible?

To be eligible for partial hospitalization services, a doctor must certify that you would otherwise need inpatient treatment.

Your costs in Original Medicare

You pay a percentage of the Medicare-approved amount for each service you get from a doctor or certain other mental health qualified professional. You also pay a copayment for each day of partial hospitalization services provided in a hospital outpatient setting or community mental health center, and the Part B deductible applies.

Related resources

If you need immediate help for yourself or someone in a crisis, call the National Suicide Prevention Lifeline at 1-800-273-TALK or 1-800-SUICIDE (1-800-273-8255). TTY users should call 1-800-799-4TTY (1-800-799-4889).  

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