Medicare.gov

Behavioral health integration services

Medicare Part B (Medical Insurance) may pay for behavioral health integration services if you're eligible

  • Covered by Part B
  • Monthly

  • After the Part B deductible , you pay 20% of the Medicare-approved amount

Description

Behavioral health integration services can help your doctor or other health care provider manage your care for a behavioral health condition (like depression, anxiety, or another mental health condition). Some health care providers may offer integrated care services, like the Psychiatric Collaborative Care Model (a set of integrated behavioral health services that may include care planning, ongoing assessments, medication support, and counseling).

Who's eligible

You must have a behavioral health condition like depression, anxiety, or another mental health condition.

Costs

After the Part B deductible , you pay 20% of the Medicare-approved amount.

How often

Your health care provider will ask you to sign an agreement for you to get this set of services on a monthly basis.

Ask your doctor or healthcare provider how much your test, item, or service will cost.

Your doctor may recommend services that Medicare does not cover or offers too frequently. This could end up in additional costs for you. Make sure to ask your doctor about the reasons for these recommendations and what Medicare will actually cover.

Specific amounts you could owe depend on:

  • Other insurance you may have

  • How much your doctor charges

  • If your doctor accepts assignment

  • The type of facility

  • Where you get your test, item, or service