Mental health care (partial hospitalization)
may provide partial hospitalization coverage if you meet certain requirements and your doctor certifies that you would otherwise need inpatient treatment.
Partial hospitalization provides a structured program of outpatient psychiatric services as an alternative to inpatient psychiatric care. It’s more intense than care you get in a doctor’s or therapist’s office. This treatment is provided during the day and doesn’t require an overnight stay. Medicare helps cover partial hospitalization services when they’re provided through a hospital outpatient department or community mental health center.
As part of your partial hospitalization program costs, Medicare may cover these:
- Occupational therapy that’s part of your mental health treatment
- Individual patient training and education about your condition
Medicare only partial hospitalization coverage only applies if the doctor and the program accept
Medicare doesn't cover:
- Transportation to or from mental health care services
- Support groups that bring people together to talk and socialize. (This is different from group psychotherapy, which is covered.)
- Testing or training for job skills that isn't part of your mental health treatment.