Call 951-534-7008 to speak with a licensed insurance agent.

Call 951-534-7008 to speak with a licensed insurance agent.

Seeking Mental Health Care with Medicare Coverage

Posted by Jerry Schmidt, June 7, 2022

Most of us recognize that mental health is just as important as physical or medical health. In fact, feeling mentally healthy helps us to stay in shape, take care of ourselves, and prevent many physical ailments. But after retirement, mental health concerns often arise. This can happen due to loss of identity from a career, loneliness, boredom, and other stress factors associated with a major life change.

As with physical health conditions, prevention of mental health problems is key. That’s why all Medicare plans offer some basic preventive services, such as…

  • A “Welcome to Medicare” visit during your first coverage year, during which you will be screened for a number of conditions including your depression risk
  • An annual screening for depression, through your primary care physician
  • An alcohol misuse screening each year
  • Annual wellness exams that cover mental health concerns, and referrals for mental health services when necessary

Of course, even the best prevention does not always ward off all mental health concerns. If you do develop symptoms and need to seek treatment, Medicare offers coverage for that as well. On an outpatient basis, you can receive:

  • Psychiatric evaluations and diagnosis
  • Individual and/or group therapy, depending upon doctor’s orders and/or your preferences
  • Family therapy, depending upon the situation
  • Up to four sessions of alcohol abuse counseling

Medicare does offer coverage for psychiatric medications, but each plan’s formulary (list of covered drugs) is a bit different. So, we do recommend that you work closely with an insurance agent who is knowledgeable about different Medicare Advantage or Part D plans, to identify one that offers the right coverage for your prescription needs.

And of course, sometimes hospitalization is needed for more serious mental health situations. In the event that you need to stay in a hospital, Medicare Part A does cover up to 190 days in a hospital in your lifetime. Services you receive while in the hospital will be billed to Medicare Part B. An Advantage plan rolls these services into one plan.

The plan you have matters.  Medicare Advantage Plans and Medicare Supplement Plans will differ in the way you access mental health benefits.  If you have any Medicare Advantage Plan, contact your broker or insurance company for details on how to access care. If you have Original Medicare, you can see any provider that will accept it.

Need more information?

Contact us online to learn more

Contact Us

Close Accessibility Tools
Accessibility Controls Reset
Content Adjustments
Font Size

Default

Line Height

Default

Content Scaling

Default

Highlight Titles
Highlight Links
Highlight Forms
Align Left
Align Center
Align Right
Focus Mode
Color Adjustments
Desaturate
Monochrome
Contrast

Default

Saturation

Default

Accessibility Statement

Despite our attempts to make this website accessible for everyone, there may still be some pages or sections that are not completely accessible, are in the process of becoming accessible, or do not have a suitable technological solution to make them accessible. Nevertheless, we are always striving to enhance our accessibility by adding, updating, improving its options and features, and incorporating new technologies.

We want to provide our users with the best experience possible, so we strive to support as many browsers and assistive technologies as possible.

If you wish to contact this website's owner, please use the contact form on the website.

Our User Interface Adjustment Options

Font adjustments - With this tool, users can modify font size, style, letter spacing, and line height for improved alignment and readability.

Color adjustments - Users can customize their color contrast profiles to light, dark, desaturated, and monochrome.

Content highlighting - Users can prioritize key elements such as links, forms, and titles.

Content focus - Users can enable focus mode to highlight the current page information based on their mouse movement.

Close