Mental health care (intensive outpatient program services)
Starting January 1, 2024,
Medicare Part B (Medical Insurance)
covers intensive outpatient program services you get at a hospital, community mental health center, Federally Qualified Heath Center, or Rural Health Clinic.
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 mental health care between traditional once-weekly therapy or counseling, and inpatient psychiatric care. The services are more rigorous 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, but you must participate in at least 9 hours of services per week to keep getting them.
Is my test, item, or service covered?
