I'm caring for my spouse with dementia and experiencing caregiver burnout. Will Medicare cover any mental health support for me?

Answered by 9 licensed agents

Outpatient Mental Health Care (Part B):

Covers individual and group psychotherapy with licensed professionals.

Includes annual depression screenings.

Covers psychiatric evaluations and diagnostic tests.

Covers medication management and injections received at a provider's office.

Covers partial hospitalization programs (PHPs).

Covers intensive outpatient programs (IOPs).

Covers other mental health services like substance abuse treatment, occupational therapy, and more.

Answered by Gary Henderson on April 10, 2025

Agent Licensed in TX, AK, AL & 46 other states

Answered by Gary Henderson Medicare Insurance Agent
Sone Medicare plans offer this service. There are also services in your community that assist. Use findhelp.org to locate services in your community

Answered by Marcie Barnes on April 19, 2025

Agent Licensed in TX, AK, AL & 48 other states

Answered by Marcie Barnes Medicare Insurance Agent
I have seen many caregivers end up sicker than the person they are taking care of. It is very important for the care giver to take care of their own mental health. Medicare will pay for both in patient and out patient mental health.

Answered by Karen Ansell on April 22, 2025

Agent Licensed in FL, GA, KY & OH

Answered by Karen Ansell Medicare Insurance Agent
Yes, Medicare can help you get support if you are feeling burned out as a caregiver.

Even though Medicare doesn’t directly cover services just for caregivers, it does cover mental health services like:

Therapy or counseling with a licensed professional

Depression or anxiety screenings

Telehealth sessions (from home!)

Support groups, if led by a Medicare-approved provider

You will need to talk to your doctor or primary care provider and get a referral if needed. You're not alone, help is out there, and Medicare can be part of the solution. Would you like help finding a provider or understanding what’s covered in your plan?

Answered by Ryan Ross on April 17, 2025

Broker Licensed in FL, GA, KS & 9 other states

Answered by Ryan Ross Medicare Insurance Agent
I don’t think so. It would be a good idea to submit a claim anyway. That way you’ll know for sure if it’s covered or not.

Answered by Charles Borg on April 9, 2025

Agent Licensed in FL & NY

Answered by Charles Borg Medicare Insurance Agent
This will depend completely on the Medicare plan that you have. If you are on original Medicare or have a supplement, only "medically necessary" things are covered. If you see a Primary Care Physician for the issue, there's a possibility that certain mental health support could be covered. If you are on an Advantage plan, most have built-in access to mental health support in their supplemental wellness benefits. This can vary from carrier to carrier though and I would recommend having your coverage reviewed by a licensed Medicare agent to determine what you may have access to.

Answered by Alexander Lehn on April 22, 2025

Agent Licensed in NV, CA, FL & TX

Answered by Alexander Lehn Medicare Insurance Agent
If you have your own Medicare coverage, PartB can help you with mental health services (therapy, counseling, psychiatric and certain preventive services). Medicare covers both in person and telehealth services. These services may require a 20 % copay after meeting Part B deductible.

Answered by Chris Bumgardner on April 3, 2025

Broker Licensed in FL, CO, IL & TN

Answered by Chris Bumgardner Medicare Insurance Agent
Most plans do cover mental health care support. For full clarification check out the Summary of Benefits.

Answered by Mark Szymanski on April 10, 2025

Agent Licensed in PA & NJ

Answered by Mark Szymanski Medicare Insurance Agent
I hear from many caretakers and firstly, please know you are not alone in this caretaking journey.

There are many Medicare Advantage plans that are rich with Mental Health coverage imbedded in them!

Answered by Dashelle Warntjes on April 26, 2025

Agent Licensed in CA & GA

Answered by Dashelle Warntjes Medicare Insurance Agent

Tags: Advice for Caretakers Coverage Medicare Part B

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