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Does Medicare Cover Psychiatric Visits in NY? Everything You Need to Know

As we age, our mental health becomes increasingly important. Unfortunately, many seniors struggle to access the care they need due to financial constraints. If you’re a Medicare beneficiary in NY, you may be wondering if your plan covers psychiatric visits. The answer is yes, but with some caveats.

What Does Medicare Cover?

Medicare Part B covers outpatient mental health services, including psychiatric visits. This includes services provided by psychiatrists, clinical psychologists, clinical social workers, and nurse practitioners. However, there are some limitations to coverage.

What Are the Limitations?

First, you’ll need to pay the Part B deductible before Medicare begins covering your visits. In 2021, the deductible is $203. After that, you’ll typically pay 20% of the Medicare-approved amount for each visit. If you receive services from a clinical psychologist or clinical social worker, you may be responsible for a 35% coinsurance payment.

It’s also worth noting that Medicare only covers services that are deemed medically necessary. This means that if you’re seeking therapy for general life issues, such as relationship problems or stress, Medicare may not cover it. However, if you’re experiencing symptoms of a mental health disorder, such as depression or anxiety, Medicare will likely cover your visits.

What About Telehealth?

Due to the COVID-19 pandemic, Medicare has expanded its coverage of telehealth services. This means that you may be able to receive psychiatric visits via video conference or phone call. However, it’s important to check with your provider to ensure that they offer telehealth services and that they’re covered by Medicare.

Get Exceptional Mental Health Services at Nao Medical

At Nao Medical, we understand the importance of accessible mental health care. That’s why we offer same-day appointments, minimal wait times, and exceptional staff who are dedicated to your well-being. Our beautiful clinic environments and technologically driven approach make us a top choice for Medicare beneficiaries in NY.

If you’re looking for compassionate, comprehensive mental health services, look no further than Nao Medical. Contact us today to schedule your appointment.

Frequently Asked Questions

What is the Medicare Part B deductible for 2021?

The Medicare Part B deductible for 2021 is $203.

What mental health services does Medicare cover?

Medicare Part B covers outpatient mental health services, including psychiatric visits, provided by psychiatrists, clinical psychologists, clinical social workers, and nurse practitioners.

Does Medicare cover therapy for general life issues?

No, Medicare only covers services that are deemed medically necessary. This means that if you’re seeking therapy for general life issues, such as relationship problems or stress, Medicare may not cover it.

Key Takeaways

  • Medicare Part B covers outpatient mental health services, including psychiatric visits.
  • You’ll need to pay the Part B deductible before Medicare begins covering your visits.
  • Medicare only covers services that are deemed medically necessary.
  • Medicare has expanded its coverage of telehealth services due to the COVID-19 pandemic.
  • Nao Medical offers exceptional mental health services with same-day appointments and minimal wait times.

Contact Nao Medical today to schedule your appointment.

Sources:
https://www.medicare.gov/coverage/outpatient-mental-health-care
https://www.medicare.gov/coverage/telehealth
https://www.medicare.gov/what-medicare-covers/whats-medicare
https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet

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Disclaimer: The information presented in this article is intended for general informational purposes only and should not be considered, construed or interpreted as legal or professional advice, guidance or opinion.

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