Behavioral health integration services
Medicare Coverage Information
Overview
Medicare provides behavioral health integration services to help patients receive comprehensive mental health support through coordinated care between primary care providers and mental health professionals. These services aim to improve overall patient wellness by addressing both physical and mental health needs.
- Integrates mental health care with primary medical care
- Includes screening, assessment, and care management
- Supports patients with multiple chronic conditions
- Requires referral from primary care provider
- Focuses on comprehensive, personalized treatment plans
- Medicare Part B beneficiaries
- Patients with diagnosed mental health conditions
- Individuals with complex medical and behavioral health needs
- Patients referred by a qualified healthcare provider
- Typically covered under Medicare Part B
- Beneficiaries may pay 20% of Medicare-approved costs
- Annual deductible may apply
- Exact costs can vary by specific service and Medicare plan
- Must be deemed medically necessary
- Requires coordination with primary care provider
- Limited to specific types of behavioral health interventions
- May require prior authorization
- Coverage can differ between Original Medicare and Medicare Advantage plans
- Discuss behavioral health needs with your primary care doctor
- Verify specific coverage details with your Medicare plan
- Request a referral for behavioral health integration services
- Call 1-800-MEDICARE for additional information
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare behavioral healthmental health servicesMedicare mental health coveragebehavioral health integrationMedicare counseling
Related Coverage Topics
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