Medicare

medicare.gov or call1-800-medicare (1-800-633-4227)

We try to keep this information as current as possible, however, for specific questions, contact them directly

Medicare is the federal health insurance plan for individuals over 65, younger individuals with certain disabilities, and those with End Stage Renal Disease. If you think you may be eligible, please visit here for more information.

Open enrollment: from October 15 through December 7

PART A

Part A of medicare covers hospitalization. Please see more detail: (link Medicare and your mental health benefits pdf)

PART B

Part B of Medicare does help cover a number of mental health outpatient services including visits to a mental health professional. Doctors must accept assignment if they participate in Medicare. Please ask your specialize before scheduling an appointment.

Within the first year of joining Part B you can receive a “welcome to Medicare” preventive visit which include your potential risk factors for depression.

What you Pay: After reaching your yearly deductible, you will generally pay 20% coinsurance of all other medical costs. Hospital visits may require a higher coinsurance.

Part C

Part C (maybe not applicable)

Part D

Part D of Medicare provides prescription drug coverage. While Medicare is not required to cover all drugs, they are required to cover all (with limited exceptions: AntidepressantAnticonvulsantsAntipsychotic)

Check your Medicare plan’s formulary. This will list drugs that are covered. If your medication is not included you can ask for a coverage determination, allowing you coverage. You can also visit here for more information.

Check your Medicare plan’s formulary. This will list drugs that are covered. If your medication is not included you can ask for a coverage determination, allowing you coverage. You can also visit here for more information.

Benefits include:

  • Yearly depression screening at a primary care clinic

  • Individual and group psychotherapy with licensed professional allowed by the state

  • Family counseling to help with your treatment

  • Psychiatric evaluation

  • Medication management

  • Partial hospitalization

  • Testing to see if your current treatment is working

  • Diagnostic tests

  • Certain prescription medications that are usually not self administered

  • Yearly “wellness” visits

Legal Aid

Disability Rights Texas can provide pro bono legal services if you are having problems with your Medicare services.

 

Disclaimer: We are not mental health providers.