Medicare Coverage for Mental Health and Alzheimer's Care

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What coverage does Medicare provide for inpatient hospital care for mental illness?

Modern medicine recognizes that many mental and emotional problems are in fact physical illnesses or related to them. So, with either Medicare Part A hospital insurance plus Medicare Part B medical insurance, or with a Part C Medicare Advantage managed care plan, participants have extensive coverage for treatment of mental or emotional illness, including depression, Alzheimer's disease, and other forms of dementia. This includes both inpatient and outpatient care, and treatment not only by doctors but also by other Medicare-certified healthcare providers.

The amount of coverage Medicare provides depends on the kind of hospital where the person receives care.

  • Care in a general hospital. If the inpatient care she receives is in a general, nonpsychiatric hospital that treats patients for all types of illness, the rules of coverage are the same as for any other hospital stay. That is, under Medicare Part A, she must pay a deductible, plus daily co-payments for a stay of more than 60 days within any one benefit period. If she's in the hospital for more than 90 days in any one benefit period, Medicare Part A pays part of the cost of up to 60 more once-in-a-lifetime "reserve days". However, there's no lifetime limit on the number of hospitalizations that Medicare Part A will pay for. If she has a Part C Medicare Advantage managed care plan, it pays for at least this same amount of inpatient care, and some plans pay more of the cost.
  • Care in a psychiatric hospital. If she's an inpatient in a psychiatric hospital -- meaning one that accepts patients only for mental health care -- the rules of payment are the same as for a general hospital but the total amount of coverage is different. Medicare Part A covers only a total of 190 days in a patient's lifetime for inpatient care in a psychiatric hospital.
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5 Comments

8 months ago

Although I was already somewhat informed about this topic, I still found beneficial information in your article. Thank you!


over 1 year ago

I also have a Mother with Alzheimer's Is there a way that I can recieve financial assistance? from Medical or any part of the governments? I pray that anyone who has a family member with this problem can get an answer. Thanks


over 1 year ago

My father is in the advanced stages of Alzheimers. He has been living in a facilityfor the last 3 years. It is costing my mother almost $7,00.00 a month and this money will soon run out. Does Medicare cover any of this? Will his Aetna insurance cover any of this? Does any one know of some one you can hire to navigate the web of insurance coverage? They don't make it easy to figure out. Thanks God I don't have Alzeimers.


Anonymous said over 1 year ago

I need to have a wooden handicap ramp built and an 8 ft. by 8 ft. deck from which it will extend. Is there any monetary assistance from any organization? My husband has Alzheimer's and physical handicap. I am finding that it is taking forever to figure out how to do this. Internet sites are so confusing. I have had some bids by local contractors so far, and there is no way I can afford the work. Thanks if you have any information.


about 2 years ago

As a daughter and caregiver of a mentally ill parent, my mom suffers from paranoid schizophrenia, I can attest to how emotionally difficult their care can be. For support, feel free to visit my blog at mentalillnessmatters.wordpress.com


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