Medicare coverage
Does Medicare Cover Partial Hospitalization?
Only in certain cases. Medicare Part B (Medical insurance) may cover partial hospitalization services you get through a hospital outpatient setting or community mental health center, if you meet certain requirements.
Only in certain cases: Part B
Source: Medicare.gov, Mental health care (outpatient): Partial hospitalization, checked October 23, 2026.
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Draft a plain-English note on whether Medicare covers Partial Hospitalization
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Coverage at a glance
- Covered?
- Only in certain cases
- Which part
- Part B
- Part B deductible 2026
- $283 a year (CMS). Part B premium $202.90 a month.
- Medicare.gov page
- Mental health care (outpatient): Partial hospitalization
Description
Partial hospitalization is a structured program that provides outpatient psychiatric services as an alternative to inpatient psychiatric care. The services are more intensive than care you get in a doctor’s or therapist’s office, and usually include between 4-8 hours of care each day. You may benefit from partial hospitalization if your care plan states that you require at least 20 hours of therapeutic services each week.
If you or someone you know is in crisis, call or text 988 or chat 988lifeline.org.
Call 911 if you're in immediate medical crisis.
From Medicare.gov, checked October 23, 2026.
Coverage details
Medicare only covers partial hospitalization if the doctor (or other qualified mental health professional) and the partial hospitalization program accept assignment.
As part of your partial hospitalization program, Medicare may cover:
- Occupational therapy that’s part of your mental health treatment
- Individual patient training and education about your condition
- Caregiver training services
- Principal illness navigation services
Medicare doesn't cover:
- Meals
- Transportation to or from mental health care services
- Support groups that bring people together to talk and socialize (this is different from group psychotherapy, which is covered.)
- Testing or training for job skills that isn't part of your mental health treatment
From Medicare.gov, checked October 23, 2026.
Who's eligible
Your provider must certify that you would otherwise need inpatient treatment.
From Medicare.gov, checked October 23, 2026.
Costs
- You pay a percentage of the Medicare-approved amount for each service you get from a qualified mental health professional if they accept assignment.
- After you meet the Part B deductible you also pay coinsurance for each day of partial hospitalization services you get in a hospital outpatient setting or community mental health center.
From Medicare.gov, checked October 23, 2026.
Facility
Hospital outpatient department or community mental health center.
From Medicare.gov, checked October 23, 2026.
Related pages
- Does Medicare Cover Depression Screening?
Yes
- Does Medicare Cover Alcohol Misuse Screening?
Yes
- Does Medicare Cover Mental Health Counseling?
Yes
- Does Medicare Cover Inpatient Mental Health Care?
Yes
- Does Medicare Cover Intensive Outpatient Programs?
Yes
- Does Medicare Cover Opioid Use Disorder Treatment?
Yes
- Medicare Part B deductible 2027
- Part D out-of-pocket max 2027
- Dual eligible: Medicare and Medicaid together
- 2027 Medicare plans by county
- Everything Medicare covers, A to Z
Questions
Does Medicare Cover Partial Hospitalization?
Only in certain cases. Medicare Part B (Medical insurance) may cover partial hospitalization services you get through a hospital outpatient setting or community mental health center, if you meet certain requirements.
Which part of Medicare covers Partial Hospitalization?
Medicare.gov lists Mental health care (outpatient): Partial hospitalization under Part B.
Does a Medicare Advantage plan cover Partial Hospitalization?
Medicare Advantage plans must cover what Original Medicare covers and some offer extra benefits. Check the plan's Evidence of Coverage. Rivvi does not recommend plans.
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Does Medicare Cover Partial Hospitalization?
Only in certain cases. Medicare Part B (Medical insurance) may cover partial hospitalization services you get through a hospital outpatient setting or community mental health center, if you meet certain requirements.
Checked against Medicare.gov 2026-10-23. Source: Rivvi