Mental Health Care Covered by Medicare

We believe that mental health is health,  especially as we age. That's why we’re proud to accept Medicare and make high-quality mental health care accessible for individuals 65 and older.

Mental well-being is just as important as physical health. As life changes with age, many seniors experience unique emotional challenges, such as depression, anxiety, grief, or cognitive changes. It’s essential to have the right support in place. 

On this page, we’ll explain how Medicare helps cover mental health services like psychiatry, telepsychiatry, TMS therapy, and Spravato treatments. We’ll also walk you through how to check your benefits and make the most of your coverage.

Medicare and Mental Health: What You Should Know

Medicare provides important benefits for mental health care, helping older adults maintain a better quality of life and emotional well-being. At the North Carolina Institute of Advanced NeuroHealth, we work directly with Medicare to ensure our patients can access the services they need with peace of mind.

Medicare typically covers a range of mental health services, but your exact coverage may depend on whether you have Original Medicare (Part A and Part B), a Medicare Advantage plan, or additional supplemental coverage.

Mental Health Services Medicare May Cover

As people age, staying proactive about mental health becomes even more critical. The good news is that Medicare covers many evidence-based treatments that can help you feel your best. Some of the services we offer that may be covered include:

Medication Management

Finding the right medication (and adjusting it when needed) is a key part of managing mental health conditions like depression or anxiety. Our providers create personalized medication plans to support your overall well-being.

Telepsychiatry (Virtual Appointments)

Getting care should never be a burden. Telepsychiatry allows you to meet with one of our licensed mental health professionals through a secure video call from the comfort of your home. This is a convenient option, especially for those with mobility or transportation concerns.

Spravato for Treatment-Resistant Depression

If traditional medications haven't been effective, Spravato (esketamine) may offer hope. Spravato is an innovative nasal spray treatment approved for adults with treatment-resistant depression. It is administered and monitored in our office to ensure safety and results.

TMS Therapy (Transcranial Magnetic Stimulation)

TMS therapy uses magnetic pulses to stimulate brain regions involved in mood regulation. It’s a non-invasive option for individuals struggling with depression who haven't found relief from medications. TMS can be a life-changing alternative with minimal side effects.

How to Check Your Medicare Mental Health Benefits

Understanding what your Medicare plan covers can seem complicated, but we’re here to help. You can start by reviewing your Medicare Summary Notice (MSN) or logging into your Medicare account online. If you have a Medicare Advantage plan, check with your insurance provider for a detailed explanation of mental health benefits.

If you have any questions, our team is happy to assist you with insurance verification and help you understand your options.

Common Questions About Medicare and Mental Health Care

Does Medicare cover visits to psychiatrists or therapists?

Yes, Medicare Part B typically covers outpatient mental health services, including visits with psychiatrists, psychologists, and licensed clinical social workers.

Is a referral required to see a mental health provider?

With Original Medicare, you usually do not need a referral to see a mental health provider. However, if you have a Medicare Advantage plan, referral requirements can vary. Checking your plan details can clarify this.

What costs should I expect?

Under Original Medicare, after meeting your deductible, you typically pay 20% of the Medicare-approved amount for outpatient services. If you have supplemental insurance, it may help cover these costs. Medicare Advantage plans might have different copay structures, so it's important to review your plan benefits.

Can the North Carolina Institute of Advanced NeuroHealth help me verify my Medicare coverage?

Absolutely! We understand that navigating Medicare can feel overwhelming. Our team is here to verify your benefits, explain your coverage, and guide you toward the right care — without added stress. Call us today at (800) 732-9822 if you have questions or need assistance. We’re committed to helping you prioritise your mental health every step of the way.

Remember: Mental Health Is Health At Every Age

Mental health care is just as vital as physical health care — and it doesn’t stop being important after 65. If you or a loved one is looking for compassionate, comprehensive mental health support, we’re here to help. The North Carolina Institute of Advanced NeuroHealth proudly accepts Medicare and is ready to support your journey toward greater wellness.

Nicole Hardy is our amazing administrative assistant and TMS tech at NCIAN. She loves working in customer service and being the first interaction to new patients. Nicole loves feeling like she is a part of helping others get the care that will help improve their state of being. Nicole is married with two energetic boys who help keep home life pretty busy! When Nicole is not working she loves trying new food places and being outside exploring nature.

MEET OUR EXPERT TMS STAFF

Dawn Dixon is our other awesome TMS tech at NCIAN. Dawn was a rink manager at an ice rink for several years, then became a chiropractic assistant. She enjoys working with patients, and helping them feel better. She works as a race coordinator, working with a lot of athletes and volunteers. In her spare time, Dawn enjoys spending time with her grandsons, baking, creating artistic and fun cakes, and crafting.

Kelly Ann Rillo is one of our TMS techs at NCIAN. Kelly graduated from Rutgers University with a degree in psychology. She then became certified as a paralegal at Fairleigh Dickenson University and worked at the Monmouth County Prosecutors office as a paralegal. 

Kelly married, had two children and moved to NC with her family where she had a third child and devoted herself to her family.  Kelly is now branching out into the medical field where she can devote some of her time to helping patients in her original area of interest. She enjoys working and helping others.

Simi Shergill: MSN, APRN, PMHNP-BC, FNP-C

Simi is a highly qualified Dual board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) and Family Nurse Practitioner (FNP), with over 6 years of experience in Primary Care. A Duke University Postgraduate PMHNP alumna, she's dedicated to culturally sensitive and inclusive mental health care, aiming to reduce stigma. Simi integrates her extensive experience with an integrative medicine approach for holistic well-being. She partners with patients on therapeutic goals, fostering open discussions. Beyond her practice, Simi enjoys family time, outdoor adventures, and exploring global cultures, enriching her dynamic approach to mental health care. In-person and Telehealth appointments are available for flexibility and accessibility.