Questions & answers · Health insurance
Does Medicare pay for therapy or counseling?
Health insuranceWho paysChecked Nov 6, 2026
From K.Actuary, founded by Sangmin Kwon, ASA · sources checked 2026-11-06 · Source: Medicare.gov View original ↗
In short
- Medicare Part B pays for many kinds of therapy and counseling.
- After the deductible, you pay 20% of the approved amount.
- In a crisis, call or text 988.
What this means
Medicare.gov says Part B covers many outpatient mental health services [1]. These include individual and group therapy. They include family counseling when it helps your treatment. They also include psychiatric evaluation, medication management, diagnostic tests, and one depression screening a year [1]. Your state may limit who can give therapy [1].
Many kinds of providers can give these services. They include psychiatrists, psychologists, social workers, nurse practitioners, family therapists and counselors [1].
What you pay [1]: • Nothing for the yearly depression screening if your provider accepts assignment. • After the Part B deductible, 20% of the Medicare-approved amount for visits to diagnose or treat your condition. • In a hospital outpatient clinic, you may also owe the hospital a copayment or coinsurance.
If you or someone you know is in crisis, Medicare.gov says to call or text 988. For an immediate medical crisis, call 911 [1].
Your next step
Check that the therapist is Medicare-enrolled, since the page lists services from Medicare-enrolled licensed professionals [1]. Ask your doctor or provider how much the service will cost before the visit [1]. The sources do not say how to appeal a denied claim. The sources give no deadline.
Check it yourself
Open Medicare.gov, Mental health care (outpatient), at https://www.medicare.gov/coverage/mental-health-care-outpatient and read the part quoted above. Your own plan or policy papers hold details these sources do not give: "Don't know yet" for your case.
Where this comes from (1)
[1] Medicare.gov · checked 2026-11-06
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. … Medicare Part B (Medical Insurance) covers a wide range of outpatient mental health services Covered by Part B … Individual and group psychotherapy with doctors (or with certain other Medicare-enrolled licensed professionals, as the state where you get the services allows). … You pay n…
How we found this
We matched your question to 1 official source, quoted the exact lines, and re-checked each quote against its source on 2026-11-06.
What we don’t know yet
Your own plan or notice may say something different. If your letter cites another rule, send it and we will look again.
Every answer is checked against the official rule it quotes.
Information only — not legal advice. Your plan, insurer or agency decides.
This answer quotes the official sources listed above, with the date we checked them. Your own policy, notice and state rules control. We are not your lawyer or your insurer. We don’t file, argue or negotiate claims for you — you send any letter or form yourself.
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