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Psychiatric care in a hospital

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The 2008 health-care law didn’t change a discriminatory situation in which Medicare patients are limited to 190 days over their lifetime for receiving inpatient treatment in psychiatric hospitals — those that specialize in mental health conditions. Yet Medicare places no such limit on care in general hospitals. So any days you spend in a non-psychiatric hospital — even if you’re being treated for a mental health condition — don’t count toward the 190-day lifetime limit.

Whether you receive mental health care in a psychiatric or a general hospital, the Part A hospital deductible and co-pays are the same as those for other medical conditions. These costs are explained in Chapter 3.

In some circumstances, Medicare covers partial hospitalization, which means receiving treatment at a hospital’s outpatient department or clinic or at a community mental health center during the day, but not spending the night there. Your costs for this type of service vary according to the treatment provided, but under Medicare rules it can’t be more than 40 percent of the Medicare-approved amount.

For more details, see the publication “Medicare & Your Mental Health Benefits” at www.medicare.gov/Pubs/pdf/11358-Medicare-Mental-Health-Getting-Started.pdf.

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