Medicare Mental Health Coverage at Clarity Clinic

Medicare may cover individual therapy, couples/family therapy (with medical necessity), psychiatry and medication management, psychological testing, and TMS therapy at Clarity Clinic.

Yes. Medicare currently covers telehealth visits for therapy and psychiatry, offering greater flexibility for patients. Please note, patients must reside in the state of Illinois to use Clarity Clinic's telehealth services.

• Traditional Medicare: No referral is needed.
• Medicare Advantage: Some plans may require a referral - check with your specific plan to confirm.

• Original Medicare (Part A & B): Government-run plan offering hospital and medical coverage.
• Medicare Advantage (Part C): Private plans that often include additional benefits like dental, vision, and drug coverage, but may have network limitations or copay structures.

if you have both Medicare and another insurance, one becomes the primary payer and the other becomes secondary coverage but who pays first, depends on the situation:

• You're working and have employer insurance (and you're 65+) - your employer insurance pays first, Medicare is secondary.
• You’re retired and have retiree insurance - Medicare pays first, retiree plan pays second.
• You have Medicaid and Medicare - Medicare pays first, Medicaid is always the payer of last resort.
  • Please note: Clarity Clinic does not take Medicaid.
• You have a Medicare Advantage plan - That plan handles both medical and drug coverage, it becomes the only payer.