Does Medicare Cover Depression Screenings?

Medicare beneficiaries can receive a depression screening in a primary care setting, such as a doctor's office, once a year. You pay nothing for this screening.

Rachel Christian, writer and researcher for RetireGuide
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    Rachel Christian

    Rachel Christian

    Financial Writer and Certified Educator in Personal Finance

    Rachel Christian is a writer and researcher for RetireGuide. She covers annuities, Medicare, life insurance and other important retirement topics. Rachel is a member of the Association for Financial Counseling & Planning Education.

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    Lee Williams
    Lee Williams, senior editor for RetireGuide.com

    Lee Williams

    Senior Financial Editor

    Lee Williams is a professional writer, editor and content strategist with 10 years of professional experience working for global and nationally recognized brands. He has contributed to Forbes, The Huffington Post, SUCCESS Magazine, AskMen.com, Electric Literature and The Wall Street Journal. His career also includes ghostwriting for Fortune 500 CEOs and published authors.

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    Aflak Chowdhury
    Aflak Chowdhury

    Aflak Chowdhury

    Medicare Expert

    Aflak Chowdhury is a Medicare expert and independent insurance broker specializing in group health insurance. He has worked for major providers including Humana and Principal Financial Group and today works mainly in the small group market.

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  • Published: November 18, 2020
  • Updated: January 17, 2023
  • 3 min read time
  • This page features 7 Cited Research Articles
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APA Christian, R. (2023, January 17). Does Medicare Cover Depression Screenings? RetireGuide.com. Retrieved January 30, 2023, from https://www.retireguide.com/medicare/services/preventive/depression-screenings/

MLA Christian, Rachel. "Does Medicare Cover Depression Screenings?" RetireGuide.com, 17 Jan 2023, https://www.retireguide.com/medicare/services/preventive/depression-screenings/.

Chicago Christian, Rachel. "Does Medicare Cover Depression Screenings?" RetireGuide.com. Last modified January 17, 2023. https://www.retireguide.com/medicare/services/preventive/depression-screenings/.

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Depression in Older Adults

Depression is a common but serious mental condition that negatively affects your health, mood and behavior.

Symptoms of depression can include:
  • Feeling sad.
  • Loss of interest or enjoyment in activities.
  • Feelings of worthlessness or guilt.
  • Increased fatigue or lack of energy.
  • Weight loss or weight gain unrelated to dieting.
  • Sleep issues.
  • Problems concentrating or making decisions.
  • Thoughts of death or suicide.

To be diagnosed with depression, symptoms must last at least two weeks, according to the American Psychiatric Association.

Depression rates tend to be higher among people with other serious health conditions, including cancer, arthritis, chronic lung conditions and cardiovascular disease.

Older adults also have the highest risk of suicide among all age groups.

The United States Preventive Services Task Force found that screening for depression has at least a moderate net benefit for patients and the health care system.

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What Is a Depression Screening?

There is no gold standard for the type of depression screening Medicare will cover.

Doctors can choose the test and method that works best for their practice and patients.

You will likely complete the standardized screening independently through a self-reporting questionnaire.

Clinicians commonly use a two-step process with screener tools called the Patient Health Questionnaire-2 (PHQ-2) and Patient Health Questionnaire-9 (PHQ-9).

The PHQ-2 is just two questions:
  1. Over the past two weeks, have you felt down, depressed or hopeless?
  2. Over the past two weeks, have you felt little interest or pleasure in doing things?

If you answer that you’ve experienced these problems more often than not in the past two weeks, then the doctor would conduct the more in-depth PHQ-9 screening, which includes 10 questions in total.

Screening tests do not actually diagnose depression, but instead indicate how severe depression symptoms are within a given time period.

In its 2011 analysis, the Centers for Medicare & Medicaid Services noted: “That is, screening alone — without organizational enhancement of care — is not enough. Actual improvement in outcomes requires careful follow-up and monitoring.”

Did You Know?
One in six seniors suffers from depression.
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Medicare Coverage and Your Costs

In October 2011, Medicare began covering annual depression screenings conducted within a primary care setting.

The screening is free for all Medicare beneficiaries, whether you have Original Medicare or a Medicare Advantage plan.

Like other Medicare preventative services, you will not owe a coinsurance payment or need to meet your Part B deductible with a depression screening.

To qualify, the depression screening must take place in a doctor’s office or other primary care setting.

A depression screening may not be covered by Medicare if it takes place somewhere else, such as in a hospital, independent diagnostic testing facility or skilled nursing facility.

Your doctor or their staff may provide follow-up mental health treatment or a referral, depending on your screening results.

Medicare Part B covers the cost of some other mental health services.

Medicare mental health coverage includes, but is not limited to:
  • Individual psychotherapy with doctors or licensed professionals.
  • Psychiatric evaluations.
  • Medication management.
  • Visits with psychiatrists, clinical psychologists and clinical social workers.

You’ll pay 20 percent of the Medicare-approved cost for any mental health services used to treat your condition. The Part B deductible also applies.

Last Modified: January 17, 2023

7 Cited Research Articles

  1. Banner Health. (2022, July 20). Depression and Anxiety Screening Is an Important Medicare Benefit. Retrieved from https://www.azcentral.com/story/sponsor-story/banner-health-network/2022/07/20/depression-and-anxiety-screening-important-medicare-benefit/10084970002/
  2. Savoy, M. and O'Gurek, D. (2016, April). Screening Your Adult Patients for Depression. Retrieved from https://www.aafp.org/fpm/2016/0300/p16.html
  3. ACP Internist. (2012, March). Medicare pays for annual depression screening. Retrieved from https://acpinternist.org/archives/2012/03/tips.htm
  4. Centers for Medicare & Medicaid Services. (2011, October 14). Decision Memo for Screening for Depression in Adults (CAG-00425N). Retrieved from https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?proposed=N&NCAId=251
  5. American Psychiatric Association. (n.d.). What is Depression? Retrieved from https://www.psychiatry.org/patients-families/depression/what-is-depression
  6. Medicare.gov. (n.d.). Depression screening. Retrieved from https://www.medicare.gov/coverage/depression-screening
  7. Medicare.gov. (n.d.). Mental health care (outpatient). Retrieved from https://www.medicare.gov/coverage/mental-health-care-outpatient