5. Mental Health Screenings & Counseling (Depression, Alcohol, Tobacco)
The Problem: Depression affects 1 in 7 Medicare beneficiaries, yet most go undiagnosed. Therapy sessions typically cost $100–$200 out of pocket. Many seniors skip mental health care because of cost, even though untreated depression increases hospitalization risk by 40% and can shorten lifespan.
What Medicare Covers (100% Free Preventive Screening):
Depression Screening
- Annual depression screening using standard questionnaire (PHQ-9)
- Administered by your primary care doctor
- If depression is detected: referral to psychiatrist, therapist, or social worker
- Preventive screening portion = free
Alcohol Misuse Screening & Counseling
- One screening annually for all beneficiaries
- If positive: up to 4 counseling sessions per year at no charge
- Reduces hospitalization from alcohol-related conditions by 30%+
Tobacco/Smoking Cessation Counseling
- Unlimited counseling sessions to help you quit
- Face-to-face counseling with your doctor
- Can include nicotine replacement therapy discussions
- Completely free
The Hidden Value: Treating depression reduces ER visits by 25% and hospitalizations by 15%. Quitting smoking adds 7–10 years to your lifespan. These screenings are literally preventive medicine.
Important Caveat: The preventive screening itself is free. If counseling sessions are needed beyond the covered amount, you may face copays (typically 20% of approved amount). But initial screening and several sessions are free.
