TABLE 6-3 Some Availability of Psychosocial Services in Health and Human Services Sectors and from Informal Supports

Service

Medicare

Medicaid/SCHIP

Private Insurance

Provision of Information (e.g., on cancer-related treatments, health, and psychosocial services)

 

 

 

Peer Support for People with a Cancer Diagnosis

 

 

 

Counseling/Psychotherapy

Covered benefit with limits

Covered benefit with limits

Coverage depends on policy

Pharmacological Management of Mental Symptoms

Covered benefit with limits

Covered benefit with limits

Coverage depends on policy

Health Behavior Interventions

Included as part of Evaluation and Management (E/M) services, Health and Behavior (H/B) Interventions, and additional services from managed care plans

Medical Supplies

Some coverage

Some coverage

Coverage depends on policy

Transportation

 

Some coverage in almost all states

 

Family and Caregiver Support

Family education included as part of E/M services, services from managed care plans

Assistance with Activities of Daily Living (ADLs)

Part-time or intermittent assistance reimbursed under certain circumstances

Some reimbursement under Medicaid’s “personal care” benefit and state-specific waivers of federal law

Not typically covered unless insured has long-term care insurance



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