Medicare mental health care in Eatontown, NJ
Yes — Positive Reset Eatontown accepts Original Medicare (Parts A and B) for outpatient mental health, including therapy, psychiatry, and medication management.
Most new patients are seen within 7-14 days. Call (732) 724-1234 with your member ID, or use the lookup card.
What Medicare covers at our clinic
Typical out-of-pocket: 20% coinsurance after deductible. No prior-auth required for outpatient mental-health services.
- Therapy (individual + couples + family)
- Psychiatric evaluation
- Medication management
- TMS (Transcranial Magnetic Stimulation)
- Telehealth (statewide NJ)
- Group therapy
About Medicare
Medicare at Positive Reset
We accept Original Medicare (Parts A and B) for outpatient mental health services, including therapy, psychiatry, medication management, and FDA-approved TMS for treatment-resistant depression. Medicare typically covers 80% of the approved amount after the Part B deductible; the remaining 20% is your responsibility (or covered by a Medigap supplement). We also accept several Medicare Advantage plans — call us at (732) 724-1234 with your specific Medicare Advantage plan name and we'll verify in-network status.
Authoritative coverage detail: Medicare member benefits (opens in new tab).
Do you accept Medicare?
Yes. We accept Original Medicare (Parts A and B) for outpatient mental health, including therapy and psychiatry. We also accept several Medicare Advantage plans — call us at (732) 724-1234 with the name of your specific Medicare Advantage plan and we'll verify in-network status before you book.What is the No Surprises Act and how does it apply?
The No Surprises Act (CMS) protects you from getting an unexpected bill for in-network care. At Positive Reset Eatontown, we verify your insurance benefits before your first visit and tell you exactly what you'll pay — no surprise bills. If you're a self-pay patient, you'll receive a Good Faith Estimate before treatment begins. See our [No Surprise Billing](/insurance/no-surprise-billing/) page for the full policy.How do I verify my insurance before booking?
Call us at (732) 724-1234. Have your insurance card ready — we'll need the member ID, group number (if any), and the plan name on the front of the card. We verify benefits in 5–10 minutes for most plans, or within 24 hours for plans that require a callback to the insurer.Do I need a referral from my primary care doctor?
For most plans, no. Commercial plans like Aetna, Cigna, Horizon BCBS, Oxford, and UnitedHealthcare typically don't require a referral for outpatient mental health. Some Medicare Advantage plans do. NJ FamilyCare doesn't require a referral for outpatient therapy or psychiatry. We tell you up front if your specific plan needs one.How much will therapy cost me?
If you're insured and we're in-network, you typically pay only your plan's copay or coinsurance — usually $0 to $40 per visit. NJ FamilyCare members pay $0. Self-pay rates start at $125 for medication management and $150 for individual therapy. We tell you the exact cost before your first visit, per the No Surprises Act.Will I get a surprise bill?
No. We verify your insurance benefits before your first visit and tell you what you'll pay. If you're self-pay, you'll receive a Good Faith Estimate before any treatment. We follow the federal No Surprises Act, which protects you from unexpected bills for in-network care. If something on a bill doesn't match what we told you, call us at (732) 724-1234 and we'll fix it.
Last data update: 2026-05-01. Plan details change frequently — call us if a benefit specific on this page disagrees with your current plan handbook.
Verify your Medicare coverage in 60 seconds.
Have your member ID handy. We confirm in-network status, copay, and any prior-auth before your first visit.