Medicare’s Cardiac Rehabilitation Program may be able to help you cover many of the costs associated with cardiac rehabilitation. This program is available through Medicare Part B insurance to those with a qualifying heart condition. General cardiac rehabilitation, as well as intensive cardiac rehabilitation programs, may be covered.
What to Expect
Cardiac rehabilitation programs generally provide exercise, counseling, and educational resources to patients. The goal of the program is to reduce your risk going forward and improve or stabilize your heart health. Through the program, you will receive an individualized assessment and treatment plan. Lifestyle counseling may provide you with nutritional recommendations and education to help you optimize your health. Exercise is one of the main focuses of the program. Many people have reservations about exercising following a cardiac event and need guidance going forward. Therapists are there to help guide you in determining what exercises are appropriate for your current condition and what exercises you may be able to work up to in the future.
The Cardiac Rehabilitation Program is available to people who have a particular heart condition or have undergone certain procedures. These include the following:
- Stable Angina Pectoris
- Heart attack in the previous 12 months
- Coronary bypass surgery
- Heart valve repair or replacement
- Coronary angioplasty or stent
- Heart or heart-lung transplant
- Stable chronic heart failure
The number of sessions covered will depend on the type of rehabilitation you qualify for and whether additional sessions are necessary. For general cardiac therapy, Medicare will cover up to two sessions per day for a total of 36 sessions. These must be completed within a 36-week timeframe. An additional 36 sessions may be available if it is deemed medically necessary. If you qualify for intensive cardiac rehabilitation, you may receive up to 6 one-hour sessions per day for up to 72 sessions. Intensive sessions must be completed within 18 weeks.
Medicare will cover a large part of the cost of rehabilitation. However, the costs will vary depending on the type of facility that is providing the care. In a doctor’s office, Medicare may provide coverage for 80% of the costs Medicare-approved costs. In a hospital, you will be required to pay a copayment for treatments received as outpatient care. You will want to consult your Medicare Part B plan and the Medicare handbook for more detailed cost information.
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