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The costs of going through cardiac rehabilitation may be mostly covered by Medicare. Medicare offers a Cardiac Rehabilitation Program through their Part B coverage plans. The program covers both general cardiac rehabilitation as well as intensive cardiac rehabilitation.
Rehabilitation
The rehabilitation programs provide three main aspects. These are counseling, exercise, and educational materials. The program aims to help patients reduce their cardiac risks in the future and strengthen or maintain their heart health. The program provides patients with a customized evaluation and action plan. Counseling sessions will provide educational resources and patients may learn about the ways they can optimize their overall health through nutrition. Following a cardiac event, it’s common for someone to feel hesitant and unsure about starting exercise again. One of the main focuses of the program is to reintroduce exercise and provide assistance determining the appropriate exercises and movements based on individual conditions. Therapists will help create a plan for exercise going forward and elaborate on how to work up to more challenging routines in the future.
Requirements
Medicare’s Cardiac Rehabilitation Program is available to people who have suffered from particular cardiac events or have gone through a specific procedure. The approved conditions are:
- Heart attack in the last 12 months
- Stable Angina Pectoris
- Coronary bypass
- Heart valve replacement or repair
- Heart or heart-lung transplant
- Coronary angioplasty or stent
- Stable chronic heart failure
Care
The type of rehabilitation that you need will affect the number of sessions that will be covered by Medicare. Additional sessions may also be available if necessary. Medicare will cover up to 2 sessions a day for general cardiac therapy. These sessions will include up to 36 sessions and they must be done within a 36-week time span. If it is medically necessary, Medicare will cover an additional 36 sessions of general rehabilitation. For those qualifying for intensive cardiac rehabilitation, Medicare may approve up to 6 one-hour-long sessions in a single day. This allotment includes up to 72 sessions and requires that the sessions are completed within 18 weeks.
Coverage
Much of the cost for cardiac rehabilitation will be covered by Medicare Plan B. The facility where the care is received will impact the costs. Medicare will cover 80% of the Medicare-approved amount for sessions at a doctor’s office. For outpatient rehabilitation care at a hospital, copayments will apply. For more extensive information on coverage costs, consult the current Medicare handbook.
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