Medicare Part B (Medical Insurance) covers these comprehensive programs if you’ve had at least one of these conditions:
- A heart attack in the last 12 months
- Coronary artery bypass surgery
- Current stable angina (chest pain)
- A heart valve repair or replacement
- A coronary angioplasty (a medical procedure used to open a blocked artery) or coronary stent (a procedure used to keep an artery open)
- A heart or heart-lung transplant
- Stable chronic heart failure
Part B also covers intensive cardiac rehabilitation programs that are usually more rigorous or intense than regular cardiac rehabilitation programs. Medicare covers these services in a doctor's office or hospital outpatient setting (including a critical access hospital).
You pay 20% of the Medicare-Approved Amount if you get these services in your doctor's office. In a hospital outpatient setting, you also pay the hospital a copayment . The Part B deductible applies.
Cardiac rehabilitation programs include exercise, education, and counseling if you’ve experienced a heart attack, heart failure, or other heart problem as listed above.