Medicare.gov

Cardiac rehabilitation programs

Medicare Part B (Medical Insurance) covers regular and intensive cardiac rehabilitation programs

  • Covered by Part B

Description

Cardiac rehabilitation programs include exercise, education, and counseling if you’ve experienced a heart attack, heart failure, or other heart problem as listed above.

Who's eligible

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
  • Stable angina pectoris (chest pain)
  • A heart valve repair or replacement
  • A coronary angioplasty (a medical procedure used to open a blocked artery) or coronary stenting (a procedure used to keep an artery open)
  • A heart or heart and lung transplant
  • Stable chronic heart failure

Costs

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.

Facility

Medicare covers these services in a doctor's office or  hospital outpatient setting (including a critical access hospital ).

Ask your doctor or healthcare provider how much your test, item, or service will cost.

Your doctor may recommend services that Medicare does not cover or offers too frequently. This could end up in additional costs for you. Make sure to ask your doctor about the reasons for these recommendations and what Medicare will actually cover.

Specific amounts you could owe depend on:

  • Other insurance you may have

  • How much your doctor charges

  • If your doctor accepts assignment

  • The type of facility

  • Where you get your test, item, or service