Cardiac rehabilitation programs

Cardiac rehabilitation programs

How often is it covered?

 covers comprehensive cardiac rehabilitation (CR) programs that include exercise, education, and counseling. Part B also covers intensive cardiac rehabilitation (ICR) programs that, like regular CR programs, include exercise, education, and counseling. ICR programs are typically more rigorous or more intense that CR programs. These programs may be provided in a 

 (including a critical access hospital (CAH)) or a doctor's office.

Who's eligible?

People with Part B are covered. You must have had at least one of these conditions:

  • A heart attack in the last 12 months
  • Coronary artery bypass surgery
  • Current stable
  • A heart valve repair or replacement
  • A coronary or
  • A heart or heart-lung transplant
  • Stable chronic heart failure

ICR programs are also covered if:

  • Your doctor orders it
  • You've had any of the conditions listed above (except stable chronic heart failure which applies only to CR programs)
Your costs in Original Medicare

You pay 20% of the 

 if you get the services in a doctor's office. In a hospital outpatient setting, you pay the hospital a 

. The Part B 

 applies.

Note

To find out how much your test, item, or service will cost, talk to your doctor or health care provider. The specific amount you’ll owe may depend on several things, like:

  • Other insurance you may have
  • How much your doctor charges
  • Whether your doctor accepts assignment
  • The type of facility
  • Where you get your test, item, or service

Note

Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.

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