Pulmonary rehabilitation programs
Medicare Part B (Medical Insurance)
covers a comprehensive pulmonary rehabilitation program if you have moderate to very severe chronic obstructive pulmonary disease (COPD) and have a referral from your doctor to treat it. Medicare also covers pulmonary rehabilitation if you've had confirmed or suspected COVID-19 and experience persistent symptoms that include respiratory dysfunction for at least 4 weeks.
Your costs in Original Medicare
- If you get the service in a doctor's office, you pay 20% of the
Medicare-Approved Amount
.
- If you get the service in a
hospital outpatient setting
, you also pay the hospital a
copayment
per session.
- The Part B
deductible [glossary]
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
- If 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 if, or how much, Medicare will pay for them.
What it is
Pulmonary rehabilitation programs help you breathe better, get stronger, and be able to live more independently.
Things to know
You can get these services in a doctor’s office or a hospital outpatient setting that offers pulmonary rehabilitation programs.
