Pulmonary Rehabilitation Coverage

Medicare Part B (Medical Insurance)

covers a comprehensive pulmonary rehabilitation program if you have moderate to very severe chronic obstructive pulmonary disease (COPD).

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.

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

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.

What it is

These programs help you breathe better, get stronger, and be able to live more independently.

Things to know

These services may be provided in a doctor’s office or a hospital outpatient setting that offers pulmonary rehabilitation programs. You need a

Referral

for pulmonary rehabilitation from the doctor treating this chronic respiratory disease.

Related resources

Oxygen equipment and accessories

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Pulmonary rehabilitation programs

Pulmonary rehabilitation programs

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