In my opinion, this MedicareRights.org’s "Dear Marci” internet post had a very good explanation regarding what Original Medicare covers for skilled therapy. So I thought I’d share their web link below.
Note: If you have a "Medicare Advantage" plan, your coverage and costs are specific to your own plan and can vary from one Medicare Advantage plan to another. Medicare Advantage plan coverages and costs are generally not the same as Original Medicare alone.
Previously there was a maximum limit on how much was covered for skilled therapy under Original Medicare. However, did you know that starting in 2018 the therapy cap (maximum allowed to be paid) was removed? Starting in 2018, although once your therapy costs reach a certain amount, Medicare will require your provider to confirm that your therapy is medically necessary.
Click on web link below to read the entire MedicareRights.org internet post.
1. Source: Dear Marci - Medicare Rights Center
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