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Arnold, Bruce & Doerfler Insurance Blog

What Does Medicare Cover For Physical Therapy?

9/12/2022

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Picture
​Physical therapy is a physical treatment that could help with various health issues involving how the body works and operates. It can assist patients to live better, increase their movement, and lessen or eliminate discomfort. 

Unless your doctor believes that the service would be clinically acceptable and required, Medicare should pay a fraction of your physiotherapy costs. Medicare would not cover therapy suggested by a physical therapist but not authorized by a doctor.
Medicare: Part A 
Physical therapy appointments lacking medical insurance might cost anything from $100 to $250 per appointment. Physical treatment can be expensive, and health insurers like Medicare could assist cover the costs. 

Part A of Medicare Beneficiaries is the hospital insurance portion. Inpatient care, such as stays in hospitals and assisted living institutions, should be covered in Part A.

Medicare Part A should include personal health and hospice care. It should not require most consumers to pay a monthly charge or premium. 

If inpatient rehab and physical therapy are deemed medically required to enhance your process in terms of hospitalization, Part A might compensate for them. If they are unconnected to your therapy, Medicare Part A should not pay for 24-hour care at home, food, or homemaker assistance.

Medicare: Part B 
Part B of Medicare includes outpatient physical therapy that is medically appropriate. Medicare needs careful paperwork done for a health care service, including such different kinds of outpatient therapy, to be judged clinically essential. 

Part B of Medicare covers medical expenses. It includes outpatient care that is clinically essential, and it may cover some preventative treatments.

Part B of Medicare should support PT that is medically appropriate. It would involve evaluating and managing diseases or ailments that could impair your performance capacity. 

This form of treatment should be available at the following locations:
  • Medical clinics
  • Physical therapists who work independently
  • Outpatient sections in hospitals
  • Facilities for outpatient treatment
  • Assisted living facilities (If part A doesn’t apply)
  • Household Care

To End

Physical therapy can aid in the recovery process after an accident or sickness and assist you in treating chronic medical conditions. When a physician prescribes physical therapy, Medicare covers it. 

At Arnold, Bruce & Doerfler Insurance, we do our best to make sure that our clients are well-protected with affordable and comprehensive policies. We make sure to go the extra mile to help you with your needs. To learn more about how we can help you, please contact our agency at (503) 222-1951 or Click Here to request a free quote. Any coverage discussed is not guaranteed. Please contact us today to go over your policy to ensure your needs are met! We are here and happy to help.
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