Pulmonary rehabilitation programs
Medicare Coverage Information
Overview
Medicare provides coverage for pulmonary rehabilitation programs designed to help patients with chronic respiratory conditions improve their breathing, quality of life, and ability to perform daily activities. These programs typically include exercise training, education, and support for patients with conditions like COPD.
- Covers comprehensive pulmonary rehabilitation programs for eligible patients
- Requires physician referral and medical necessity documentation
- Includes exercise training, education, and counseling
- Typically limited to patients with specific chronic respiratory conditions
- Medicare Part B beneficiaries
- Patients with chronic respiratory conditions like COPD
- Must have physician referral
- Must meet medical necessity criteria
- Beneficiaries generally pay 20% of Medicare-approved costs after meeting Part B deductible
- Costs may vary depending on specific Medicare plan (Original Medicare vs. Medicare Advantage)
- Must be prescribed by a physician
- Limited to patients with qualifying chronic respiratory conditions
- Requires documented medical necessity
- May have restrictions on number of covered sessions
- Consult with your primary care physician about pulmonary rehabilitation
- Get a formal referral for the program
- Verify coverage details with your specific Medicare plan
- Contact Medicare at 1-800-MEDICARE for specific coverage questions
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicarepulmonary rehabilitationlung disease coveragerespiratory therapyCOPD treatment
Related Coverage Topics
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