Medicare provides coverage for all medically necessary physical therapy services with no limit on the number of sessions you can attend. There is no specific limit to the number of physical therapy sessions Medicare will cover or the amount Medicare will pay for physical therapy services. Medicare provides coverage for all medically necessary physical therapy services. Doesn't limit the number of sessions you can attend.
To receive Medicare physical therapy coverage, you need a referral from a health professional and a certified treatment regimen. Medicare covers physical therapy when recommended by a doctor, and there's no limit to the number of physical therapy sessions you can receive. You can receive as many physical therapy sessions as your doctor says you need. Medicare covers the cost of all medically necessary outpatient therapy services. The number of physical therapy sessions you will need will depend on the treatment plan your healthcare provider recommends.
Your healthcare provider must create a treatment plan for you before Medicare covers sessions. If you qualify for home health care services, Medicare will pay the full cost of your home physical therapy. The benefits of Medicare home health care services will not change, and the pre-application review process should not delay your access to home health care services. Since most Medicare Advantage plans have deductibles of several thousand dollars, you'll usually pay full price for a while before the plan starts helping you pay for physical therapy.
If you receive your Medicare benefits through a Medicare Advantage (Part C) plan or another Medicare health plan, check with your plan for more information about your home health benefits. Based on this demonstration, your home health care agency can submit a request to Medicare to review the request for coverage of home health services. Before you start getting home health care, the home health agency must tell you how much Medicare will pay. The original Medicare outpatient physical therapy guidelines can be found on the CMS (Centers for Medicare and Medicaid Services) website.
Medicare will cover home care when you can't leave your home because it's too difficult, if you need help getting out, or if your doctor says you shouldn't leave home because of a medical condition. The agency must also let you know (both verbally and in writing) if Medicare won't pay for the items or services it provides and how much you'll have to pay for them.
