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Taking the Mystery Out of Medicare

Congress has set an annual limit for Medicare’s reimbursement of outpatient rehabilitation services. As a result, each Medicare patient has an annual limitation of $1,780 (based on a calendar year) for Physical Therapy services combined with Speech Therapy services and Occupational Therapy services.

Should you reach the financial cap limit, Medicare has created an Exception Process, allowing exempted medically necessary services to be provided and paid under Medicare in excess of the annual limits.

If you have any questions regarding your Medicare coverage, please do not hesitate to speak with one of our staff members. You can also contact Medicare yourself at 1-800-MEDICARE or online at www.medicare.gov