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Occupational Therapy Detailed
Coverage: Conditions that must be met before Medicare will provide coverage, and limits to coverage.
Medicare helps pay for medically necessary outpatient physical and occupational therapy and speech pathology services when:
- Your doctor or therapist sets up the plan of treatment, and
- Your doctor periodically reviews the plan to see how long you will get therapy.
You can get these services as an outpatient of a participating hospital or skilled nursing facility, or from a participating home health agency, rehabilitation agency, or public health agency. Also, you can get services from a privately practicing, Medicare-approved physical or occupational therapist in his or her office or in your home. (Medicare may not pay for services given by privately practicing speech pathologists.)
CoPayment: The amount you need to pay.
You pay 20% of Medicare-approved amounts.
Medicare Part: The part of Medicare that pays for this service or supply.
Organization Name: The organization name that this coverage topic is associated with.
Important Notes: Details regarding important notes about the coverage.
You must pay an annual $147 deductible for Part B services and supplies before Medicare begins to pay its share.