Occupational Therapy Medicare Coverage Detailed

Your Medicare Coverage

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.

B

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.