Medicare Part B (Medical Insurance) covers comprehensive programs that include exercise, education, and counseling. Part B also covers intensive cardiac rehabilitation (ICR) programs that, like regular cardiac rehabilitation (CR) programs, include exercise, education, and counseling. ICR programs are typically more rigorous or more intense that CR programs. These programs may be provided in a hospital outpatient setting (including a critical access hospital) or in a doctor’s office.
People with Part B are covered. You must be referred by your doctor and have had any of these:
• A heart attack in the last 12 months
• Coronary artery bypass surgery
• Current stable angina pectoris
• A heart valve repair or replacement
• A coronary angioplasty or coronary stent
• A heart or heart-lung transplant
Intensive Cardiac Rehabilitation (ICR) programs are also covered when referred by a doctor.
Your costs in Original Medicare
You pay 20% of the Medicare-approved amount if you get the services in a doctor’s office. In a hospital outpatient setting, you pay the hospital a copayment. The Part B deductible applies.