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Medicare Coverage – Medicare Covered Services: Cardiac Rehab Programs

Medicare Part B covers comprehensive cardiac rehabilitation (CR) programs that include exercise, education, and counseling. Part B also covers intensive cardiac rehabilitation (ICR) programs that, like regular 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 (CAH)) or a doctor's office. 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.

People with Part B are covered. You must have had at least one of these conditions:
• 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
• Stable chronic heart failure
ICR programs are also covered if:
• Your doctor orders it
• You've had any of the conditions listed above (except stable chronic heart failure which applies only to CR programs)

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