Outpatient Therapy at Home.
As we age and begin to use our Medicare benefits, it is common to experience changes in our physical and cognitive abilities that make it difficult to go to outpatient therapy clinics. These changes can make it difficult to perform daily activities and lead to a loss of independence. Physical, occupational, and speech therapies are effective treatments that can improve these abilities and promote overall wellness. However, getting to and from therapy appointments can be a challenge for many seniors. This is where outpatient therapy at home provided through Medicare Part B benefits comes in handy. Call 1(800)650-5289 to use your Medicare part B benefits Today! At Mind & Mobility Home Care, we provide outpatient physical, occupational, and speech therapy services in the comfort of our patients’ homes. This allows our patients to receive the care they need without the added stress of traveling to a clinic. In this article, we will discuss how outpatient therapy works, what Medicare Part B covers, and what secondary insurances cover.
Outpatient Therapy at Home under Medicare Part B
Outpatient therapy refers to physical, occupational, and speech therapy services that are provided outside of a hospital or inpatient facility. At Mind & Mobility Home Care, we offer these services in the comfort of our patients’ homes. This means that our patients can receive therapy in a familiar and comfortable environment, which can lead to better outcomes. Our therapists work with our patients to develop personalized treatment plans that address their unique needs and goals. For example, a physical therapist may help a patient improve their balance and coordination to prevent falls, while an occupational therapist may help a patient regain the ability to perform daily activities like dressing and grooming. A speech therapist may help a patient improve their communication skills after a stroke or other neurological condition.
Medicare Part B Coverage for Outpatient Therapy at Home
Medicare Part B is a federal health insurance program that covers outpatient services, including physical, occupational, and speech therapy. To be eligible for Medicare Part B, you must be 65 or older, have a qualifying disability, or have end-stage renal disease. Under Medicare Part B, outpatient therapy at home is covered at 80% of the Medicare-approved amount. This means that patients are responsible for paying the remaining 20% of the cost. There is also an annual deductible that must be met before Medicare coverage begins. Medicare Part B covers up to 100 sessions of outpatient therapy per year. This includes a combination of physical, occupational, and speech therapy. However, there are some limitations on coverage. For example, Medicare Part B may not cover therapy that is considered maintenance therapy, which is therapy that is designed to maintain a patient’s current level of function rather than improve it. Medicare may also require prior authorization for certain services.
Secondary Insurance Coverage for Outpatient Therapy at Home
Many seniors have secondary insurance coverage in addition to Medicare Part B. Secondary insurance is designed to cover the costs that Medicare does not cover. This may include the remaining 20% of outpatient therapy costs, as well as deductibles and copays. The specific coverage offered by secondary insurance varies depending on the policy. Some secondary insurance policies may cover all or a portion of the remaining 20% of outpatient therapy costs, while others may cover deductibles and copays. It is important for patients to understand their specific coverage and to work with their insurance provider to ensure that they receive the benefits they are entitled to.
Conclusion
Outpatient physical, occupational, and speech therapy can be highly effective treatments for seniors who are experiencing changes in their physical and cognitive abilities. At Mind & Mobility Home Care, we provide these services in the comfort of our patients’ homes through Medicare Part B benefits. Medicare Part B covers up to 100 sessions of outpatient therapy at home per year, but patients are responsible for paying the remaining 20% of the cost. Secondary insurance may cover this remaining cost, as well as deductibles and copays. If you or a loved one are in need of outpatient therapy at home, contact Mind & Mobility Home Care today to learn more about our services. Call 1(800)650-5289 to use your Medicare part B benefits Today!