Am I Eligible for Medicare Coverage of Inpatient Therapy Services?

Outpatient skilled therapy services are skilled therapy services you receive when you were not formally admitted to a hospital or skilled nursing facility. You are eligible for Medicare coverage of outpatient therapy services if:

  • You need skilled therapy services, and the services are considered a safe and effective treatment for you. Medicare defines skilled care as care that must be performed by a skilled professional, or under their supervision
  • Your doctor or therapist creates a plan of care before you start receiving services
  • Your doctor or therapist regularly reviews the plan of care and makes changes as needed

If you meet Medicare’s eligibility requirements, Medicare covers therapy on a temporary basis to improve or restore your ability to function, or on an ongoing basis to prevent you from getting worse. Medicare should cover your outpatient therapy regardless of whether your condition is temporary or chronic. Medicare Part B covers outpatient therapy services.

Read More: Where Are Outpatient Therapy Services Available?
Learn About: How Do the Costs and Limitations for Medicare-covered Outpatient Therapy Work?
Return to: Medicare In-Depth

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