Dr. Marion accepts Medicare Part B Assignment
Coverage under Medicare
Medicare helps pay for medically necessary outpatient physical and occupational therapy and speech-language 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 outpatient physical therapy services from a Medicare-approved physical therapist in private practice while in his or her office OR IN YOUR HOME. You can get these services from Dr. Marion, a Medicare-approved outpatient provider.
Amount you need to pay
Medicare is required to limit how much it pays for outpatient therapy services per year. This is called an annual financial limitation, or cap. Your Medicare benefit for outpatient physical therapy and speech-language pathology services (combined) is limited to $1840 per year.
Medicare Part B pays for Occupational, Physical, and Speech therapy as long as it is medically necessary, but only up to the yearly benefit limit of $1840. Before the limits, you pay 20% of the Medicare-approved amount after you have met your yearly deductible. After you have reached the $1840 cap, you will be responsible for 100% of the charge, unless you have other insurance coverage.
- You must pay an annual $135 (in 2009) deductible for Part B services and supplies before Medicare begins to pay its share.
- Actual amounts you must pay may be higher if a doctor, health care provider, or supplier does not accept assignment.
Source: www.medicare.gov, and Select “Find Out What Medicare Covers.”
For more information, you may call 1-800-MEDICARE (1-800-633-4227).