Header image
Translate: (Disclaimer)
Print this page Print this page Email this page Email this page

  Select News to View

Back to Article List

Medicare Reminder
Release Date: July 27, 2012

Medicare will cover outpatient physical and occupational therapy, as well as speech therapy services.

Medicare Reminder

Medicare will cover outpatient physical and occupational therapy, as well as speech therapy services, if:

  • They are medically necessary;
  • Your doctor or therapist sets up the plan of treatment; and
  • Your doctor periodically reviews the plan to determine how long you will need therapy.

Generally, Medicare will only cover therapy services if your condition can improve or if your condition would deteriorate without therapy.

You can access therapy services as an outpatient of a participating hospital, rehabilitation agency, comprehensive outpatient rehabilitation facility or public health agency. If you qualify for home health benefits, you can access therapy services from your home health care agency, and if you qualify for skilled nursing facility (SNF) benefits, you can access therapy services from your SNF. You may also be able to receive services from a privately-practicing and Medicare-approved physical, speech or occupational therapist in his or her office or in your home.

In 2012, Medicare will cover up to $1,880 for physical and speech therapy combined, and an additional $1,880 for occupational therapy. If you are approaching the limit and need more therapy, your doctor can request additional therapy. If Medicare denies the claim, you can appeal.

For more information about therapy services, please contact the Sussex County Division of Senior Services at 973-579-0555 Ext. 1223.


A program of the Department of Human Services, Stephen R. Gruchacz, Administrator, Division of Senior Services, Lorraine Hentz, Division Director, One Spring Street, Newton, N.J. 07860 Office Hours: 8:30 AM to 4:30 PM Phone 973-579-0555 Fax 973-579-0550 seniorservices@sussex.nj.us





Community Resources | Home | County Government | Departments | Municipalities | Directories | Directions | County Tourism | Economic Development | Veterans Services | Events Calendar | Newsletters & Alerts | News & Information | Meeting Schedules | Service Requests | Contact Information | Form Center | Links | F.A.Q.s | Employment Opportunities | Skylands Ride/Public Transportation | How Do I? | Recycling/Solid Waste | Road Closures | Employee Services | Feedback | New Jersey Career Connections
Use Mobile Site
Copyright © 2017 Sussex County. All Rights Reserved.
Visit Sussex County on YouTube Follow Sussex County on Twitter Visit Sussex County on Facebook Subscribe to Sussex County's RSS Feeds Subscribe to Sussex County Email News

Powered by Cit-e-Net