Medicare places caps on these services when you receive them from outpatient providers. Remember, Medicare also requires these treatments to be medically necessary. Copayment and payments made to providers can be applied toward the cap. Here are the caps:
- Physical Therapy and Speech Therapy-$1,880
- Occupational Therapy - $1 880
Medicare Advantage may plan to apply a $1,880 therapy cap with an exceptions process if it chooses to do so. However, many Medicare Advantage plans have chosen not to apply a therapy cap in the past. You should check with your Medicare Advantage plan regarding its payment policies.