New Year- New Medicare Therapy Dollars!

What does the Medicare Therapy CAP mean to You?

Every year- Medicare beneficiaries are given new therapy dollars to be used for Physical, Occupational & Speech Therapy Services received in an outpatient setting. Physical Therapy is important for Medicare beneficiaries in their efforts to stay healthy and active, independent and pain free!

In 2018- Medicare eliminated the inflexible limit to the amount of therapy they will pay for in a calendar year- once termed the Therapy CAP. Instead they reinforced requirements of these services being “Medically Necessary” under the benefit.

In 2019- the Therapy CAP amount initially provide is $2040 for Physical and Speech Therapy combined and $2040 for Occupational Therapy. which is subject to a deductible of and then a 20% co-pay. This co-pay may be submitted to a Medicare recipient’s secondary plan or Medicaid if you are eligible.

Therapy Services that are “over the CAP” in any calendar year are still payable by Medicare if the therapy meets certain criteria of being “medically necessary”.

What types of Physical Therapy services does Medicare Part B (Outpatient) cover for me?

Rehabilitative Therapy: Your ability to function related to a …. “condition that has the potential to improve or is improving in response to [skilled] therapy, maximum improvement is yet to be attained; and there is an expectation that the anticipated improvement is attainable in a reasonable and generally predictable period of time. Improvement is demonstrated by specific measurements whenever possible.”

Maintenance Therapy: Your … “treatment by the therapist is necessary to maintain, prevent or slow further deterioration of your functional status and the services cannot be safely carried out by the by yourself or by a family member, another caregiver or unskilled personnel.”*

What does Skilled Therapy mean?

Therapy services must be considered “skilled” to be covered by Medicare.

Medicare describes skill as:

“The services shall be of such a level of complexity and sophistication or the condition of the patient shall be such that the services required can only be safely and effectively performed by a qualified clinician, or therapists supervising assistants.”*

* (see the National Government Services Outpatient Physical and Occupational Therapy Local Coverage Determination)

Talk to your Physical Therapist or Physician to determine if Physical Therapy is for you in 2019 to help you attain your goals of staying active, independent & pain free!

 

 

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  28. Eliana Madison's Gravatar

    Herpes Cure by Dr Kham Remedies

    Eliana Madison | April 28, 2026 at 10:26 AM

    Unbelievable two weeks herpes cure from herbalist Dr Kham. Massive thanks to herbalist Dr Kham remedies for curing me from herpes virus, There are treatments to get rid of genital herpes virus with traditional herbs from Dr. Kham. I was positive about this Herpes infection and I lost hope because I was outcast and rejected even by my best friends. I searched online to know more on how to eradicate this virus and enquired about a cure for herpes and I got a testimony posted by Dr. Kham patient on how she was cured from HSV-2, So i decided to contact the same herbalist Dr. Kham because I know that nature has the power to heal everything, So I contacted him to know he can help me and he told me never to worry that he will help me out with his natural herbs created by God Almighty! After 2 days of contacting him, He told me that the cure has been prepared and he will send it to me via UPS (United Parcel Service) and it will be delivered to me in 5 days! So it got delivered to my front door, I used the medicine as he instructed me twice daily (Morning and Evening) and I was cured after taking the dosage for two weeks. It really looks like a dream to me but I'm so happy now!! that is the reason I decided to also add more comment of him to this blog because that was what I promise him that I would testify about his good work to the people if his herbal medicine would cure me, So if you need his help also, You can email him on dr.khamcaregiver@gmail.com or You can Message him on WhatsApp with his contact number +2348159922297 and visit his website https://herbalistdrkhamcaregiver.simdif.com

  29. Jerome Herman's Gravatar

    HOW TO RECOVER FUNDS LOST IN FOREX TRADING, CRYPTO INVESTMENT OR CRYPTO TRADING

    Jerome Herman | May 6, 2026 at 6:38 PM

    HOW TO RECOVER FUNDS LOST IN FOREX TRADING, CRYPTO INVESTMENT OR CRYPTO TRADING

    If you have fallen victim to a Bitcoin or crypto investment scam and have lost funds, it can be a devastating experience. However, there are steps you can take to try and recover your lost funds. One option is to contact GEO COORDINATES RECOVERY HACKER, a company that specializes in recovering funds lost to scams. Their services proved invaluable in my case, and their success in recovering my funds has been a tremendous relief. They have the skills and knowledge required to tackle such complex issues and provide effective solutions. I hope my story helps others who might be struggling with similar issues and encourages them to take action to recover their losses. Reach out to GEO COORDINATES RECOVERY HACKER via contact details

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