Need therapy services? Be sure you know Medicare’s limits

Are you getting physical therapy after a hip replacement? Speech-language pathology services after a stroke? Anytime you get outpatient physical therapy, occupational therapy, or speech-language pathology services, be sure you know the limits for how much Medicare will pay.

Medicare helps pay for medically-necessary outpatient physical therapy, occupational therapy, and speech-language pathology services. There are limits, called “therapy caps,” on these services when you get them from most outpatient providers.

The therapy cap limits for 2014 are:

  • $1,920 for physical therapy (PT) and speech-language pathology (SLP) services combined
  • $1,920 for occupational therapy (OT) services

You may qualify to get an exception so that Medicare will continue to pay its share for your services after you reach the therapy cap limits.

October is National Physical Therapy Month – take the time to learn more about Medicare’s limits on therapy services.