Does Medicare Cover Physical Therapy in Iowa?

At Huizenga Law Firm, we believe that older adults in Iowa deserve the highest quality of life possible. One way to maintain this is through physical therapy, a health service crucial for seniors recovering from injuries, managing chronic conditions, or even preventing future issues. A common question we encounter is, “Does Medicare cover physical therapy?” Let’s take a closer look.

What is Physical Therapy?

Physical therapy aims to enhance a person’s movement, balance, strength, and overall health. It’s often required for seniors recovering from a health incident such as surgery or a fall. By developing targeted exercises, physical therapists help older adults regain their mobility and control pain, enhancing their quality of life. This therapy can also be preventive, reducing the risk of injuries associated with aging.

The Value of Physical Therapy

Physical therapy can be highly beneficial to seniors. Not only can it expedite recovery from injuries or surgical procedures, but it can also lessen the need for pain medication, maintain independence, improve mobility, and lower the risk of falls. Given these significant benefits, it’s essential to understand if, and when, Medicare covers physical therapy.

Medicare’s Coverage of Physical Therapy

Medicare does provide coverage for physical therapy under specific circumstances. A healthcare provider, such as a doctor, nurse practitioner, or clinical nurse specialist, must certify the need for physical therapy.

Medicare Part A covers physical therapy in inpatient facilities such as hospitals, skilled nursing facilities, and rehabilitation centers. It also covers in-home physical therapy for eligible homebound individuals. The out-of-pocket costs will vary depending on the location of service.

Outpatient physical therapy services fall under Medicare Part B, covering therapy in a doctor or therapist’s office, a hospital outpatient department, or a skilled nursing facility providing outpatient care. Once beneficiaries meet the Part B deductible (which is $226 in 2023), they are responsible for 20% of the Medicare-approved payment.

Seeking Help with Medicare and Physical Therapy

Medicare’s coverage of physical therapy is complex, and it’s essential to ask your healthcare provider any questions about these services’ coverage. An elder law attorney can also provide valuable insight into Medicare’s provisions.

At Huizenga Law Firm, P.C., we’re committed to helping Iowa’s senior citizens navigate the complexities of Medicare coverage, including physical therapy. If you have questions about Medicare don’t hesitate to reach out. Contact us today at 712-737-3885. Your well-being is our priority, and we’re here to help every step of the way.