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Medicare caps

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  • Medicare caps

    So I have Medicare and Medicaid and I've been doing outpatient therapy at RIC mostly learning how to stand/ambulate in leg braces. Also working on transfers so I can get rid of the board. Well Medicare only will pay for I think 22 visits a year. Is there no way to get around that??? I feel like I'm just getting started and its already about to be over.

  • #2
    I have Medicare. Did Medicaid years ago. I am pretty sure you can get above those caps. They require a lot of information/forms from doctors and therapists to submit the information. Then it is wait for approval or "bounce" back on forth on all of the requirements. Still no guaratee. Start explain to therapist and/or doctor you feel you want t exceep caps based on improving and see what they say.