Medicare Part B covers physical therapy, occupational therapy and speech-language therapy. However, there are limits to how much Medicare will pay for these services. In 2020, the annual limit for therapy services is $2,080. This is known as the Medicare therapy cap. Medicare also has an additional limit of $2,040 for physical therapy and speech-language pathology services combined. For 2021, this limit will be increased to $2,110.
The therapy cap limits how much Medicare Part B will pay for physical therapy, occupational therapy and speech-language pathology services in any given year. The cap is based on the calendar year and the limit applies to all services provided during that year, no matter how many times the service is provided or how many different providers are involved.
The amount of the therapy cap changes every year. For 2020, the cap is $2,080 for all three types of therapy services. For 2021, the therapy cap will be increased to $2,110. For 2022, the therapy cap will be increased to $2,130. And for 2023, the therapy cap will be increased to $2,160.
If you need therapy services that cost more than the therapy cap, you may be able to get an “exception” to the therapy cap. This means that Medicare may pay for services that cost more than the therapy cap limit if your doctor or therapist certifies that you need the services to get better.
The therapy cap does not apply to services that are provided in a hospital or nursing home. It also does not apply to services that are provided as part of a home health care plan.
If you have Medicare Part B and need therapy services, it is important to keep track of how much you are spending on therapy services. If you reach the therapy cap limit, you may be able to get an exception to the cap so that Medicare will continue to pay for your therapy services.
It is also important to remember that the therapy cap changes every year. For 2020, the cap is $2,080. For 2021, the therapy cap will be increased to $2,110. For 2022, the therapy cap will be increased to $2,130. And for 2023, the therapy cap will be increased to $2,160.
If you have any questions about the therapy cap or need help understanding how it works, you should contact your local Medicare office or speak with your doctor or therapist.
Conclusion
The Medicare therapy cap for 2023 will be $2,160. It is important to keep track of how much you are spending on therapy services to make sure that you do not exceed the therapy cap limit. If you need more than the therapy cap limit, you may be able to get an exception to the cap so that Medicare will continue to pay for your therapy services. If you have any questions about the therapy cap, you should contact your local Medicare office or speak with your doctor or therapist.