Medicare and Physical Therapy: What You Need to Know Before Your First Appointment

Medicare and Physical Therapy: What You Need to Know Before Your First Appointment

If you’re eligible for Medicare and need physical therapy, you’re not alone. Many seniors and disabled individuals rely on physical therapy to stay mobile, reduce pain, and improve their quality of life. At SOS Physio, we make the process simple—so you can focus on healing, not paperwork.


Does Medicare Cover Physical Therapy?

Yes—Medicare Part B covers outpatient physical therapy services when medically necessary and prescribed by a doctor. This includes treatments for:

  • Injury recovery
  • Post-surgical rehab
  • Chronic pain conditions (like arthritis or back pain)
  • Balance or gait issues
  • Muscle weakness or joint stiffness

Medicare helps pay for evaluation, therapy sessions, and re-assessments as long as your care is considered medically necessary to treat or manage a condition.


What Physical Therapy Services Are Covered?

At SOS Physio, the following services may be covered by Medicare:

✅ Therapeutic exercise
✅ Manual therapy
✅ Balance and gait training
✅ Neuromuscular re-education
✅ Pain management (including dry needling if supported)
✅ Post-surgical rehabilitation
✅ Strengthening and mobility programs

We document your progress and provide treatment updates to ensure continued eligibility.


How Many Visits Does Medicare Allow?

There is no hard cap on physical therapy visits with Medicare Part B, but your therapist must show that your treatment is medically necessary and that you’re making progress.

💡 Key Tip: If your care exceeds a certain yearly threshold (around $2,230 in 2025), Medicare may require your therapist to justify continued treatment—but you’re still covered if it’s medically reasonable.


What Will You Pay Out of Pocket?

Here’s what you can typically expect:

  • Medicare covers 80% of the approved amount after your Part B deductible
  • You’re responsible for the remaining 20%, unless you have supplemental insurance (like Medigap)
  • If you have Medicare Advantage (Part C), your copays may vary by plan

Good news: SOS Physio accepts Medicare and most supplemental insurance plans, and our staff helps you verify your coverage before treatment begins.


What to Bring to Your First Appointment

To make your first visit smooth and stress-free, bring:

  • Your Medicare card (and any supplemental insurance cards)
  • A referral or prescription from your physician
  • A list of medications and health conditions
  • Comfortable clothing for movement-based therapy

We’ll handle the billing and paperwork so you can focus on healing.


Why Seniors Trust SOS Physio

🌟 Experienced with Medicare patients: Our therapists are trained to work with older adults and tailor treatments for age-related conditions.
📋 We handle your documentation: From evaluations to progress reports, we ensure full Medicare compliance.
❤️ Compassionate, one-on-one care: You’re not just a number. We listen, adjust, and support you every step of the way.


Start Your Recovery with Confidence

Navigating Medicare shouldn’t be confusing—and with SOS Physio, it isn’t. We’re here to guide you through every step, from verifying coverage to building your custom therapy plan. If you or a loved one needs physical therapy and has Medicare, don’t wait.

📞 Call SOS Physio at 305-306-8376 or book your first appointment here.

Comments are closed.