Cardiac Rehabilitation. This plan covers services provided in a cardiac rehabilitation program up to the benefit limit shown in the Summary of Medical Benefits.
Cardiac Rehabilitation. Outpatient cardiac rehabilitation, combined with chiropractic services, outpatient pulmonary rehabilitation, and outpatient rehabilitative physical, occupational and speech therapies, is limited to 35 visits per calendar year. Cardiac rehabilitation requires Prior Authorization.
Cardiac Rehabilitation. Medically Necessary Phase I Cardiac Rehabilitation is covered in an inpatient setting. Medically Necessary Phase II Cardiac Rehabilitation is covered on an outpatient basis for up to 36 visits per cardiac episode per Member per Calendar Year.
Cardiac Rehabilitation. Outpatient Benefit is limited to 18 weeks or 36 visits (whichever occurs first) per covered episode. 0% - After Deductible 20% - After Deductible
Cardiac Rehabilitation. Outpatient cardiac rehabilitation is limited to 18 visits per Calendar Year. Cardiac rehabilitation requires Prior Authorization.
Cardiac Rehabilitation. No deductible. Pays up to five hundred dollars ($500.00) a year when such rehabilitation program is recommended by an attending physician.
Cardiac Rehabilitation. Outpatient cardiac rehabilitation is covered for up to thirty-six (36) sessions per Benefit Period.
Cardiac Rehabilitation. A. Cardiac rehabilitation benefits are provided to Members who have been diagnosed with significant cardiac disease, or who have suffered a myocardial infarction, or have undergone invasive cardiac treatment immediately preceding referral for cardiac rehabilitation.
B. Coverage is provided for all Medically Necessary services, as defined by Evergreen.
C. Cardiac rehabilitation is a comprehensive program involving medical evaluation, prescribed exercise, cardiac risk factor modification, education and counseling.
D. A cardiac rehabilitation program includes continuous EKG telemetric monitoring during exercise, EKG rhythm strip with interpretation, physician’s revision of exercise prescription, and follow up examination for physician to adjust medication or change regimen.
E. Outpatient Rehabilitative Services (physical therapy, speech therapy and occupational therapy) for cardiac rehabilitation increases the thirty (30) visits, per therapy to ninety
Cardiac Rehabilitation. An electrocar- diographically-monitored program of outpa- tient cardiac rehabilitation (Phase II) is cov- ered for specific criteria when it is individually prescribed by a provider and a formal exercise stress test is completed fol- lowing the event and prior to the initiation of the program. Cardiac rehabilitation is cov- ered for members who meet one (1) of the following criteria:
A. Acute myocardial infarction (MI) (heart attack in the last twelve (12) months);
B. Coronary artery bypass grafting (CABG);
C. Stable angina pectoris;
D. Percutaneous coronary vessel associated with chronic stable angina that has failed to respond adequately to pharma- cotherapy and is interfering with the ability to perform age-related activities of daily living and/or impairing functional abilities; or
Cardiac Rehabilitation. An electrocar- diographically-monitored program of outpa- tient cardiac rehabilitation (Phase II) is cov- ered for specific criteria when it is individually prescribed by a provider and a formal exercise stress test is completed fol- lowing the event and prior to the initiation of the program. Cardiac rehabilitation is cov- ered for members who meet one (1) of the following criteria:
A. Acute myocardial infarction (MI) (heart attack in the last twelve (12) months);
B. Coronary artery bypass grafting (CABG);
C. Stable angina pectoris;
D. Percutaneous coronary vessel remodeling;
E. Valve replacement or repair;
F. Heart transplant;
G. Coronary artery disease (CAD) associated with chronic stable angina that has failed to respond adequately to pharma- cotherapy and is interfering with the ability to perform age-related activities of daily living
