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CORF stands for Comprehensive Outpatient Rehabilitation Facility, which is a facility that provides outpatient services such as physical therapy, rehabilitation, physicians’ services, and social or psychological services.
Medicare provides limited coverage in CORFs. After you pay your Medicare Part B deductible amount, Medicare Part B generally covers 80% of your costs in a CORF, and you pay the remaining 20%.
However, there is a limit, called a cap, on how much Medicare will cover in one year. This cap may vary from year to year.
In some cases, you might qualify for an exception on the therapy cap limit. Your health-care provider must provide documentation that your need for further therapy is reasonable and medically necessary. For more information, contact your State Health Insurance Assistance Program (SHIP). To get the phone number for your state, visit shiptacenter.org, or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. Medicare representatives are available 24 hours a day, seven days a week.
Note: The information in this article applies to Original Medicare. If you have a Medicare Advantage plan, contact your plan for coverage details about therapy services.
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