Pulmonary rehab cost with Medicare depends on where you get it. Medicare.gov says the Part B deductible applies, and then you pay 20% of the Medicare-approved amount in a doctor’s office, or a copayment to the hospital for each session in a hospital outpatient setting. The 2026 Part B deductible is $283. This page explains each part of the cost, how Medigap can change what you owe, and what to ask a program about cost before you start.
What do you pay for pulmonary rehab under Original Medicare?
- The Part B deductible applies. Medicare.gov lists the 2026 Part B deductible as $283 before Original Medicare starts to pay. (Medicare.gov, Medicare costs)
- In a doctor’s office, you pay 20% of the Medicare-approved amount. (Medicare.gov, Pulmonary rehabilitation programs)
- In a hospital outpatient setting, you also pay the hospital a copayment for each session. We did not see a dollar amount for that copayment on Medicare.gov’s pulmonary rehab page, so ask the hospital.
Medicare.gov says Part B coinsurance is usually 20% of the cost for each Medicare-covered service or item after you have paid your deductible. (Medicare.gov, Medicare costs)
How many sessions does Medicare cover?
Federal rules limit coverage to two 1-hour sessions per day, for up to 36 sessions over up to 36 weeks. They also give an option for an additional 36 sessions over an extended period of time, approved by the Medicare Administrative Contractor. (42 CFR 410.47) Medicare.gov says Part B covers pulmonary rehab for moderate to very severe COPD, and the federal rules require a referral from the physician treating the chronic respiratory disease. See does Medicare cover pulmonary rehab for who qualifies.
How can Medigap change what you pay?
CMS describes Medicare Supplement Insurance, or Medigap, as extra insurance you can buy from a private insurance company to help pay your share of out-of-pocket costs in Original Medicare. What a policy pays depends on its plan letter. CMS lists some plans that cover all of the Part B coinsurance and others that cover only part of it, and it says that only plans C and F cover the Part B deductible and that those two are not available to people new to Medicare on or after January 1, 2020. (CMS, Getting started with Medicare Supplement Insurance) Ask your Medigap company how it would pay for pulmonary rehab sessions before you start.
What if you have Medicare Advantage?
Medicare.gov says Medicare Advantage plans may have different out-of-pocket costs for certain services, so what you pay for pulmonary rehab depends on your plan. (Medicare.gov, Compare Original Medicare and Medicare Advantage) See does Medicare Advantage cover pulmonary rehab for what to ask. For what CMS says about rehab by video, see does Medicare cover telehealth pulmonary rehab.
What should you ask about cost before you start?
- Is the program run by a hospital outpatient department or a physician practice?
- How much will I owe for each session, and when does my deductible apply?
- How many sessions are covered, and who approves any extra sessions?
- Do I have Medigap or other coverage that pays part of my share?
- Can you give me an estimate in writing before I begin?
Where Bloom fits in
Bloom Medical Group provides one-on-one virtual pulmonary rehab by video with a licensed respiratory therapist or clinical exercise physiologist, and accepts Original Medicare Part B in New Jersey and California. Bloom confirms coverage before you begin, and a referral from your own doctor is needed to start.
Frequently asked questions
After the Part B deductible, you pay 20% of the Medicare-approved amount in a doctor’s office, or a copayment to the hospital for each session in a hospital outpatient setting. The 2026 Part B deductible is $283.
Medicare.gov lists the 2026 Part B deductible as $283 before Original Medicare starts to pay.
Federal rules limit coverage to two 1-hour sessions per day, for up to 36 sessions over up to 36 weeks, with an option for an additional 36 sessions approved by the Medicare Administrative Contractor.
A Medigap policy can help pay your share of Original Medicare costs, and what it pays depends on the plan letter. Ask your Medigap company how it would pay for pulmonary rehab sessions.
Medicare.gov says that in a hospital outpatient setting you also pay the hospital a copayment for each session, while in a doctor’s office you pay 20% of the Medicare-approved amount. The Part B deductible applies.
Bloom accepts Original Medicare Part B in New Jersey and California. A referral from your own doctor is needed, and you can call 1-866-972-8228 to check your plan.
Next step
Not sure whether rehab fits you? Take our free 2 minute lung health assessment.
Ready to find out if you qualify? Call Bloom Medical Group at 1-866-972-8228 or fill in the see if you qualify form. One-on-one virtual pulmonary rehab with licensed respiratory therapists and clinical exercise physiologists, billed to commercial insurance, and to Original Medicare Part B in New Jersey and California. Read how virtual pulmonary rehab at Bloom works.
This article is for education only and is not medical advice. Talk with your doctor about what is right for you.
Sources
- Medicare.gov. Medicare costs
- Medicare.gov. Pulmonary rehabilitation programs
- 42 CFR 410.47. Pulmonary rehabilitation program: Conditions for coverage
- CMS. Getting Started with Medicare Supplement Insurance (Product No. 11575, March 2026)
- Medicare.gov. Compare Original Medicare and Medicare Advantage
