Cardiac Rehabilitation Utilization

Cardiac rehabilitation (CR) is a medical program focused on helping patients regain cardiovascular health, improve quality of life, decrease recurrent cardiac-related events, reduce mortality and reduce hospitalizations. Traditionally, CR is under-referred and under-utilized by eligible members.

To help your eligible patients engage in CR, starting Jan. 1, 2021, the CR benefit will have a $0 copay for eligible members in qualified Medicare Advantage plans.

The American College of Cardiology and American Heart Association (ACC/AHA) recommend CR for patients who have experienced a:

  • Heart attack (myocardial infarction – MI)
  • Cardiac bypass (CABG)
  • Percutaneous coronary intervention (PCI)
    • Includes coronary revascularization, or
    • Coronary artery and other atherosclerotic vascular disease
    • Valve replacement
  • Heart failure or angina

Questions? Please call Provider Services at 877-842-3210, 7 a.m. – 7 p.m. local time, Monday – Friday.