Great news for members: St. Charles and Salem Health to remain in-network. Learn more
Outpatient Therapy Limits
Each year, the Centers for Medicare & Medicaid Services (CMS) announces updated coverage limits for certain services.
This table shows the changes in the coverage limits by service:
| Physical and speech therapy, combined | $2,410 |
| Occupational therapy | $2,410 |
| Physical and speech therapy, combined | $2,480 |
| Occupational therapy | $2,480 |
Therapy services beyond the Medicare coverage limit will be covered by PacificSource with an approved prior authorization. See your Evidence of Coverage for more information.