Many patients with chronic or progressive conditions are told they no longer qualify for therapy because they have stopped improving. That is not true. Medicare covers maintenance therapy when a skilled therapist is needed to maintain function, prevent decline, or ensure the safety of a maintenance program. Five Star's Maintenance Therapy program provides ongoing physical, occupational, and speech therapy in your home — for as long as it is medically necessary. There is no time limit and no out-of-pocket cost under traditional Medicare.
Why Maintenance Therapy
Maintain Your
Independence.
Prevent Decline.
What We Provide
Skilled Therapy Services
Every therapy program is designed by a licensed therapist and tailored to your specific condition and goals.
Maintain strength, balance, and mobility.
Preserve independence in daily activities.
Maintain communication and swallowing function.
Comprehensive assessment and intervention to reduce fall risk.
Therapy designed around your specific diagnosis.
Training family members to support therapy goals between visits.
How It Works
Getting Started Is Easy
Three simple steps to long-term therapy support at home.
Contact our office and a Nurse Navigator will assess your therapy needs, verify Medicare coverage, and schedule your evaluation — no referral needed.
A licensed therapist visits your home, evaluates your current function, and designs a personalized maintenance program to prevent decline.
Your therapist visits regularly to deliver skilled therapy, adjust your program, and ensure you maintain the highest possible level of function.
Who Benefits
Is Maintenance Therapy Right for You?
Maintenance therapy helps patients and families in these common situations.
Patients with Parkinson's, MS, or post-stroke who need ongoing therapy to maintain function and prevent further decline.
Patients with osteoarthritis or rheumatoid arthritis who need regular therapy to maintain mobility and manage pain.
Patients with heart failure or COPD who benefit from ongoing exercise and breathing programs to maintain endurance.
Patients who have fallen or are at high risk of falling and need ongoing balance and strength training to stay safe.
Patients who completed a course of restorative therapy but need continued skilled care to maintain their gains.
Patients with conditions that worsen over time, where skilled therapy can slow the rate of functional decline.
Did You Know
Facts About Maintenance Therapy
In 2014, a landmark court ruling (Jimmo v. Sebelius) confirmed that Medicare must cover maintenance therapy when skilled care is needed to maintain function or prevent decline — even if the patient is not expected to improve.
Falls are the leading cause of injury-related death among adults 65 and older. Regular in-home physical therapy focused on balance and strength can reduce fall risk by up to 40%.
Medicare covers maintenance therapy at 100% under Part A. There is no copay, no deductible, and no time limit — as long as a skilled therapist is needed to safely and effectively carry out the maintenance program.
Many patients are incorrectly told they no longer qualify for therapy because they have stopped improving. Under Medicare rules, maintenance of function is a valid and covered reason for skilled therapy.
Do Not Wait for a Fall or a Setback
Contact us to find out if maintenance therapy is right for you. Our Nurse Navigator will assess your needs and verify your Medicare coverage — no referral required.
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