Coverage for an electrocardiographically-monitored program of outpatient cardiac rehabilitation (Phase II) when it is individually prescribed by a provider and a formal exercise stress test is completed after the event and before beginning the program. Up to 36 visits within a 12-week period per incident without preauthorization.
Cardiac rehabilitation is covered if referred by a provider, for members who have had 1 of the following:
Preauthorization by medical plan is required for any visits after the first 36 within a 12-week period per incident if services continue to be medically necessary.
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