Cardiac Rehabilitation: Outpatient

Aetna covers outpatient (Phase II) cardiac rehabilitation as medically necessary when individually prescribed within 12 months after an acute myocardial infarction, major open‑heart surgery (e.g., CABG, valve or great‑vessel surgery, heart/heart‑lung transplant, VAD placement, atrial myxoma removal, surgical septal myectomy, thoracic aortic aneurysm repair, transcatheter valve procedures), or for chronic stable angina unresponsive to medical therapy with functional limitation. Coverage is limited to up to 36 supervised 1‑hour sessions (generally 2–3/week over 12–18 weeks) with up to 36 additional sessions for a new qualifying event; rehab after pericardiectomy for calcified constrictive pericarditis, programs without continuous ECG monitoring, and rehab for listed contraindications (e.g., acute pericarditis/myocarditis, unstable angina, decompensated aortic stenosis, recent embolism, FEV1 <1 L, new‑onset AF, third‑degree heart block without pacemaker) are excluded or considered investigational.