My moms physician has ordered in home several times. Medicare pays for it. The physician can do it. It did wonders for mom, but when it was over she refused to do it for me. I believe the doctor has to feel that they would benefit. My mom was on a treadmill 2 hr a day up until about 4 years ago...swear! So doc knew she would benefit. If they refuse a couple of times medicare will nix it. They have to make a good effort, which mom did. Now all she wants to do is eat and lay down.
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