Medicare is my primary insurer and I have a second that is linked to United Healthcare. I can’t imagine your insurers have anything to do with the problem you’re having.

What brand is your pm? Mine is Boston Scientific. It’s possible the kind of pm you have might be programmed differently than older models (I had mine implanted 4 1/2 years ago.). Which may (or may not) have something to do with the resistance you’re experiencing.

You need to see another ep. A cardiologist is not going to be able to determine if your device is programmed for your needs. I don’t know where you live, but there must be other electrophysiologists you can call on. You have a right to a second opinion!

I realize you feel you need cardiac rehab, of which I am ignorant. It is not something I needed. However, getting a second opinion from a different ep about whether your pm is working well for you may convince someone you could benefit from cardiac rehab.

You have a right to a second opinion from an electrocardiologist, not a cardiologist.