Thanks Jean. Much appreciated

Virtual PR has been available for quite a while through CMS and many people have been doing it through their own PR programs remotely. This program may work well, as many others do. However, the person who has to make it work is the person with COPD; so don't bother unless you're willing to make a commitment. Also, please note that they do both cardio and pulmonary. That can cause some problems for us because they sometimes put way too much emphasis on heart rate and not nearly enough on O2 saturation levels. Unless you have cardiac issues, too, and some of us do, heart rates should be expected to go up and can go up safely quite a lot when you first start rehab. If you're concerned talk with your pulmonologist.