The COVID-19 pandemic has left millions with long-term sequelae, with pulmonary impairment emerging as one of the most disabling consequences of long COVID. Conventional pulmonary rehabilitation, though effective, faces barriers of access, scalability, and resources, particularly in low- and middle-income countries. In response, tele-rehabilitation has gained prominence as a digital therapeutic strategy. This review synthesizes evidence on two core models: Daily Structured Respiratory Conditioning (DSRC), emphasizing autonomy and scalability, and Supervised Tele-Pulmonary Exercise (STPE), offering safety and adherence through professional oversight. Hybrid approaches are highlighted as promising for balancing independence with supervision. Drawing on biopsychosocial, behavioral, and technology acceptance frameworks, the review situates tele-rehabilitation within clinical, economic, and policy contexts. Key challenges include equity gaps, adherence, and the need for standardized protocols. LMICs face significant barriers Tele-rehabilitation is presented not merely as a substitute but as a paradigm shift toward patient-centered and resilient post-COVID care