How often is it covered?
Medicare part A(hospital insurance) and/or Medicare part B (Medicare insurance) covers eligible home health services like intermittent skilled nursing care, physical therapy, speech and language pathology services, continued occupational services and, more usually, a home healthcare agency coordinates with services your doctor orders for you.
Medicare does NOT pay for:
- 24 hours a day at home care
- Meal delivery to your home
- Homemaker services
- Personal care/custodial care
Who is eligible?
All people with Medicare who meet all of these conditions are covered:
- You must be under the care of a doctor and you must be receiving services under a plan of care established and reviewed regularly by your doctor.
- You must need, and a physician must certify- that you require one or more of these:
- Intermittent skilled nursing care.
- Physical therapy, speech language pathology or continued occupational therapy services.
- The home health agency caring for you must be Medicare certified.
- You must be HOMEBOUND and a doctor must certify to that effect.
You’re not eligible for the home health benefits if you needed more than part-time or INTERMITTENT skilled nursing care. However, you may leave your home for medical treatment or short, infrequent absences for non-medical reasons like attending religious services. Also, you can still receive home health care if you attend adult daycare.
Your costs in original Medicare:
- $0 for home Health services
- 20% of the Medicare approved amount for durable medical equipment (DME)
Note: Home health services may also include medical social services, part time or intermittent home health aide services, medical supplies for use at home, and durable medical equipment.