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Medicare Coverage of Home Health Care
Medicare
Coverage of Home Health Care
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Medicare
will help cover home health care if a doctor decides that you need skilled care
in your home and prescribes or orders home care. You must need at least one of
the following services: part-time or intermittent skilled nursing care, physical
therapy, or speech-language services. You must be homebound—normally unable to
leave home without considerable and taxing effort. When you do leave home, you
must need the assistance of another person or a device such as a walker, cane,
or wheelchair. You must receive your services from a home health agency that is
certified by Medicare. A beneficiary must meet all of these conditions to be eligible
for Medicare home health assistance.
Medicare will
help cover:
- Skilled nursing
Care that can only be delivered safely by a registered nurse, or a licensed practical
nurse under the supervision of a registered nurse, such as injections and complex
wound care.
- Home health
aide services Help with personal care such as bathing, using the toilet, or
dressing. Medicare does not cover these services unless you are also getting skilled
care, such as nursing or other therapy.
- Therapy
Physical therapy, speech-language services and occupational therapy.
- Medical social
services Counseling to help with social and emotional concerns related to
your illness.
- Certain medical
supplies Wound dressings, ostomy supplies, and other supplies.
- Certain durable
medical equipment Wheelchairs, hospital beds, oxygen, walkers, and other equipment.
Medicare does
not pay for:
- 24-hour per day
care in the home.
- Prescription drugs
(with a few exceptions.)
- Meals delivered
to your home.
- Homemaker services
like cleaning, laundry, and shopping.
For
more complete information about Medicare coverage or home health care:
Call
1-800-MEDICARE
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