Traditional Medicare pays 100% of allowable charges for both home health and hospice. Yes, when someone meets the basic qualifications for these services, and when the agency is Medicare-certified, Medicare pays 100% of allowable charges. It means no co-pays, no deductibles to meet, and no cost-sharing of any kind.
To qualify for home health care, you must have a medical need for the skilled services of a nurse or therapist and meet Medicare’s definition of homebound. Homebound means that because of illness or injury, you need the aid of supportive devices such as wheelchairs, special transportation, or the assistance of another person in order to leave the home, or have a condition (such as CHF) that medically contraindicates leaving the home. You are normally unable to leave home, and doing so requires taxing effort. Home health patients are often temporarily homebound while they are recovering from injury or illness.
What home health care services does Medicare cover?
• Skilled nursing
• Occupational, physical, or speech therapy
• Medical social services
• Home health aide
• Medical supplies/equipment used by clinicians during home visits
Services traditional Medicare doesn’t cover include:
• 24/7 care at home or long-term care
• Home meal delivery
• Ongoing personal care
• Homemaker services
We bring many services found in hospitals and facilities right to your living room. Our home health services can help prevent rehospitalization, reduce the need for urgent care, and accomplish improved health outcomes. We visit on your schedule, in the comfort and privacy of your home, and care is personalized to your needs.
Please give us a call to see if you or your loved one may qualify for home health services.
Medicare Coverage of Home Health Care | Eligibility. Eligibility. (2020). Retrieved 29 October 2020, from https://eligibility.com/medicare/home-health-care-coverage.