Understanding Medicare Coverage for Home Health Care

Medicare can help cover the cost of home health care services, but understanding what's covered and what isn't can be confusing. This guide will help you navigate Medicare coverage for home health care.

Medicare Part A and Part B may cover home health care services if you meet certain conditions. You must be under the care of a doctor, need skilled nursing care or therapy services, and be homebound (meaning it's difficult for you to leave home without help).

Covered services typically include skilled nursing care, physical therapy, occupational therapy, speech-language pathology services, medical social services, and home health aide services (part-time or intermittent).

It's important to note that Medicare generally doesn't cover 24-hour care, meal delivery, or personal care services (like bathing and dressing) unless you're also receiving skilled care.

To qualify, your doctor must certify that you need home health care, and the care must be provided by a Medicare-certified home health agency. The agency must be located in your area and accept Medicare assignment.

If you have a Medicare Advantage plan (Part C), your coverage may differ. Check with your plan to understand what home health care services are covered and which providers are in-network.

For families in Plymouth, MA, it's essential to work with a provider who understands Medicare requirements and can help you navigate the coverage process. At Silver Home Health Services, we work with families to understand their coverage options and coordinate care accordingly.