Dwelling house wellness services may provide the same quality care as a infirmary or skilled nursing facility. These services may be less expensive and more convenient, too.1

Let's look at some of import details of home health services and Original Medicare.

Who's eligible for home health services?

If you have Original Medicare (Part A and Part B), you may exist eligible if:two

  1. You lot're under the care of a physician and get services under a plan of care created and reviewed by a doc.
  2. You must demand, and a doctor must certify that you demand, i or more than of these services:
    1. Intermittent skilled nursing care (other than cartoon claret)
    2. Physical therapy
    3. Speech-language pathology
    4. Continued occupational therapy
  3. A doctor tin can certify that you're homebound. This means your affliction or injury causes y'all to have trouble leaving your dwelling house without using a pikestaff, walker, crutches or wheelchair. Or, you crave help from some other person and/or need special transportation.
  4. The home health agency caring for yous is approved by Medicare.

Note: If you lot need full-time skilled nursing care for a long time, it's unlikely that you'll be eligible for home wellness care services.3

Home wellness services covered by Original Medicare

If you're eligible for Medicare-covered dwelling house health care, services covered may include:4

  • Part-time or intermittent skilled nursing care
  • Concrete therapy
  • Occupational therapy
  • Voice communication-language pathology services
  • Medical social services
  • Role-fourth dimension or intermittent domicile health aide services (personal hands-on care)
  • Injectable osteoporosis drugs for women

Note: Medicare will not pay for 24-hour-a-24-hour interval care or meals delivered to your domicile. It too won't cover homemaker, custodial or personal care if that's the only care you need.5

What you lot pay for dwelling house health services

All eligible Medicare recipients pay the following for abode wellness services:6

  • $0 for abode health services
  • twenty% of the Medicare-approved amount for durable medical equipment (DME) like a walker, wheelchair or infirmary bed

Earlier home health intendance begins, your abode wellness agency should explicate your bill. This includes what Medicare volition assist cover, what Medicare won't comprehend and how much you lot'll owe (if annihilation). The details of what isn't covered by Medicare must be given to y'all in an Advance Beneficiary Detect (ABN) before yous receive whatever uncovered items or services.7

Acquire more about Medicare coverage

For data on prescriptions, home health services and more than, bank check out what Medicare does and doesn't comprehend.

Sources

  1. "What'south home wellness care," Medicare.gov, last accessed March 3, 2021, https://world wide web.medicare.gov/what-medicare-covers/whats-home-wellness-care , opens new window.
  2. "Medicare & Home Health Care," Medicare.gov, terminal accessed March 3, 2021, https://www.medicare.gov/Pubs/pdf/10969-medicare-and-abode-wellness-care.pdf , PDF opens new window.
  3. "Medicare & Abode Health Care."
  4. "Habitation wellness services," Medicare.gov, last accessed March 3, 2021, https://world wide web.medicare.gov/coverage/home-health-services#2781 , opens new window.
  5. "Dwelling health services."
  6. "Home health services."
  7. "Home health services."

Explore Medicare

Humana answers your Medicare questions

A smiling older adult reviews documents.

How can nosotros help?

Call us

Licensed Humana sales agents are bachelor
Mon - Friday, 8 a.m. to 8 p.1000., local fourth dimension.

1-888-204-4062 (TTY: 711)

Meet plans in your area

Enter your ZIP code below to see plans with their premiums, copays, and participating doctors and pharmacies.

Asking a call

Our licensed Humana sales agents are available to help you select the coverage that best meets your needs.