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Home Health Care Services Covered by Medicare

October 22, 2020

HOMECARE2GO® Media Team

There is a common doubt among a majority of people as to whether Medicare offers coverage for home health care or not. Well, Medicare does provide coverage for some of the home health services, but not all. However, to avail of the benefits of Medicare, individuals need to qualify for the required eligibility criteria. Home healthcare includes a wide array of healthcare services offered to the patients at their homes in case of an injury or illness. It involves providing assistance to the patients in getting dressed, taking care of wounds, preparing meals, and more. Based on the circumstances of the patients, Medicare Part A or Part B offers coverage to the beneficiaries.

Eligibility Criteria of Home Health Care Coverage

To become eligible for availing the home health care benefits of Medicare, you need to fulfill the following criteria:

1. You must be homebound, which means that you are not capable of moving outside your home without the assistance of another person or a device like a wheelchair.
2. You are being provided with care by a home health agency that is approved by Medicare.
3. You are certified by a medical professional who needs therapies like occupational therapy, physical therapy, intermittent nursing care, or speech therapy.
4. You need to be under the care of a medical professional or doctor and must be availing of the services under the care plan that is regularly reviewed by the doctor.
5. You must be qualifying for Medicare Part A and Part B.

Home Health Care Services Covered by Medicare

Medicare offers coverage for a wide range of home health care services under Part A (Hospital Insurance) and Part B (Medical Insurance). Some of the services covered under Medicare are:


1. Medical Supplies

Medicare covers several medical supplies that are essential for providing effective home health care. It also includes medical equipment like walkers, wheelchairs, canes, traction equipment, hospital beds, and more. However, Medicare may not cover the full cost of the medical equipment, depending on the medical devices.

2. Rehabilitation Therapy

Rehabilitation therapy includes services such as speech therapy, occupational therapy, and physical therapy. It aims at helping the patients to enhance their independent living ability by regaining their functions.


3. Home Health Aides

Home health aides offer assistance to individuals with their daily personal activities like dressing, bathing, etc. Medicare covers all these services if you are availing of therapy or skilled nursing.


4. Medical Social Services

Medical social services include assistance from a counselor or social worker. These services help individuals in dealing effectively with their emotional issues and recovering from an injury or illness.


5. Skilled Nursing Care

Skilled nursing care covered under Medicare is on an intermittent or part-time basis and mainly includes skilled education, infusions, medication management, wound dressing, and overall case management.

Exclusions

Medicare does not provide coverage for the following:

1. Personal or custodial care when it is the only care you require.
2. 24 hour home care.
3. Meal delivery to home.
4. Household services like laundry, shopping, and cleaning.

HOMECARE2GO™ is a leading platform that can help you find the best home health care service providers offering optimum Medicare benefits. The platform provides you with all the required information and allows you to search, compare, and choose the right home health care provider to meet all your needs.
HOMECARE2GO<sup>®</sup> Media Team

HOMECARE2GO® Media Team

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