Home Health Services Coverage

2025-07-18 04:47| 來源: 網(wǎng)絡(luò)整理| 查看: 265

Home health is a wide range of health care services that you can get in your home for an illness or injury. Home health care is usually less expensive, more convenient, and just as effective as care you get in a hospital or skilled nursing facility (SNF) .

Medicare Part A (Hospital Insurance) and/or Medicare Part B (Medical Insurance) cover eligible home health services as long as you need part-time or intermittent skilled services and you’re “homebound,” which means:

You have trouble leaving your home without help (like using a cane, wheelchair, walker, or crutches; special transportation; or help from another person) because of an illness or injury.Leaving your home isn’t recommended because of your condition.You’re normally unable to leave your home because it’s a major effort.

Covered home health services include:?

Medically necessary part-time or intermittent skilled nursing care, like:Wound care for pressure sores or a surgical woundPatient and caregiver educationIntravenous or nutrition therapyInjectionsMonitoring serious illness and unstable health statusPhysical therapy, occupational therapy, and speech-language pathology services (if you meet certain conditions)Medical social servicesPart-time or intermittent home health aide care (only if you’re also getting skilled?nursing care, physical therapy, speech-language pathology services, or occupational therapy?at the same time), like:Help with walkingBathing or groomingChanging bed linensFeedingInjectable osteoporosis drugs for women who meet certain criteriaDurable medical equipmentMedical supplies for use at home

A health care provider (like a nurse practitioner) must assess you face-to-face before certifying that you need home health services.?A health care provider must order your care, and ?a Medicare-certified home health agency must provide it.

If your provider decides you need home health care, they should give you a list of?agencies that serve your area.?They must tell you if their organization has a financial interest in any agency listed. ??

In most cases, "part-time or intermittent" means you may be able to get skilled nursing care and home health aide services up to 8 hours a day (combined), for a maximum of 28 hours per week. You may be able to get more frequent care for a short time (less than 8 hours each day and no more than 35 hours each week) if your provider determines it's necessary.

Medicare doesn't pay for:

24-hour-a-day care at your homeHome meal deliveryHomemaker services (like?shopping and cleaning)?unrelated to your care planCustodial or personal care?that helps you with daily living activities (like bathing, dressing, or using the bathroom), when this is the only care you need

You won't qualify for the home health benefit if you need more than part-time or "intermittent" skilled care. You may leave home for medical treatment or short, infrequent absences for non-medical reasons, like attending religious services. You can still get home health care if you attend adult day care.

【本文地址】

公司簡介

聯(lián)系我們

今日新聞

推薦新聞

專題文章