Covered by Part A · Covered by Part B · Up to 8 hours a day, up to 28 hours per week · You pay nothing for covered services (other costs may apply). Up to 8 hours a day, for up to 28 hours a week You don't pay anything for covered services (other costs may apply). How long will Medicare pay for home health care? Under Medicare rules, you are eligible for home health care services if you need intermittent skilled nursing care. Medicare will continue to cover these services as long as they are considered medically necessary and you meet the criteria to remain confined.
in your home. You are generally considered homebound if you find it very difficult and exhausting to get out of the house. This may include needing the help of another person or using a wheelchair, crutches, or other support devices. Medicare can pay the full cost of home health care services for 60 days at a time.
Every 60 days, your doctor will need to recertify care as medically necessary for Medicare to continue with the cover. Medicare covers home health care services that are considered reasonable and necessary for the treatment of an illness or injury. If the triggering conditions described above are met, the beneficiary is eligible for coverage for Medicare home health care services. Medicare will cover your home health care indefinitely as long as you meet the eligibility requirements.
Regular doctor supervision and a documented plan of care are essential first steps to Medicare home health coverage. However, Medicare home care benefits can cover personal care that is provided in conjunction with eligible home care services, such as transitional home care. Remember that your doctor must certify these services as medically necessary and create a care plan to meet the requirements for Medicare coverage. However, you may have to pay 20% of the amount approved by Medicare for durable medical equipment, and the standard deductible for Part B applies.
If you're enrolled in the original Medicare or Medicare Advantage plan, you won't pay anything for home health care services. Non-specialized home care, meaning care not provided by nurses, doctors, or other authorized medical personnel, is also not covered by Original Medicare. You must also receive home health care from one of the Medicare-certified home health agencies. While it's increasingly difficult to get home health aides covered by Medicare, this care is an integral part of the Medicare home health care benefit. When Medicare coverage ends for your home health care, you'll need to look for other financial resources to maintain the necessary services.
