Home Health Care: What is Covered and Are You Eligible?

By RetireMEDiQ

Our clients often ask about home health coverage as part of Original Medicare or their Medicare plan. Put simply: yes, home health care is covered by Medicare. But there are some important guidelines you should keep in mind regarding home health care coverage.

Eligibility

In order to be eligible for home health care, whether you’re on Original Medicare or a Medicare Advantage plan, you must be “homebound.” According to Medicare.gov, to be homebound 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, or
  • Leaving your home isn’t recommended because of your condition, and you’re normally unable to leave your home because it’s a major effort.

What Services Are Covered

If home health care is approved, you will receive services such as:

  • Part-time or intermittent skilled nursing and home health aide services
  • Physical, occupational, or speech therapy
  • Medical and social services
  • Medical equipment and supplies

What is Not Covered by Medicare?

It is important to note that custodial care is not covered as a part of home health care services. Custodial care has to do with activities of daily living such as bathing, dressing, taking medication, paying bills and using the restroom.

Do You Have Questions?

Our team is here to help! Call us with questions at 1-877-222-1942 or client@retiremediq.com

If you are not a RetireMEDiQ client yet and have questions about retirement or Medicare, please contact us at 1-866-600-5638 or advice@retiremediq.com to get started on your Medicare journey.

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