| Yes, but Medicare Parts A and B require you to meet specific criteria for home health care coverage, particularly if you’re mostly or entirely confined to your home. Medicare will cover part-time or intermittent skilled nursing care, therapy and other aid that’s determined to be medically necessary and ordered by your doctor.
But Medicare won’t pay for care to help you with activities of daily living, such as bathing, dressing, eating or going to the bathroom. If that’s the only care you need, you won’t receive coverage.
How do I qualify for Medicare home health benefits?
To be eligible for home health benefits, Medicare must approve the home health agency caring for you and you must meet the following criteria:
- Be homebound. That means you’re unable to leave home without considerable effort or the aid of another person or a device such as a walker or wheelchair.
- Have certification from a physician or medical professional who works directly with a doctor, such as a nurse practitioner, showing you need intermittent occupational therapy, physical therapy, skilled nursing care and/or speech-language therapy. This certification entails a documented face-to-face encounter with a doctor or medical professional no more than 90 days before or 30 days after the start of your home health care.
- Be under a plan of care that a doctor establishes and reviews regularly. That plan should note all services needed and how often, the provider, required supplies and the results your doctor anticipates. The doctor and home health team must review and recertify the care plan at least once every 60 days.
What Medicare home health benefits are available?
If you qualify for home health benefits, Medicare may cover the following services:
- Home health aides to help with personal activities such as bathing, dressing or going to the bathroom, if such help is necessary because of your illness or injury. Medicare covers these services only if you’re also receiving skilled nursing or therapy.
- Medical social services, such as counseling for social or emotional concerns related to your illness or injury if you’re receiving skilled care. It also covers help in finding community resources, if you need them.