Home Health Care

Medicare Home Health Benefit

If you are a Medicare beneficiary, Medicare will help cover your home health care costs provided that you meet certain conditions.

 

Plan of Care will be Reviewed

Your Plan of Care will be reviewed as often as necessary but at least once every 60 days. If your health requires immediate attention, your doctor will be informed right away. Your Plan of Care will be reviewed & may change. Agency staff will only change your Plan of Care with your doctor's approval & will inform you about any changes in your Plan of Care. 


Medicare Conditions

- A doctor must decide you need skilled medical care in your home and prescribe or order home health care.

You must need one or more of the following services:

- Intermittent skilled nursing care

- Physical Therapy

- Speech-language pathology services

- Continued Occupational Therapy

- The home health agency caring for you must be a Medicare-certified.

- You must be "Home Bound"

- It takes considerable & taxing effort when leaving home.

- A person may leave home for medical treatment or short, infrequent absences for non medical reasons (i.e. church services).

- You can still get home health care even if you attend adult day care.

- Required care is "Intermittent" Care wil be provided less than 7 days a week or less than 8 hours per day over a period of 21 days (or less).

There are some exceptions under special circumstances.