What is Covered?

Medicare

Receiving treatment from a home health agency that is Medicare - certified can reduce your out-of-pocket costs. Medicare pays your Medicare-certified home health agency a set amount for each 60 days that you need care. That amount is based on what kind of home health care an average person in your situation would need. This 60 day period is called an "episode of care."

 

Medicare does not cover:

- 24 hour-a-day care at home

- Meals delivered to your home

- Homemaker services (i.e.shopping, cleaning, laundry)

- Personal care given by home health aides when this is the only care you need (i.e. bathing, dressing, grooming.)


Medicare-certified Home Health Agencies agree:

- To be paid by Medicare

- To accept the amount Medicare approves for their services.

- To only charge you, or other insurance you may have, 20% coinsurance for any durable medical equipment (DME) the agency provides (i.e. wheelchair, walker, oxygen equipment, shower chairs)