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. The Medicare home health benefit period begins once a doctor certifies that you need specialized care and lasts 60 days.
During this time, you will receive the necessary home health care services according to your care plan, with no limits on the number of visits, whenever they are needed for medical reasons. If you qualify for home health care, understanding the specific services covered by Medicare will help you get the most out of your benefits. Medicare may stop covering your home health care services once you stop meeting specific eligibility requirements. Medicare Part B covers home health care needed outside the hospital setting, such as skilled nursing care or therapy.
No, Medicare won't pay for non-medical home care if this is the only type of service a person needs. Medicare will cover your home health care services as long as you meet eligibility requirements and remain under the care of a doctor. Medicare Part A generally covers home health care after a hospital stay or time in a skilled nursing facility. Home health care agencies must provide an advance notice of lack of coverage (ABN) to the beneficiary before providing services or supplies that Medicare is unlikely to cover.
In certain cases, such as after a hospital stay or after spending time in a skilled nursing facility, you can receive home health coverage under Medicare Part A. To qualify, your loved one must first meet the eligibility criteria for home health care covered by Medicare. If you receive your Medicare benefits through a Medicare Advantage (Part C) plan or another Medicare health plan, check with your plan for more information about your home health care benefits. If the triggering conditions described above are met, the beneficiary is eligible for coverage for Medicare home health services.
The agency must also tell you (both verbally and in writing) if Medicare won't pay for the items or services it provides and how much you'll have to pay for them. Under Medicare Part B, you are eligible for home health care if you are homebound and need specialized care even if you haven't been hospitalized before. However, Medicare home care benefits can cover personal care provided in conjunction with eligible home care services, such as transitional home care.
