Home Health Coverage
Many times, after an acute care hospitalization or a newly diagnosed condition, patients don’t understand their eligibility for follow-up care coverage.
You’ll be glad to know Medicare and most insurers cover many of our home care and rehabilitation services including:
- Skilled Care
- Physical Therapy, Occupational Therapy, or Speech Language Pathology
- Medical social services
- Home Health Aide services….and more
Medicaid may cover home health care services that aren’t fully covered by Medicare. If you or your physician have questions about your coverage or eligibility, please speak to one of our experts at 616-949-5140.
Medicare FAQs
How can I get care in my home?
To receive Medicare home health care, you must meet these four conditions:
- Your doctor must decide that you need home health care.
- You must need intermittent (but not full time) skilled nursing care, physical, speech or occupational therapy.
- You must be homebound, which means leaving your home is a considerable and taxing effort.
- Your home health agency must be Medicare-certified.
What doesn’t Medicare cover for home health care?
- 24- hour per day care at home
- Prescription drugs
- Meals delivered to your home
- Homemaker services like shopping cleaning and laundry
- Personal care given by home health aides like bathing, using the toilet, or help getting dressed when other home health services are not needed.
What is the difference in Medicare coverage for in-home vs. outpatient rehabilitation?
Medicare covers in-home rehabilitation on a part-time basis under Medicare Part A. Medicare Part B may also cover your outpatient physical and occupational therapy, including speech-language therapy.
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