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Medicare Home Health Benefit information  (also in Spanish)


To qualify for Medicare home health care benefits, you must meet the following criteria:

You must be homebound on admission and during home care treatment.  You are considered homebound if you:

  • Are unable to leave your home

  • Leave your home with considerable difficulty and with taxing effort or need of equipment

  • Leave your home infrequently and only for a short time

  • You may leave your home for doctor appointments, to go to church, or beauty shop appointments

You are NOT considered homebound if you:

  • Leave your home often for social activities

  • Drive a car (usually)

  • Go to adult day care for non-medical reasons

  • Do grocery shopping. out to lunch, or run errands regularly

Medicare home health has several other requirements:

  • You must have the need for a Skilled person to provide care- This means you need a Nurse, a therapist (Physical or Speech Therapy), or continuing Occupational therapy.

  • You must have a need for only intermittent care- not continuous care.

  • You must be eligible for Medicare services- do you have a Medicare Card?  Part A covers home care services.

  • You must use a Medicare Certified home care agency- Specialty is Medicare and Medicaid Certified.

Home Health services covered by Medicare:

  • Intermittent skilled nursing and home health aide services

  • Physical, Speech, and Occupational Therapy services

  • Medical Social Worker services

  • Durable Medical Equipment

  • Outpatient Therapy when being seen by a home health nurse.

  • Respiratory care services

  • Medical supplies needed for your care

Please call our office with any questions you may have about Medicare Home Health benefits. 







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Last modified: February 23, 2015