There are some instances where Medicare will pay for in home care. Medicare Part A (Hospital Insurance) and / or Medicare Part B (Medicare Insurance) will cover eligible home health care services such as intermittent skilled nursing care, physical therapy, speech-language pathology services, continued occupational services, and other related services. Typically, a home health care agency will coordinate the services that your doctor has ordered for you.
There are certain services that are related to in home care that Medicare will not pay for. These include the following:
Those who have Medicare Part A and / or Medicare Part B and who also meet the following conditions may be eligible for in home care coverage:
In some instances, the home health care services that are received may also include medical social services, part-time intermittent home health aide services, medical supplies for use at home, durable medical equipment, and / or injectble osteoporosis drugs.
In most cases, you will not be required to pay for Medicare-covered in home care. However, there may be a 20% co-payment of the Medicare-approved amount for any durable medical equipment that you require.
In order to obtain a more accurate determination regarding any type of in home care that will be received, the home health care agency that will be providing such care should inform you of how much Medicare will pay.
The agency should also inform you whether there will be any items and / or services that will not be covered by Medicare, as well as how much these items will cost. This information should be provided to you in writing in a document titled the “Home Health Advance Beneficiary Notice.”
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