Who is eligible to get Medicare covered home health care:QuickMedicareSupplement.com

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Who is eligible to get Medicare covered home health care and what services are covered?

Who is eligible to get Medicare covered home health care and what services are covered?

If you have Medicare, you can use your home health care benefits if you meet all the subsequent conditions.

1. Your doctor must come to a decision that you require medical care at home, and make a plan for your care at home.

2. You must require at least one of the following:

- Intermittent

- Skilled nursing care, or

- Physical therapy, or

- Speech-language therapy, or

- Continue to require occupational therapy.

3. The home health agency caring for you should be approved by the Medicare program (Medicare-certified).

4. You should be homebound, or in general unable to leave home without help. To be homebound means that leaving home takes considerable and tough effort. A person may leave home for medical treatment or short, infrequent absences for non-medical reasons, such as a trip to the barber or to be present at religious service. A need for adult day care doesnít keep you from getting home health care.

If you meet all the four conditions above for home health care, Medicare will cover:

- Skilled nursing care on a part-time or intermittent basis. Skilled nursing care consists of services and care that can only be performed securely and properly by a licensed nurse (either a registered nurse or a licensed practical nurse).

- Home health aide services on a part-time or intermittent basis. A home health aide does not have a nursing license. The aide provides services that provide extra support to the nurse. These services take in help with personal care such as bathing, using the bathroom, or dressing. These types of services donít call for the skills of a licensed nurse. Medicare doesnít cover home health aide services unless you are also getting skilled care such as nursing care or other therapy. The home health aide services must be part of the home care for your illness or injury.

- Physical therapy, speech-language therapy, and occupational therapy for as long as your doctor says you require it.

1. Physical therapy: Including exercise to get back movement and strength in a body area, and training on how to use special equipment or do daily activities, like how to get in and out of a wheelchair or bathtub.

2. Speech-language therapy (pathology services): Including exercises to get back strengthen speech skills.

3. Occupational therapy: To assist you become able to do usual every day activities on your own. You may learn fresh ways to eat, put on clothes, comb your hair, and new ways to do other usual daily activities. You may carry on receiving occupational therapy even if you no longer require other skilled care if ordered by your doctor.

- Medical social services to assist you with social and emotional concerns connected to your illness. This may include counseling or help in finding resources in your community.

- Certain medical supplies like wound dressings, but not prescription drugs or biological.

- Durable medical equipment such as a wheelchair or walker.

- FDA (Food and Drug Administration) approved inject able osteoporosis drugs in certain conditions.

Currently, Medicare does not cover (does not pay) for the following:

- 24-hour-a-day care at home;

- Meals delivered to your home;

- Homemaker services like shopping, cleaning, and laundry; and

- Personal care given by home health aides like bathing, dressing, and using the bathroom when this is the only care you call for.

Most of the time, your doctor, a social worker, or else a hospital discharge planner will help out arrange for Medicare-covered home health. However, you have a say in which home health care agency you use.

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