What happens after you leave the hospital but additional help is necessary at home? In some situations, Medicare will cover in-home care which can spare you of further costs or expenses.
Of course, some in-home care is likely to be needed when you’re ill or recovering from an illness and extra help might also be required after surgery. You may require skilled nursing, physical therapy, or some other medical service. With Medicare, it’s possible you may be able to recover at home instead of a nursing home, but it doesn’t help with every type of in-home care, or in every instance it is needed.
In-home care: medical vs. non-medical
When you need in-home care for yourself or a loved one, it’s imperative to understand the difference between medical and non-medical when requesting assistance. This makes a big difference when it comes to Medicare coverage. Keep in mind that your care will have to be ordered by your attending physician.
Medical care: If your doctor orders medical care and you qualify for the home health benefit, you’ll have coverage for a limited time, for in-home skilled nursing care, rehabilitative therapy, medication administration, medical-social services, and specific medical equipment.
Non-medical care: If your doctor says you need non-medical care, Medicare typically won’t cover it. They don’t pay for personal home services such as bathing, dressing and exercise, meal planning or preparation and delivery, housekeeping, shopping, transportation, companion service, and telephone safety checks. Although these may be vitally important, they are usually not covered.
Back to the question: Does Medicare cover in-home care or not?
Medicare Part A and/or Part B may help pay for some, or all, of your in-home care if:
- Your doctor accepts Medicare assignment.
- You need special medical equipment to make it possible to leave home. Your doctor must certify that you’re homebound.
- A doctor orders in-home care for the patient, certifying that there is a need for intermittent skilled in-home care, but not continuous care.
- A physician has seen you in person to confirm that you earnestly need specialized in-home care.
- You are able to obtain services from a Medicare-certified home health agency.
In summary, in-home care may be covered by Medicare, but only if skilled nursing services, besides personal care, are needed.
How Home Care Assistance of Carmel Can Help
Home Care Assistance of Carmel is a private pay in home care provider. This means that we do not accept Medicare. Most home care services are excluded from Medicare coverage, so we are dedicated to finding an affordable, flexible care plan that is right for your loved one. Contact us for a free consultation to review your in home care options.