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Home Health Care Medicare Coverage Detailed

Your Medicare Coverage

Home Health Care Detailed

Coverage: Conditions that must be met before Medicare will provide coverage, and limits to coverage.

Home Health Care is skilled nursing care and certain other health care services you get in your home for the treatment of an illness or injury. Medicare covers some home health care if:

1. Your doctor decides you need medical care in your home, and makes a plan for your care at home, and

2. You need at least one of the following: intermittent (and not full time) skilled nursing care, or physical therapy or speech language pathology services, or a continued need for occupational therapy, and

3. You are homebound. This means you are normally unable to leave home and that leaving home is a major effort. When you leave home, it must be infrequent, for a short time. You may attend religious services. You may leave the house to get medical treatment, including therapeutic or psychosocial care. You can also get care in an adult day-care program that is licensed or certified by a state or accredited to furnish adult day care services in a state, and

4. The home health agency caring for you must be approved by the Medicare program.

CoPayment: The amount you need to pay.

You pay $0 for all covered home health visits.

Medicare Part: The part of Medicare that pays for this service or supply.

A

Organization Name: The organization name that this coverage topic is associated with.

Important Notes: Details regarding important notes about the coverage.

If you only have Medicare Part B, then these services will be covered under Part B.