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Will Medicare Pay for Healthcare Services In My Home?

Saturday, February 4 2012 9:05 AM
Medicare pays for certain healthcare services in the home, otherwise known as “home care.” To receive Medicare benefits for these services, certain eligibility criteria must be met.

Services must be considered reasonable and necessary for the treatment of an illness or injury. You must also be under the care of a doctor and need one or more of the following services: skilled nursing care, physical therapy, speech therapy or occupational therapy.

You must also be considered homebound. Homebound means that leaving your home is not recommended because of your condition and it takes a considerable taxing effort, requires the use of a walker, wheelchair or special transportation, or requires the help of another person.

Medicare covers only “intermittent” or part-time care. This is care that is provided less than seven days per week or less than eight hours a day. There may be circumstances when more care can be provided, as determined by your doctor. Additional care that can be covered includes skilled nursing care, physical therapy, speech therapy and occupational therapy. Medicare does not cover 24-hour care at home, the delivery of meals to your home, homemaker services or personal care, such as bathing and grooming.

To learn more about Medicare, visit www.medicare.gov, call 1-800-633-4227 or click on the link below to contact me.

By Barbara Campbell, RN, MS, CNS

Home Health Consultant
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