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  • The homebound requirement - Medicare Interactive
    Your doctor should decide if you are homebound based on their evaluation of your condition If you qualify for Medicare’s home health benefit, your plan of care will also certify that you are homebound After you start receiving home health care, your doctor is required to evaluate and recertify your plan of care every 60 days
  • Eligibility for home health (Part A or Part B) - Medicare Interactive
    You can receive home health care coverage under either Medicare Part A or Part B Under Part B, you are eligible for home health care if you are homebound homebound Medicare considers you homebound if: you need the help of another person or medical equipment (such as a walker or wheelchair) to leave your home, or your doctor believes that your health could get worse if you leave your home; and
  • Home health basics - Medicare Interactive
    Medicare will not pay for an aide if you only require personal care and do not need skilled care Depending on the circumstances, home health care will be covered by either Part A or Part B Medicare covers your home health care if: You are homebound, meaning it is extremely difficult for you to leave your home and you need help doing so
  • Plan of care - Medicare Interactive
    Before you receive Medicare-covered home health care, your home health agency (HHA) home health agency (HHA) A home health agency (HHA) is an organization that provides home care services, such as skilled nursing, physical therapy, occupational therapy, speech-language pathology, and personal care should assess your condition to create a plan of care
  • Home health covered services - Medicare Interactive
    Usually, it is a percentage of the approved amount or negotiated amount In Original Medicare, the coinsurance is usually 20% of Medicare’s assignment (plus up to 15% more if your home health agency does not take assignment) Medicare should pay for these services regardless of whether your condition is temporary or chronic
  • Home health care for chronic conditions - Medicare Interactive
    Almost all doctors and hospitals in the U S accept Original Medicare , call 1-800-MEDICARE for a list of HHAs in your area If you have a Medicare Advantage Medicare Advantage Medicare Advantage, also known as Part C, Medicare Private Health Plan, or Medicare Managed Care Plan, allows you to get Medicare coverage from a private health plan
  • Starting home health care - Medicare Interactive
    If you are in the hospital: A hospital social worker or discharge discharge Discharge is the end to your stay as an inpatient in a medical institution such as a hospital or skilled nursing facility (SNF) planner should arrange for a Medicare-certified home health agency (HHA) home health agency (HHA) A home health agency (HHA) is an
  • Services excluded from home health coverage - Medicare Interactive
    Medicare’s home health benefit does not cover all home care services Services excluded from Medicare coverage include: 24-hour per day care at home; Prescription drugs If you need prescription drug coverage, enroll in a Part D plan or a Medicare Advantage Plan that provides drug coverage Meals delivered to your home
  • Hospital discharge planning - Medicare Interactive
    Medicare only covers DME if your provider says it is medically necessary for use in the home , and changes to your home to ensure safety If you are returning to a facility, the hospital must make sure the facility can still manage your health care needs Review which post-discharge services will be covered by Medicare and how much they will cost
  • Types of medical equipment Medicare covers for home use
    Medicare also covers lancets and test strips used with diabetes self-testing equipment Note: There are also certain kinds of equipment and supplies that Medicare never covers To find out if Medicare covers the equipment or supplies you need, or to find a DME supplier in your area, call 1-800-MEDICARE or visit www medicare gov





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