Home Health

Frequently Asked Questions

When am I eligible for Home Health Care?

  1. Your physician must order Home Health Services.
  2. For Medicare and some insurance you must meet their definition of Homebound, that is you leave home never or rarely and for short duration and to do so requires a considerable and taxing effort .
  3. You must have a need for the skilled services of a nurse or therapist.
  4. You must need only intermittent care.  Medicare and health insurance will not pay for someone to be with you while you are not recieving direct care or therapy.

 Does Medicare cover Home Health Care?

Medicare covers medically-necessary part-time or intermittent skilled nursing care, and/or physical therapy, speech-language pathology services, and/or services for people with a continuing need for occupational therapy. A doctor enrolled in Medicare, or certain health care providers who work with the doctor, must see you face-to-face before the doctor can certify that you need home health services. That doctor must order your care and a Medicare-certified home health agency must provide it. Home health services may also include medical social services, part-time or intermittent home health aide services, and medical supplies for use at home. You must be homebound, which means leaving home is a major effort.

  1. With Medicare you pay nothing for covered home health care services.
  2. You pay 20% of the Medicare-approved amount for durable medical equipment. 

Does other insurance pay for Home Health Care?

Many comprehensive Health Insurance policies pay for Home Health Care.  We will be happy to check with your insurance provider for you.  Many require precertification so it is helpful for you to contact us as soon as you think you may be needing home health care.

Does Workers Compensation pay for Home Health Care?

Typically, Woker's compensation does pay for necessary home health care for conditions resulting from a qualifying work related injury.

Click here to go back