Medicare pays for you to receive health care services in your home…

If you meet certainly eligibility criteria and if the services are considered reasonable and necessary for the treatment of your illness or injury.

The focus of Medicare Home Health Benefits is to address an acute change to bring you back to your baseline level of function that existed prior to your illness or injury. Some examples of the skilled services that Medicare reimburses for include: skilled nursing, physical, occupational and speech therapy services.

Services must be ordered by your physician and you must meet the Medicare definition of “homebound” status. Homebound does not mean that you are never permitted to leave your home. Beneficiaries are permitted to leave home for medical appointments, religious services, beauty/barber appointments as well as other short outings as long as leaving home requires a taxing effort. This may mean that you require the use of assistive devices such as walker, cane or wheelchair or another person to leave home. Generally, if you are able to independently enter and exit your home, drive your car or take public transportation independently you do not qualify for home care services under your Medicare benefit.

Your physician will certify your need for home health services for 60-day increments. Throughout the services you must continue to show progress and the services must be medically necessary to be covered by Medicare. There is no limit to the services you may receive under your home health Medicare benefit as long as the necessary criteria is met. In addition, there is no co-pay for home health services under your Medicare benefit.

If you or a loved one are in need of information related to your Medicare home health benefits, call BestCare for a free consultation to answer all your questions.

For more details, please Contact Us for your free consultation.