Medicare Coverage

How Do I Qualify For Medicare Coverage?

To qualify for home health care, your doctor must write a plan for your home care. In addition:

You must need at least one or more of the following:

  • Part-time nursing care
  • Physical therapy
  • Speech language therapy
  • Occupational therapy

You must be homebound. This means that leaving your home is a major effort and you seldom do unless, for example, you:

  • Attend religious services
  • Leave to get medical treatment, including therapeutic or psychosocial care

You must receive the services from a home health agency that is approved by the Medicare program.

You may also get care in an adult day-care program that is Medicare approved and state certified to provide adult day care services.

The services are covered by Part A or B of Medicare. You pay $0 for all covered home health visits.

If you have a Medicare Advantage Plan or MediGap/Medicare Supplemental policy, call your plan and ask about your coverage. You may have to use one of the home agencies that they have on contract.