Will Medicare Pay for In Home Care?

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Does medicare pay for in home care

What happens after you or your loved one arrive home from the hospital but are in need of additional help or in home care?

Naturally, in home care might be needed when someone is ill or recovering from an illness or surgery. One might need skilled nursing, physical or speech therapy, or another medical service. Medicare may pay for you to continue rehabilitation at home instead of a nursing home, but it doesn’t help with all types of in home care, and certainly not in every instance that it’s needed.

In Home Care:  Medical vs. Non-medical

When someone needs in home care, it’s essential to comprehend the difference between medical and non-medical care before asking for coverage. It’s part of how Medicare determines whether someone has coverage or not.

Medical care: When a doctor orders specific medical care and the patient has a home health benefit, there may be coverage for a limited time, but only for skilled nursing care in the home, such as physical rehab, administration of medicines, medical-social services, and some medical equipment.

Non-medical care: If a doctor says non-medical care is needed, Medicare usually won’t pay for it. They won’t pay for personal bathing, dressing, or exercise, meal planning or cooking, housekeeping, errands, transportation, buddy services, or safety checks. This doesn’t mean these items aren’t important. They are considered vital, in fact, yet they are usually not covered by Medicare.

The Question Remains: So, Will Medicare Ever Cover In Home Care?

Yes, Medicare may help pay for some in home services, or all of your in home care if:

  1. Your physician accepts Medicare assignment.
  2. Special medical equipment is needed before someone can leave home. The doctor must certify that the patient is homebound.
  3. The doctor orders in home care, certifying there is a need for intermittent skilled in home care.
  4. The physician has seen the patient in person to confirm that specialized in home care is necessary.
  5. The doctor orders in home care services from a Medicare-certified home health agency.

In summary, in home care may actually be paid by Medicare, but only when skilled nursing care services are required – not just personal care.

How Home Care Assistance of Knoxville Can Help

Home Care Assistance of Knoxville is a private pay home care provider, meaning we do not accept Medicare. Most in home care services are excluded from Medicare coverage, so we can help you find an affordable, flexible care plan that is right for your loved one. Contact us today to learn more about your in home care options,

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