Covered by Part A · Covered by Part B · Up to 8 hours a day, up to 28 hours per week · You pay nothing for covered services (other costs may apply). Up to 8 hours a day, up to 28 hours a week You don't pay anything for covered services (other costs may apply). If you qualify, you won't pay anything for home health services from a home health agency. Other medical services, such as doctor visits, are covered by your other Medicare benefits. If you're enrolled in original Medicare or Medicare Advantage, you don't pay anything for home health care services.
When considering home health care, it's important to plan ahead to ensure you can budget for the cost of care and choose the right providers. It's critical that you review these supplemental programs and Medicaid coverage to determine if you or your loved one can qualify for additional financial assistance to access home health care services. Whether you're thinking about providing home health care services for yourself or a loved one, understanding the role of Medicare in covering these services is a critical step in accessing the care you need. By understanding average hourly rates and variations in payments, individuals can better plan and budget for home health care services.
You're generally not eligible for Medicare home health benefits if you need full-time skilled nursing care for an extended period of time. Medicaid coverage for home health care can be an important resource for people who need ongoing assistance, but they may not meet the eligibility criteria for Medicare coverage or may have limited financial resources. You won't be eligible for home health care services if you need more than specialized part-time or intermittent care. Payment for home health care services can vary based on several factors, including the type of care required, the provider, and the payment structure.
For the most accurate and up-to-date information on Medicare payment rates for home health care services, it is recommended to consult official Medicare resources or contact the Medicare provider directly. Medicare can extend that limit if your doctor can predict when your daily need for skilled nursing care will end. Understanding the requirements for home health care and the services covered by Medicare is critical for people seeking this type of care. Even with all of this information, differentiating between home care and home health care can be confusing. This section provides an overview of how Medicare payments for home health care work and the factors that influence payment rates.
As of October 2000, HHAs were paid with HH's PPS for 60-day care periods that included all covered home health care services.
