Lumaktaw sa pangunahing content

More Information about Home Health Care

Home health care for Chronic Condition

Once you meet Medicare’s home health eligibility requirements, Medicare will cover your care regardless of whether your condition is temporary or chronic. 

Medicare covers skilled nursing and therapy services as long as they:
  • Help you maintain your ability to function
  • Help you regain function or improve
  • Or, prevent or slow the worsening of your condition

Providers and agencies may worry that Medicare will not cover skilled home care if you are no longer showing signs of improvement. However, Medicare will not deny your home care because your condition is chronic or unchanging, or when additional care will not improve your ability to function, as long as the care is medically necessary to maintain your condition or to prevent or slow deterioration.
If you have chronic care needs, it may be hard to find a home health agency (HHA) willing to provide you with services. If you have Original Medicare, call 1-800-MEDICARE for a list of HHAs in your area. If you have a Medicare Advantage Plan, contact your plan for a list of in-
network HHAs.



HOW TO START HOME HEALTH CARE

The process for starting the Medicare home health benefit changes depending on whether you are currently in a hospital or if you are already at home. Remember, in both cases, you must meet the eligibility requirements and qualify for coverage under either Part A or Part B.

  • Hospitalized: A hospital social worker or discharge planner should arrange for a Medicare-certified home health agency (HHA) to visit you and assess your condition. If you qualify, you should receive home health care after being discharged.
  • At home: Speak to your doctor about your home health needs and ask for a list of Medicare-certified HHAs. You, your doctor, or a caregiver should be able to call an HHA directly and ask them to visit your home and assess your condition. You should also be able to find local HHAs through your hospital discharge planning office, 1-800-MEDICARE, or the Eldercare Locator.


In either situation, the HHA should evaluate your home health needs and create a plan of care. Your doctor must certify that you qualify for Medicare’s home health benefit, sign off on the plan of care, and recertify the plan every 60 days.
Mga etiketa:

Mga Komento

Mag-post ng isang Komento

Mga sikat na post sa blog na ito

Medicare and Living Abroad

Medicare   enrollment  can be complicated if you live outside the United States. This means that you do not live inside the  50 states of the U.S, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, or the Northern Mariana Islands. Although Medicare does not typically cover medical costs you receive when you live abroad, you still need to choose whether to enroll in Medicare when you become eligible or to turn down enrollment.  This is subject to consideration as well; Whether you plan to return to the U.S. Whether you are working or volunteering outside the U.S. The potential costs of delayed enrollment If you are  65 or older and qualify for Medicare , you can enroll in Medicare Parts A and B, also known as  Original Medicare , either before or after you leave the U.S . However, you must remember that Medicare will typically not cover medical care you receive outside the U.S.  Part A coverage is the best to keep eve...
Mag-post ng isang Komento
Magbasa nang higit pa

Additional Information on Medicare for Kids

Medicare for Kids Covered Services All states provide comprehensive coverage for children, including: Routine check-ups Immunizations Doctor visits Prescriptions Dental and vision care Inpatient and outpatient hospital care Laboratory and X-ray services Emergency services Some specific benefits may be different from state to state. How do I find a health care provider in my area who accepts Medicaid or CHIP? If you already have a health care provider for your child, ask if he or she accepts Medicaid, CHIP, or the health plan you selected. If you've been getting care from a provider that doesn't accept Medicaid, CHIP, or any of its health plans, you may be able to keep using that provider for a short time until you can find another provider. Most Medicaid and CHIP programs and health plans have websites that tell you which providers are available. Call  your state Medicaid or CHIP agency   or your health plan's member services de...
Mag-post ng isang Komento
Magbasa nang higit pa

NCOV -19 and MEDICARE 2020

Medicare Part B , which includes a variety of outpatient services cover medically necessary clinical diagnostic laboratory tests when a doctor or other practitioner orders them. Medically necessary clinical diagnostic laboratory tests are generally not subject to coinsurance or deductible. It will cover medically necessary imaging tests, such as computed tomography (CT) scans, as needed for treatment purposes for lung infections, however not for screening asymptomatic patients. For those imaging tests paid by Part B, beneficiary coinsurance and deductible would apply. If the Part B deductible ($198 in 2020) applies to the Part B services, beneficiaries must pay all costs - up to the approved amount of Medicare until the beneficiary meets the yearly Part B deductible. Once it is met, Medicare pays its share, and beneficiaries typically pay 20% of the approved amount of the service, except laboratory tests. There’s no yearly limit for what a beneficiary pays out-of-pocket tho...
Mag-post ng isang Komento
Magbasa nang higit pa