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 ...

All  Medicare Advantage Plans   must provide at least the same level of  home health care  coverage as   Original  Medicare , but they may impose  different rules, restrictions, and costs.   Depending on your plan, you may need to: Get care from a  home health agency  (HHA) that contracts with your plan Request  prior authorization  or a  referral  before receiving home health care Pay a  copayment  for your care (Original Medicare fully covers home health) For your information, HHAs can choose who to accept as a patient or refuse to provide you with home health services if they do not believe they can ensure your safety. If no HHA in your plan’s  network  will take you as a patient, call your plan.   Your plan must provide you with home health care if your doctor says it is  medically necessary . If no  in-network  HHA will provide you with care, but an  out-of-...

Medicare   covers the following i f you qualify for th e  home health benefit; Skilled nursing services :   Services performed by or under the supervision of a licensed or certified nurse to treat your injury or illness. You may receive services that include injections - teaching you to self-inject, tube feedings, catheter changes, observation and assessment of your condition, management, and evaluation of your care plan, and wound care. Services are given seven days per week for generally no more than eight hours per day and 28 hours per week. In some cases, Medicare can cover up to 35 hours per week. Skilled therapy services :   Physical, speech, and  occupational therapy  services that are reasonable and necessary for treating your illness or injury , and performed by or under the supervision of a licensed therapist. Physical therapy  includes gait training and supervision of and training for exercises to regain movement ...

Home health care   includes a wide range of health and social services delivered in your home to treat illness or injury. Services covered  include intermittent skilled nursing care, therapy, and care provided by a  home health aide . Home health care will still depend on the circumstances, thus, it will be covered by  either Part A or Part B. Medicare will cover your home health care if: You are  homebound , which means that it is extremely difficult for you to leave your home and you need help in doing so. You need  skilled nursing services  and/or skilled therapy care on an intermittent basis.  You have a face-to-face meeting with a doctor within the 90 days before you start home health care, or the 30 days after the first day you receive care. This can be an office visit, hospital visit, or in certain circumstances a face-to-face visit facilitated by technology (such as video conferencing).  And, you re...