The Medicare Skilled Home Health Benefit is a program of care and support for individuals recovering from an illness, injury, new diagnosis or recent hospitalization. The focus is on recovery, rehabilitation and health education.
Home health care is a Medicare Part A benefit that requires no copay or deductible for patients who meet eligibility criteria. Other payment sources may include Medicaid, private insurance, worker’s compensation, private pay or other funding.
Medicare covers eligible home health services including:
Frequency is based on physician orders and the level of care appropriate for each person’s unique diagnosis and care needs. Skilled home health services are intermittent, meaning that clinicians will visit to perform specific tasks and return at scheduled intervals unless health conditions change. Our care model is designed to be responsive to health changes with visits adjusted as needed.
The patient must be under the care of a
doctor and getting services under a plan of
care. Patients must be certified homebound
by a doctor and are not eligible if more than
part-time or intermittent skilled nursing is
required. A doctor must certify the need for
one or more of the following:
Leaving home must require supportive devices or assistance or be medically contraindicated. There must be a normal inability to leave home that requires a taxing effort. A patient may be considered homebound if absences from the home are infrequent or relatively short in duration such as for health care treatment or attending religious services, adult day care or events such as funerals, graduations or trips to a barber or salon.
We can help support your patients wherever they are in their health care journey. Explore our skilled home health provider resources.
Learn more