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What is Home Health Care?
Home Health Care is skilled nursing care and certain other health care services that you get in your home for the treatment of an illness or injury. This page explains Medicare’s basic home health benefit and gives you information about where to get more information and Help.
how Can client get care at home?
To get Medicare home health care:
Their doctor must decide that they need medical care in their home, and make a plan for them care at home; and
They must need at least one of the following: intermittent (and not full time) skilled nursing care, or physical therapy or speech language pathology services; and
Client must be homebound. This means that they are normally unable to leave home. Being homebound means that leaving home is a major effort. When they leave home, it must be infrequent, for a short time, or to get medical care; and
The home health agency caring for client must be approved by the Medicare program.
What does the original medicare plan cover?
If client meet all conditions for home health care, Medicare will cover:
1. Skilled nursing care on a part-time or intermittent basis. Skilled nursing care includes services and care that can only be performed safely and correctly by a licensed nurse (either a registered nurse or a licensed practical nurse).
2. Home health aide services on a part-time or intermittent basis. A home health aide does not have a nursing license. The aide provides services that support any services that the nurse provides. These services include help with personal care, such as bathing, using the toilet, or dressing. These types of services do not need the skills of a licensed nurse. Medicare does not cover home health aide services unless they are also getting skilled care such as nursing care or other therapy. The home health aide services must be part of the home care for their illness or injury.
3. Physical therapy, speech language pathology services, and occupational therapy for as long as client’s doctor says they need it. Medicare covers these types of therapy:
a. Physical therapy, which includes exercise to regain movement and strength to a body area, and training on how to use special equipment or do daily activities, like how to get in and out of a wheelchair or bathtub.
b. Speech language pathology services, which includes exercise to regain and strengthen speech skills.
c. Occupational therapy, which helps client become able to do usual daily activities by themselves. They might learn new ways to eat, put on clothes, comb their hair, and new ways to do other usual daily activities. Client may continue to receive occupational therapy even if they no longer need other skilled care.
4. Medical social services to help them with social and emotional concerns they have related to your illness. This might include counseling or help in finding resources in their community.
5. Certain medical supplies, like wound dressings, but not drugs or prescriptions.
6. Medical equipment. Medicare usually pays 80 percent of the approved amount for certain pieces of medical equipment, such as a wheelchair or walker.
Medicare will cover any of these kinds of therapy for as long as you are eligible and your doctor says they need them.
The Original Medicare Plan covers these home health care services:
· Part-Time or Intermittent Skilled Nursing Care
· Part- Time or Intermittent Home Health Aide Services
· Physical and Occupational Therapy
· Speech Language Pathology Services
· Medical Social Services
· Medical Supplies (not drugs or biological)
· Durable Medical Equipment
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