Part A covers inpatient hospitalizations, care in skilled nursing facilities, palliative care, and some home health care. Experiencing a health emergency, such as an injury caused by a fall or a heart attack, often requires hospitalization. While your hospital stay may be brief, you may need help when you return home. Medicare can provide Home Care near Nutley NJ services to help you recover. First things first: you must be enrolled in Medicare.
Specifically, you must have Original Medicare (which consists of Parts A and B) or Medicare Advantage (Part C). Part A covers inpatient hospitalizations, care in a skilled nursing facility, palliative care, and some home health care services. Part B covers medically necessary services, such as doctor visits, outpatient care, and some home health care services. Medicare Part A covers some home care for older people.
To receive Medicare coverage, a patient must be certified homebound and under the supervision of a physician. However, Part A provides coverage for home care if you return home after hospitalizations or stays in skilled nursing facilities. To be covered, you must be hospitalized for at least three consecutive days in a hospital care facility or stay in a professional nursing facility covered by Medicare. If your loved one meets the coverage requirements, Part A can cover their first 100 days of home health care.
However, to be covered, this care must begin within 14 days of discharge. Part A covers qualifying home services, such as intermittent skilled nursing care, physical therapy, other specialized therapists, and personal services. Medicare pays for short-term home health care services, such as skilled nursing care, physical therapy and occupational therapy, if you can't leave home and your doctor prescribes these services. Medicare Part A provides home health care services for patients who are homebound and require skilled nursing care, physical therapy or occupational therapy after hospitalization. However, Medicare home care benefits can cover personal care that is provided in conjunction with eligible home care services, such as transitional home care.
If you or a loved one have exhausted your financial resources by paying for home caregivers, you may want to consider taking out a long-term care insurance policy to help cover the cost. When your other home health care needs end, you can continue to receive occupational therapy covered by Medicare under the home health benefit if you need. Qualifying for home health care under Medicare may seem like a complex process, but it's fully manageable with the right information and resources. Medicare coverage depends on receiving home health care services within 14 days of discharge from the hospital.
Services covered by Medicare Part B for home health care include intermittent or part-time skilled nursing care, physical therapy and occupational therapy. By virtue of this demonstration, your home health agency can submit to Medicare a request for a pre-claim review of coverage for home health services. If the patient continues to need home health care services after 60 days, the home health care organization must submit additional evidence to Medicare to show that the services are still needed. Older people and their caregivers can make well-informed judgments about home health care options if they know the eligibility requirements and coverage restrictions.
Providers play a vital role in evaluating a patient's eligibility for home health services covered by Medicare. Ask the home health agency what services Medicare will pay for and which aren't covered, since some agencies may recommend services that Medicare doesn't cover. Medicare pays for home health care for eligible older people who are homebound and who require essential medical services for the treatment of an illness or injury. However, Medicare may temporarily cover custody care if it's part of a general care plan that includes specialized home health care.
No, Medicare doesn't cover non-medical services, such as cleaning, meal preparation, or personal care, unless they are provided as part of skilled nursing care.
