What is home health?

Home health care includes skilled nursing care as well as other skilled care such as Physical
Therapy, Occupational Therapy, Speech-Language Pathology (Speech Therapy) and Medical Social Services. These services are given by a variety of skilled health care professionals at the patient’s home. Along with the doctor, the home health staff creates a care plan, which includes a plan for your care. The home health staff keeps your doctor up-to-date about how you are doing and updates your care plan as needed.

Who pays for home health services?

  • Medicare
  • Medicaid
  • Private Insurance
  • Worker’s Compensation
  • Private Pay

When does Medicare cover services?

  • You must be homebound: This means that a person is either unable to leave home or leaving home requires considerable and taxing effort. A person may leave home for medical treatment or infrequent absences for non-medical reasons, such as a trip to the barber or to religious services.
  • You must be under the care of a licensed physician. Your doctor must decide you need medical care in your home, and make a plan for your care at home.
  • You must need at least one of the following skilled services: Skilled Nursing, Physical Therapy, Speech-Language Pathology (Speech Therapy), or continue to need Occupational Therapy. The Home Health Agency caring for you must be approved by the Medicare program.

Who can benefit from Home Health Care?

  • A person recovering from an illness or surgery
  • A person with a chronic illness
  • A person with disability due to an accident, work-related injury, illness or surgery.
  • A person with mental or physical disability.
  • A person requiring home health services as determined by their physician or family.