Paying for Home Health Care?

Paying for Home Health Care?

Home Health Care can be paid for in a number of ways. Traditional Medicare pays for care with the primary goal of improving the patient’s current health condition, so that the patient can live independently again. Please see below for other acceptable forms of payment. Specifically, these conditions must be met:

  • Patient is under the care of a physician
  • Patient requires skilled nursing, occupational therapy, physical therapy or speech therapy on an intermittent basis
  • Patient qualifies for Medicare
  • Care is medically reasonable and necessary
  • Patient is homebound**
  • Patient’s needs can be met on an intermittent or part-time basis
  • Patient resides in a home or facility that does not perform skilled care (e.g., not in a nursing home or hospital)
  • A plan of care is rendered under the guidance of a physician
**Patients may be considered homebound if absences from the residence are short and infrequent or trips are made for the purpose of receiving medical treatment (e.g., medical appointments). Attending ceremonies of a religious nature does not generally disqualify a patient from being considered homebound.