Which of the following would be covered under Medicare home health care?

Asked by: Savion Towne MD  |  Last update: November 29, 2025
Score: 4.9/5 (16 votes)

Medicare only covers care for specific services. These services include physical therapy, occupational therapy, speech-language pathology services, medical social services, medical supplies, and other services provided in your home.

What are 5 items or services not covered by Medicare?

Some of the items and services Medicare doesn't cover include:
  • Eye exams (for prescription eyeglasses)
  • Long-term care.
  • Cosmetic surgery.
  • Massage therapy.
  • Routine physical exams.
  • Hearing aids and exams for fitting them.

Under what circumstances will Medicare cover the cost of home health care?

You have trouble leaving your home without help (like using a cane, wheelchair, walker, or crutches; special transportation; or help from another person) because of an illness or injury. Leaving your home isn't recommended because of your condition. You're normally unable to leave your home because it's a major effort.

What is an example of home health care?

Care from home health aides

Home health aides can help the patient with his or her basic personal needs such as getting out of bed, walking, bathing, and dressing. Some aides have received specialized training to assist with more specialized care under the supervision of a nurse.

What is the most common service used in a home health service?

When it comes to home care services, the most common type is assistance with Activities of Daily Living (ADLs). ADLs include essential everyday tasks that individuals may require help with to maintain their independence and quality of life. These activities encompass bathing, dressing, grooming, toileting, and eating.

Does Medicare Cover Home Health Care?

42 related questions found

How long will Medicare pay for home health care?

You can continue to receive home health care for as long as you qualify. However, your plan of care must be recertified every 60 days by your doctor. Your doctor may make changes to the hours you are receiving or other services, depending on whether the level of care you are receiving is still reasonable and necessary.

Which type of care is not covered by Medicare?

We don't cover these routine items and services: Routine or annual physical checkups (visit Medicare Wellness Visits to learn about exceptions). exams required by third parties, like insurance companies, businesses, or government agencies. Eye exams for prescribing, fitting, or changing eyeglasses.

What is the most common diagnosis for home health care?

A few common ones include:
  1. Heart disease or heart failure. In-home services can help clients establish a healthy lifestyle if they have heart disease or have had a heart attack. ...
  2. Stroke. ...
  3. Respiratory diseases like COPD, asthma and emphysema. ...
  4. Cancer. ...
  5. Alzheimer's, dementia or confusion.

Does Medicare cover home health care for dementia?

Many people benefit from being at home during the early stages of dementia. Medicare will pay for up to 35 hours a week of home health care for people certified as “homebound.” Medicaid will pay for in-home care if, without that in-home care, the person would require care in a nursing home.

Which of the following services is covered by Medicare?

Original Medicare covers things like inpatient hospital care, doctors' services and tests, and preventive services. You pay for services and items as you get them. You must be lawfully present in the U.S. for Medicare to pay for Part A and Part B covered services.

How many days does Humana pay for rehab?

How many days does Humana pay for rehab? Humana health plans generally pay for up to 100 days of inpatient rehab in a skilled nursing facility per benefit period, subject to specific plan terms and facility rules.

Are nursing homes covered by Medicare?

Medicare will pay for nursing home costs on a very limited basis. Benefits only apply to short-term stays of 100 days or less following a qualifying hospitalization. Even then, patients often are responsible for out-of-pocket costs that quickly can add up to a significant unexpected expense.

Which of the following services may be provided through home healthcare?

Home Health Care Services

These services may include, but are not limited to, skilled nursing services, medical social services, rehabilitation therapy (including physical, speech and occupational), and cardiac rehabilitation therapy.

How much does Medicaid pay for home health care per hour?

Median payment rates for HCBS providers range from $19 per hour for personal care providers to $43 per hour for registered nurses. Among states that deliver HCBS through managed care, 20 states reported that the fee-for-service payment rate is the minimum amount MCOs could pay providers.

How long is a home health physical therapy visit?

For most people, the initial evaluation will last up to 60 minutes and between 30-60 minutes for follow-up visits. The duration of your care will also depend on your specific needs.

What does home health care include?

Services that may be covered include medical services such as skilled nursing, physical therapy, occupational therapy, and speech therapy, as well as non-medical services such as social services or assistance with daily living.

What is the primary diagnosis for home health?

The patient's primary diagnosis is defined as the diagnosis most related to the current home health plan of care. The primary diagnosis may or may not relate to the patient's most recent hospital stay, but must relate to the services rendered by the HHA.

What types of ailments does home healthcare work most often treat?

What Conditions and Illnesses Can Home Health Care Treat?
  • Heart Failure or Other Heart Conditions.
  • Stroke.
  • Diabetes.
  • COPD or Other Respiratory Conditions.
  • Alzheimer's/Dementia/Confusion.
  • Cancer.
  • Multiple Chronic Conditions.
  • Serious Illness (Pneumonia, Infection, Flu)

Does Medicare pay for a home assistant?

Home health aide: Medicare pays in full for an aide if you require skilled care (skilled nursing or therapy services). A home health aide provides personal care services, including help with bathing, toileting, and dressing.

What are the four types of coverage in Medicare?

Medicare Advantage (Part C)
  • Part A (Hospital Insurance)
  • Part B (Medical Insurance)
  • Part D (Medicare Drug Coverage)

Which of the following is not covered by Medicare?

Generally, most vision, dental and hearing services are not covered by Medicare Parts A and B. Other services not covered by Medicare Parts A and B include: Routine physical exams. Cosmetic surgery.

Does Medicare pay for house cleaning?

Original Medicare does not provide coverage for housekeeping services, known as “homemaker” services. These services encompass activities such as shopping, cleaning, and laundry. If an older adult requires assistance with home cleaning, they are usually responsible for covering these costs out of pocket.