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Original Medicare + Home
Health Care = Recovery
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866-234-4430 TTY: 711
Mon-Fri 7:30 AM-6:00 PM Central
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Let's break down the equation for how home health services may help you.
Original Medicare can help pay for the medical services that you need to get better while staying at home. Think of it as your safety net, ensuring that you won't have to pay out-of-pocket for basic recovery services, such as:
- Nursing care (wound care, injections, IV therapy)
- Physical, Occupational, or Speech Therapy to help you regain function
- Home health aides to assist with personal care like bathing or dressing
Am I Eligible?
You need to make sure you meet the following conditions to get home health care covered by Original Medicare:
- Doctor's orders: Your doctor must certify that you need home health care.
- Skilled care: The services must be provided by a skilled nurse, therapist, or home health aide.
- Homebound status: You must be homebound, meaning it's difficult for you to leave your home without assistance.
- Doctor's orders: Your doctor must certify that you need home health care.
- Skilled care: The services must be provided by a skilled nurse, therapist, or home health aide.
- Homebound status: You must be homebound, meaning it's difficult for you to leave your home without assistance.
- What's Not Covered?
- 24-hour home care: Unless it's medically necessary, you'll need to pay out of pocket for around-the-clock care.
- Personal care: Help with daily living activities isn't covered unless it's medically necessary.
Original Medicare covers 100% of the cost for medically necessary services like nursing care and therapy.
Original Medicare will not cover:
Let's plug in a scenario to show how this works!
Example: You recently had surgery and need help with wound care, physical therapy, and daily tasks like dressing. Your doctor agrees that home health care is the best way to recover.
Step 1: Original Medicare covers 100% of the cost for the skilled nursing care, therapy, and medical supplies you need.
Step 2: A home health agency is assigned, and your nurse visits regularly to help with your wound care. Your physical therapist helps you regain strength, and a home health aide assists with personal care.
Step 3: As you follow your care plan, you heal faster and more comfortably in your own home, achieving full recovery!
- Talk to your doctor about home health care and get a referral.
- Your doctor will refer you to a Medicare-certified home health agency.
- Work with your doctor and the agency to design a care plan.
Original Medicare + Home Health Care = Recovery
Now you've got the formula for success! Follow these steps, and Original Medicare will help you recover at home in no time. To find a Medicare Advantage plan that includes the same coverage as Original Medicare and may offer additional benefits that fit your needs, call EOS' licensed insurance agents at 866-234-4430. Our team will help you work out the equation of your health needs and find a plan that adds up to better benefits!