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Does Medicare Cover Your Home Health Care?

When patients and their families plan for home health care, they often face a number of details and decisions. At Santé, providing the resources you need to make the most informed decisions is a top priority. Here, we’ll share more about what to expect when it comes to Medicare and home health care services.

Unfortunately, there is no simple answer to the question “Does Medicare cover home health care?” As you might expect, it is dependent on the individual situation. Medicare does cover home health care in some cases, however, when certain criteria are met.

Medicare Requirements

The primary requirement is that skilled nursing care in the home health setting must be ordered by a healthcare provider and deemed necessary by Medicare. In most cases, physical, occupational, and speech therapy are typically covered when a provider indicates that these services should be provided in the home setting and when the patient’s medical condition warrants home services. On the other hand, 24/7 home health care, including bathing and dressing assistance, is not covered by Medicare. The patient’s medical condition, their physician’s orders, and the services requested all play a role in Medicare approvals and denials.

How Santé Can Help

Each potential patient’s circumstances are individual and unique. Patient accounts representatives at Santé are available to meet with you to talk about the services you need. They can also help you learn more about payment options for home health care. Our patient accounts team members are specialists when it comes to Medicare, state funded insurance, private insurance, and other payment options. They will always do their best to answer your questions and assist you in applying for programs that may be able to help.

To learn more about your payment options for home health services, reach out to our helpful staff at Santé. We’re happy to visit with you in advance to discuss payment options and ensure you’re well informed as you plan and make these important decisions. Contact us here for more information.

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