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Medicare Part A (Hospital Insurance) and/or Medicare Part B (Medical Insurance) cover eligible home health services as long as you need part-time or intermittent skilled services and you’re “homebound,” which means:
Yes, Medicare provides some coverage for home health care, but you must meet specific criteria, particularly if you’re mostly or entirely confined to your home. Medicare will cover part-time or intermittent skilled nursing care, therapy and other aid that’s determined to be medically necessary and that your doctor orders.
You can receive home health care coverage under either Medicare Part A or Part B. Under Part B, you are eligible for home health care if you are homebound and need skilled care. There is no prior hospital stay requirement for Part B coverage of home health care.
How Medicare pays for home health care. Medicare pays for covered home health services you get during a 30-day period of care. You can have more than one 30-day period of care. Payment for each 30-day period is based on your condition and care needs.
If you are signed up for original Medicare, which consists of Part A (hospital insurance) and Part B (medical insurance), you can use your benefits to cover certain home health care.
Depending on your personal situation, you may get home healthcare coverage from either Medicare Part A or Part B—or sometimes from both. A doctor or other healthcare provider (like a nurse practitioner) must have a face-to-face visit with you before certifying that you need home health services.
Services covered by Medicare’s home health benefit include skilled nursing services, skilled therapy, and care provided by a home health aide.
What is home health care, and how does Medicare cover skilled care and home health aide services? Learn more about how to qualify.
Find Medicare-certified home health agencies in your area and compare them based on the quality of care they provide. Home health services provide treatment for an illness or injury to help people get better, regain their independence, and become as self-sufficient as possible.
Medicare covers home health services when: The patient is enrolled in Part A, Part B, or both parts of the Medicare Program. The patient is eligible for coverage of home health services. The Home Health Agency (HHA) providing the services has a valid agreement to participate in the Medicare Program. A claim is submitted for covered services.