Up to 100 of your home health care visits will be covered under Medicare Part A (Hospital Insurance) if you have a hospital or skilled nursing facility stay of at least three days within the past 14 days. If you require more than 100 visits or have not had a qualifying hospital or skilled nursing facility stay, your home health care visits will be covered if you are enrolled in Medicare Part B (Medical Insurance). There are no co-payments. If you have only Part A or Part B coverage, all of your home health visits will be covered by the Part you have.
Also covers home visits by your physician and management and certification of the plan of care by your physician with a 20% co-payment.
will pay for hospice care if the patient...
Public assistance recipients (AFDC, SSI) that are covered by Medicaid can receive home health benefits as an alternative to more costly hospital or nursing home care, and is limited to skilled nursing, physical therapy, occupational therapy, and home health aide services.
Hospice is available to Medicaid recipients under the same conditions as the Medicare hospice benefit.
pays if The Texas Department of Aging and Disabilities (DADS) provides long-term skilled home health and personal assistance services to those meeting financial and medical and/or functional criteria through a variety of Medicaid or other government funded programs. These programs include Primary Home Care, Family Care, Community Attendant Services; Medically Dependent Childrens’ Program waiver; Community Based Alternatives waiver; Community Living Assistance and Support Services waiver; In-Home and Family Support Services; Client-Managed Attendant Services. Area Agencies on Aging (AAAs) provide homemaker/housekeeping and personal assistance services through contracts with DADS. Contact your local DADS office or AAA (listed in the Blue Pages) for additional information regarding these programs and services.
NOTE: Medicare and Medicaid managed care plans (Medicare Advantage plans; Medicaid STAR; Medicaid STAR Plus) may limit benefits, require co-payments, or limit your choice to certain participating providers.
Employer or union-offered group medical coverage and individual health insurance policies may cover home health services. Many long-term care insurance policies will pay for care at home, and some base qualifications on functional rather than medical need. Each insurance plan should be reviewed for specific coverage information.