If you are classified as categorically needy, Medicaid will usually pay for home health aides if you are eligible for nursing facility services. If you are classified as medically needy, it depends on if the state you live in has opted to cover these services.
Concerning home health services, this is directly from the Medicare and You 2009 book: Limited to medically-necessary part-time or intermittent skilled nursing care or physical therapy, speech-language pathology, or a continuing need for occupational therapy. Care must be ordered by a doctor and provided by a Medicare-certified home health agency. Home health services may also include medical social services, part-time or intermittent home health aide services, durable medical equipment (see page 30), and medical supplies for use at home. You must be homebound, which means that leaving home takes a lot of effort. Part A covers the cost of the first 100 home health visits following a hospital stay. For complete details on Medicare: http://www.medicare.gov/Publications/Pubs/pdf/10050.pdf
The answer is that Medicare pays very little for in-home care and never for custodial care. The program will pay for what is called post-acute care - care that a doctor orders after in-patient treatment. You can get Medicare coverage of outpatient physical therapy at home as long as the patient is "progressing" and Medicare may also cover home health aides - but again, after acute care.
The other thing Medicare will cover is a home risk assessment (prescribed by a physician), where professionals make recommendations that improve safety (i.e. grab bars). And if you're at home, a doctor can also prescribe durable medical equipment such as hospital beds ... and Medicare will pay 80 percent of the cost.
Yes, home health care is a benefit under Medicare part A. However, you must meet certain criteria, namely, you must be considered homebound (cannot leave the house without extreme difficulty due to a medical condition). You must also require skilled therapy or skilled nursing service - Medicare will not pay for only a home health aid to come in and help clean and cook.
Yes Medicare will help pay for some home medical care needs. You can read more about the specifics at www.medicare.gov/coverage/Home.asp
I really am not sure what Medicaid will and will not cover. It would be best to contact Medicaid personally and speak to someone there to find out the information.
Medicare will not pay for long term care in a nursing home if you oly need custodial care.
Those who don't have a need for skilled nursing or therapy or are not homebound or under a physician's care cannot receive home health care. Even if you meet those needs but are not Medicare-eligible or covered by private insurance you may not be able to receive home health care unless you pay privately.
Medicare
Medicare Part A which is "Hospital Insurance." It pays as primary insurance for the long-term disability. It helps pay for inpatient hospital care, inpatient care in a skilled nurshing facility, home health care and hospice
A nursing home may be certified by Medicare or Medicaid
medicare, medicaid and veterans services
Medicare, Medicaid, and the Department of Veterans Affairs
MediCare provides health care and prescription drug plans. Health care plans help to pay for medical visits to the doctor and the procedures that that may entail. Prescription drug plans help to cover the cost of medication for the individual.
Medicaid, Medicare, Department of Defense and/or Veterans Programs.
One of the best government run health care services provided for seniors is Medicare. As part of the Medicare benefits, home health care provides a valuable service for seniors in their homes. If you require treatment for an injury or an illness, you can receive home care to help you with these health concerns. It also helps you in reclaiming your independence and to be self-sufficient as much as is possible. Medicare will only pay for home health care to assist you with your injury or illness if the treatment and services you receive are reasonable and a necessity. In addition, there are certain requirements, which will have to be met. These include your doctor’s approval for you to get health care in the home as well as his or her treatment plans for your care. The home health care has to include one or more services, such as physical therapy, part-time skilled nursing care, speech-language pathology and occupational therapy. If you are receiving the skilled care, you may also get medical social services and if necessary, you may receive help from a home health aide. In order to be eligible for health care services at home, the Medicare beneficiary has to be homebound, which means that he or she can move about and leave the home but will require some assistance. If the seniors attend adult day care or leave the home for religious or other health purposes, they are still eligible for home health care services. Using a Medicare approved home health agency, which will help to coordinate the services and care plan authorized by your doctor is also a requirement. Apart from meeting the eligibility requirements, you can only continue to receive home-based health care benefits if your doctor authorizes you to continue the treatment. The skilled nursing care and home health aide benefits are not continuous and there are limitations on how many hours each day and the number of days per week that you can receive these services. Unless extended by your doctor, intermittent skilled nursing care would be for less than 7 days weekly or less than 8 hours daily over a 21-day period.
designed to help the elderly
Helped older Americans pay for health care -APEX