What Qualifies You For Home Health Care?

What Qualifies You For Home Health Care

If your parent or loved one is in need of home health care they may be eligible for 100% coverage through Medicare.

Caring for a loved one as they get older isn’t always easy and sometimes it even becomes impossible, even with help. As your parent or loved one grows older, they may begin to need more attention and possibly specialized care. You can’t always be there for them and you may not have the skills required to help their every need. At that point, you may need to seek help in the form of home health services.

For many people, home health services may not be financially feasible. You know you need the help but how will you afford it? Thankfully, you could qualify for full coverage of home health services through Medicare. To qualify, your parent or loved one would need to meet the following qualifications:

  • They are currently under the care of a doctor and getting services under a plan of care that was established and regularly reviewed by a doctor.
  • They require (and a doctor must also certify that they require) one or more of the following:
    • Intermittent Skilled Nursing Care – other than drawing blood
    • Physical Therapy
    • Speech-Language Pathology Services
    • Continued Occupational Therapy
  • The home health care agency you choose is approved by Medicare.
  • They are homebound, and the doctor certifies they are homebound – meaning they are unable, have difficulty, or are instructed not to leave the home.
  • A doctor or healthcare professional that works with a doctor has met with them face to face regarding the need for home health services.

Should your parent or loved one meet the above requirements, they could qualify for Medicare which would cover all home health care services and 20% of the Medicare-approved amount for Durable Medical Equipment.

Check with Your Home Health Care Agency

It is always important to first check with your home health care agency regarding costs, coverage, and eligibility. They will be able to how much Medicare will pay and whether any items or services they provide won’t be covered under Medicare. Make sure that you discuss this with your home health care provider and ensure you receive the details in writing as well.

Know The Difference Between Home Care & Home Health Care

The difference between home care and home health care is that home care is more ‘errands, transportation, housekeeping, grocery shopping and daily living assistance’, it has nothing to do with medical aid, injections or administering medications.

Does Medicare Cover Home Care & Daily Living Assistance Costs

As of June, 2019, Medicare does not yet cover the cost of home care in Arizona since it is not considered ‘medical assistance’, although Devoted Guardians has been trying to get this turned around, hopefully, before the year is over, we will be able to accept Medicare for home care service.

Get Assistance From one of the Leading Home Care Providers in Phoenix, AZ

Not sure if you qualify for home health care provided by Medicare? Call (480) 999-3012 and talk to one of our staff at Devoted Guardians. We are one of Arizona’s largest home care providers and offer daily 24-hour living assistance, including nighttime watch and personal assistance.



Karen A GuzmanFebruary 10, 2021 at 9:48 amReply

Hi. I care for my husband he suffers from mental illness. He has issues with trusting anyone but me to care for him. We are barely making ends meet with what he gets from ssdi is there a program that pays spouses to care for their husbands

Aaron SinykinFebruary 25, 2021 at 3:34 amReply

It depends on the state you live in, so you might want to check the government state website for information. But normally the disabled or elderly person needs to apply for medicare, and then you need to apply to be a caregiver for him. Here is some information: – it is a lengthy process and takes quite a bit of time, sometimes months, to get through it all. Hope this helps.

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Devoted Guardians is actively monitoring the progression of the coronavirus, COVID-19, to ensure that we have the most accurate and latest information on the threat of the virus. As you know, this situation continues to develop rapidly as new cases are identified in our communities and our protocols will be adjusted as needed.

While most cases of COVID-19 are mild, causing only fever and cough, a very small percentage of cases become severe and may progress particularly in the elderly and people with underlying medical conditions. Because this is the primary population that Devoted Guardians serves, we understand your concerns and want to share with you how our organization is responding to the threat of COVID-19.

We are following updates and procedures from the Centers for Disease Control (CDC) State Department of Health, local and county authorities, the Home Care Association of America and other agencies and resources. Our response and plans may adjust according to the recommendations from these organizations.