Medicare Covered Options
Many people are confused by what types of care Medicare will and will not cover. The following quiz will help you determine whether the care you need will be covered by Medicare, Medicaid or must be paid “out of pocket.” We are happy to provide guidance!
What is covered by Medicare and Medicaid and how do I determine if I am eligible?
In a nutshell, with very few exceptions, Medicare will not cover home care.
Medicare may cover:
- Acute cases requiring a short-period of care
- Someone who is homebound, under a doctor’s care and needs medically necessary skilled nursing care (home health)
- Medicaid is a joint federal-state medical assistance program for low-income people
- Each state has its own set of eligibility requirements
The paperwork can take a while, so it is best to start early before the need for care is urgent.
For more information on Medicare eligibility, contact Medicare at 800-633-4227.
Learn more about Medicaid eligibility and coverage — call Medicaid’s FREE Senior Referral Service at 866-775-0028.
Handy definitions to help you navigate the world of home care
Home Care: Often used to describe in-home assistance of any type. More specifically, home care is help with activities such as bathing, dressing, toileting, light cooking and cleaning.
Home Health: Refers to the need for a nurse, physical therapist, or other medically licensed professional periodically. It may be used in combination with Home Care.
Hospice: End-of-life care for an individual with a life expectancy of 6 months or less.
Assisted Living: A residence that provides professional support for activities of daily living.
Nursing Home: A residence that provides around-the-clock care for patients with a high need for medical attention.
Activities of Daily Living: Includes bathing, dressing, toileting, transferring, eating, walking, getting to and from the grocery store, handling finances.
It’s Your Choice!
You have the Right to Choose a Home Health provider under the law.
Hospital and other medical personnel are not permitted to require you to use any specific provider in order to receive Medicare covered services. You are free to choose any provider you wish that accepts Medicare.
Trusted Hands can help you by connecting you with a reputable, pre-screened provider in your area.