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WHO IS ELIGIBLE AND WHAT DOES IT COST?

Receiving health care at home can be more cost effective and more pleasant than being in a hospital or a nursing home. You may be eligible to receive some or all of your home care services under the Medicare program.
You are eligible to become a Medicare beneficiary if you meet any of the following conditions:

  • You are 65 and older.
  • You are under age 65 but qualify as disabled.
  • You have end stage renal disease.

Eligibility for home health care services through Medicare depends on whether:

  • You are homebound (you cannot leave your home without assistance).
  • Your condition requires one of these skilled services:
    • Intermittent nursing care
    • Physical Therapy
    • Speech Therapy
    • Occupational Therapy
  • The above services are medically necessary and ordered by your doctor. If you meet these conditions you will be eligible for the Medicare Programs home health care services.
  • In many cases Medicare will pay for home health care expenses ordered by a doctor. Additional costs may be covered by private, long-term insurance.