What is Medicare?
Medicare is health insurance paid by the federal government for people age 65 or older, under age 65 with certain disabilities. Medicare has multiple benefits that include Medicare Part A, Part B, Part C, and Part D.
Who Is Eligible For Medicare?
To be eligible for home health care under Medicare:
- You must be covered by Medicare
- You must have a need for skilled services in the home such as nursing, physical therapy or speech therapy
- You must be under the care of an attending Medical Doctor (M.D.), Doctor of Osteopathy (D.O.), or Podiatrist (D.P.M.) who signs orders for home care
- You must be essentially homebound, requiring reasonable and taxing effort to leave home
How Do I apply For Medicare?
What Does Medicare Cover?
Patients are eligible for 100 days of Medicare Part A coverage during a benefit period and as long as the patient is medically necessary. The first 20 Medicare days are paid in full (100%) by Medicare Part A for charges related to a Medicare Part A stay. The remaining 80 days are referred to as Medicare co-insurance days. This means Medicare Part A will pay for all Medicare related charges for the next 80 days except for the co-insurance amount.