Skip to content

    50+: Live Better, Longer

    Select An Article

    Medicare and Medicaid for Your Loved One's Care

    (continued)
    Font Size
    A
    A
    A

    Medicare Coverage of Home Health Care

    Medicare pays for some home health care costs of your loved one. The requirements include:

    • He must be homebound.
    • His doctor must approve a treatment plan.
    • He must need skilled nursing care, but not all the time.
    • He doesn't need attention more than 35 hours a week or 8 hours a day.

    What Is Medicaid?

    Medicaid is joint federal-state health insurance that pays some medical costs for Americans with low incomes.

    Coverage differs from state to state. For guidelines, contact your state's Department of Human Services.

    Usually, the benefits include:

    Transportation. Ambulance rides to and from the hospital. They can be emergencies or simply needed to keep your loved one's condition stable. Medicaid may also cover trips to and from a clinic or doctor's office.

    Ambulatory centers. These are facilities that are run by private companies and public agencies that are not part of a hospital. They offer preventive care, therapy, and rehab under the direction of a doctor.

    Ambulatory services covered by Medicaid include dentists, pharmacists, and eye doctors.

    Hospital services. These include stays of up to 60 days. Private rooms are covered only when he's got an illness that requires him to be kept away from other patients.

    He's covered for "outpatient care," which means he doesn't need an overnight hospital stay.

    Labs and image tests such as X-rays and MRIs are also covered.

    Medical supplies and medications. These are covered when prescribed by his doctor, dentist, or podiatrist (foot doctor). Some medical equipment, such as hospital beds, wheelchairs, side rails, and oxygen tanks, is also covered.

    Home health care. He's covered for visits by a nurse, home health aide, or physical therapist.

    Skilled nursing homes. These and intermediate-care facilities (which provide short-term treatment for a patient whose condition is stable or reversible) are covered with a doctor's consent.

    WebMD Medical Reference

    Reviewed by Jennifer Robinson, MD on February 22, 2015
    1 | 2
    Next Article:

    Today on WebMD

    blueberries
    Eating for a longer, healthier life.
    woman biking
    How to stay vital in your 50s and beyond.
     
    womans finger tied with string
    Learn how we remember, and why we forget.
    man reviewing building plans
    Do you know how to stay healthy as you age?
     
    fast healthy snack ideas
    Article
    how healthy is your mouth
    Tool
     
    dog on couch
    Tool
    doctor holding syringe
    Slideshow
     
    champagne toast
    Slideshow
    Two women wearing white leotards back to back
    Quiz
     
    Man feeding woman
    Slideshow
    two senior women laughing
    Article