Home health services coverage

All people with insurance  Part A and/or insurance Part B who meet all of these conditions are covered:

• You must be under the care of a doctor, and you must be getting insurance services under a plan of care created and reviewed regularly by a doctor.
• You must need, and a doctor must certify that you need, one or more of these:
  • Intermittent skilled nursing care (other than drawing blood)
  • Physical therapy, speech-language pathology, or continued occupational therapy services. These services are covered only when the services are a specific, safe, and effective treatment for your condition. The amount, frequency, and time period of the services need to be reasonable, and they need to be complex, or only qualified therapists can do them safely and effectively. To be eligible, either: 1) your condition must be expected to improve in a reasonable and generally predictable period of time, or 2) you need a skilled therapist to safely and effectively make a maintenance program for your condition, or 3) you need a skilled therapist to safely and effectively do maintenance therapy for your condition. The home health agency caring for you is approved by Medicare (Medicare-certified).
• You must be homebound, and a doctor must certify that you’re
  
  homebound

  .

You’re not eligible for the home health insurance benefit if you need more than 

. You may leave home for medical treatment or short, infrequent absences for non-medical reasons, like attending religious services. You can still get home health care if you attend adult daycare.