Does Medicare cover non-medical home care?
All Sufficient Home Care does not accept Medicare. Learn how that differs from Medicare-covered skilled home health services.
This article does not provide medical, legal, or financial advice. Contact an appropriate licensed professional for advice about an individual situation.
All Sufficient Home Care does not accept Medicare as payment for our services. Separately, Original Medicare generally does not pay for ongoing non-medical home care when help with daily activities is the only care someone needs. That includes routine help with dressing, meals, shopping, or housekeeping.
When Medicare may cover care at home
Medicare may cover certain home health services through a Medicare-certified home health agency when a person meets its eligibility rules, needs part-time or intermittent skilled care, is homebound, and has an order from an allowed provider. Covered services can include skilled nursing and therapy. These are not services provided by All Sufficient Home Care.
Medicare may also cover part-time home health aide assistance with personal care, but only when the person is receiving qualifying skilled care at the same time. An aide benefit is not the same as a general benefit for ongoing private-duty home care.
What Original Medicare does not pay for
- 24-hour care at home
- Home meal delivery
- Shopping or cleaning unrelated to a covered care plan
- Personal or custodial care when it is the only care needed
People enrolled in a Medicare Advantage plan should ask the plan about its benefits and participating providers. All Sufficient Home Care does not accept Medicare as payment; do not assume a plan will pay us because care is delivered at home.
How to plan for non-medical support
Ask a prospective agency for its current rates, visit minimums, scheduling terms, and payment options. If you have long-term care insurance, ask the insurer what documentation and eligibility rules apply before assuming it will reimburse a service. Eligibility for public programs should be checked with the program administrator.
For our services, ask All Sufficient Home Care about current rates and payment methods. We do not accept Medicare and cannot determine eligibility for other benefits.
Sources
Discuss your family’s care needs
Tell us which tasks are becoming difficult. We can explain our services and current scheduling options.
Talk with a care coordinator
We can explain the services we provide, current scheduling options, and how the consultation works.