Does Medicare Advantage cover home health care?
Answered by 13 licensed agents
Answered by Helena Foutz, RSSA on March 4, 2025
Broker Licensed in CA, AK, AR & 12 other states
Answered by Christopher Palazzini on March 26, 2025
Broker Licensed in FL, CA, GA & 6 other states
including a nurse practitioner, a clinical nurse
specialist, or a physician assistant (PA)), and you’re
getting services as part of a care plan that your doctor or
allowed practitioner established and reviews regularly.
Answered by Lance Stanley on April 21, 2025
Broker Licensed in FL, AL, GA, MS & TX
Answered by Dana Dane on April 4, 2025
Agent Licensed in OR, AZ, CA & 6 other states
Answered by Jeremy Purse on May 13, 2025
Broker Licensed in CA, AL, AZ & 5 other states
Key Points:
Coverage:
Medicare Advantage plans cover home health care, including part-time skilled nursing care, physical therapy, and other home health services.
Additional Rules:
Medicare Advantage plans may have rules like requiring care from plan-contracted providers, prior authorization, or referrals from your doctor.
Potential Costs:
You may need to pay copays, deductibles, or coinsurance for home health services under a Medicare Advantage plan, even though Original Medicare fully covers them.
Non-Skilled Care:
Some Medicare Advantage plans may offer supplemental benefits that include non-skilled in-home care, such as assistance with activities of daily living (ADLs).
Plan Variations:
Coverage for in-home support services (e.g., assistance with ADLs) can vary significantly between different Medicare Advantage plans.
In Summary: While Medicare Advantage plans are required to cover home health care, you should check your specific plan details to understand its rules, limitations, and costs.
Answered by Fred Manas on May 14, 2025
Agent Licensed in NY, CT, DC & 7 other states
Answered by Steve Brauer on April 17, 2025
Broker Licensed in AZ & CA
Answered by Gary Henderson on April 19, 2025
Agent Licensed in TX, AK, AL & 46 other states
Answered by Marcie Barnes on May 4, 2025
Agent Licensed in TX, AK, AL & 48 other states
Answered by Mike Henry on April 12, 2025
Agent Licensed in TX
You also must be homebound, which means you have trouble leaving your home without help because of illness or injury. You pay nothing for that service, with the exception of durable medical equipment. Then you would pay 20% of the Medicare approved amount and the part B deductible does apply.
Answered by Ross Landon on May 11, 2025
Agent Licensed in UT
Answered by Eric Palmer on April 15, 2025
Agent Licensed in AR, MO & TN
More info at: https://www.medicare.gov/publications/10969-medicare-and-home-health-care.pdf
Answered by Lori Gobep on March 28, 2025
Broker Licensed in OH, PA, SC & WV
Tags: Coverage Medicare Advantage
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