Medicare Home Health Benefit for Your Patients

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Medicare Home Health Benefit for your Patients

Home health care services reduce rehospitalizations by ensuring a continuum of care from hospital to home and empowering patients through disease management programs.

Home health care allows your patients to receive treatment for an illness or injury in the comfort of their home and under your plan of care, so they can regain their health and maintain their independence. Whether they are recovering from hip replacement surgery or need help for congestive heart failure, they may receive skilled care under the Medicare Home Health Benefit. Are your patients taking advantage of this benefit?

Benefits of referring to home health care:

  • Continuity of care from hospital to home: Reduction in rehospitalization and emergent care visits.
  • Convenient: A health care team comes to your patient.
  • Cost-effective. Your patients pay very little, if anything, out of pocket.
  • You can bill for care plan oversight.

Your patients are eligible if:

  • They have Medicare.
  • They are under your plan of care.
  • They need skilled nursing care or therapy services on an intermittent visit basis.
  • The home health agency you refer them to is Medicare-certified.
  • They are homebound (they leave home infrequently and it requires considerable effort).

Medicare covers the following home health services:

  • Skilled nursing care
  • Physical therapy
  • Speech-language pathology
  • Occupational therapy
  • Medical social services


Conditions commonly treated by home health care include: hypertension, heart disease, diabetes, COPD, Osteoarthritis, dementia, cancer, and cerebrovascular disease.