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Imccullough0829: Medicare does not pay for custodial care.
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No, because in-home care is custodial care, not medical care. Custodial care is for assistance with ambulating, eating, plus other basic functions of daily living. However, Medicare will cover the medical recovery part, such as rehab after surgery, doctor's orders for commodes, wheelchairs and medications relevant to that condition.
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I got Medicare for Physical Therapy , a CNA for Bathing and a VNA Person . You have to ask your doctor to write a script .
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My mom and aunt had the Medicare home health care for years. It is very little if a person is looking for 24/7 skilled nursing care. it isn’t intended for that. It is a lot if you are looking for nursing care on a weekly basis to check vitals, set up the pill planner, provide a bathing aide, one or more of the therapies, wound care, flu shots, X-rays, uti tests, things that would cause a great deal of time for family members to take the person out for. It is Health care. The nurse spends about as much time as a patient receives when they visit the doctor. They check vitals, weight, ask about bowels, go over meds. Check the skin. The bathing aide would notice bruises, change bed linens, give a shampoo. Some will cut nails, apply lotion, visit with the patient.

As I understand “intermittent” care it means less than 24/7. 24/7 would need to be private pay, LTC insurance or Nursing Home. Often family care. The home health is a great augment to the family caregiver. It’s not hours of care, rather specific tasks. Not housekeeping or food prep though I have had CNAs heat food.
‘Must be recertification on periodic basis. Not permanent but each of my LOs had it for years. If a person wants to live at home it’s a great help in staying on top of health situations and cuts out the need for frequent doctor visits.

It is not only for after hospitalization. A doctor must order. This is covered by Medicare Part B and Original Medicare and is as Helpless described.
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Medicare is health insurance. It does not cover longterm care in the home. If hospitalized, it may cover in home services, like PT and woundcare, if ordered by a doctor. What helpless discribes in her reply is intermittant care. Its not a permanent solution. It provides very few hours.

Medicaid may pay for LTC in the home if the person needing the care fits the income requirements. Meaning, they have very little assets and monthly income is under the cap. You can get information from your County Social Services.
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Generally no. BIden and Harris said they had plans to allow Medicare to cover homecare via a CMS program if you look it up you might be able to find info on it.
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Helpless676 Jun 1, 2025
Who is eligible to get Medicare-covered home health care?
If you have Medicare, you can get home health care benefits if youmeet all the following conditions
• your doctor must decide that you need medical care at home, andmake a plan for your care at home,
• you must need at least one of the following: intermittent skillednursing care, or physical therapy or speech-language therapy, orcontinue to need occupational therapy,
• you must be homebound, or normally unable to leave homeunassisted. To be homebound means that leaving home takesconsiderable and taxing effort. A person may leave home formedical treatment or short, infrequent absences for non-medicalreasons, such as a trip to the barber or to attend religious services.A need for adult day care doesn’t keep you from getting homehealth care for other medical conditions, and
• the home health agency caring for you must be approved by theMedicare program (Medicare-certified).

Found on their cite.
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