Medicare Home Health Eligibility

Eligibility Requirements for Medicare Home Health Care Services

Compassionate Care, Right at Home

At Beachwood Home Health, we believe that healing begins at home, with care that’s personalized, professional, and compassionate.

Understanding Medicare Home Health Eligibility

To qualify for Medicare home health benefits, patients must meet specific conditions set by a physician. The doctor must determine that home care is necessary and create a care plan tailored to the patient’s needs. Eligible services include skilled nursing care, physical therapy, speech therapy, and continued occupational therapy.

In addition to requiring a physician’s approval, patients must be homebound, meaning leaving home requires significant effort. They can still receive home health care if they attend medical appointments or brief trips for non-medical reasons, like religious services. Eligibility also depends on the amount of care the patient requires, ensuring they receive the appropriate level of service for a successful recovery.

Our Mission – Empowering Independence with Compassionate Care

At Beachwood Home Health, our mission is to empower seniors and individuals with disabilities to maintain their independence through high-quality home health care. We combine medical expertise with genuine companionship, striving to create a supportive environment where healing and comfort go hand in hand. Our goal is to enhance the quality of life for every patient, providing personalized care that meets their unique needs and fosters a sense of security and well-being.

Overview of Eligibility

To qualify for Medicare home health benefits, patients must meet several key conditions. First, the physician must determine that the patient needs medical care at home and must create a care plan. Eligible services under Medicare include skilled nursing care, physical therapy, speech therapy, and continued occupational therapy.

Homebound Status

A patient must also be considered “homebound,” which means that leaving the home requires considerable and taxing effort. This status doesn’t mean the patient is completely unable to leave home, but it should be a difficult and rare occurrence. A patient can leave home for medical treatments or infrequent trips for non-medical reasons, such as attending religious services, without losing eligibility.

Service Requirements

The patient must require intermittent care, meaning the services needed should not be continuous. Medicare home health benefits are provided for short-term recovery needs, and services are typically prescribed by a physician. Home health care can include a variety of services such as skilled nursing, physical therapy, speech therapy, and occupational therapy.

Determining Eligibility Based on Care Needs

Eligibility for home health services also depends on the amount of care required. Patients must demonstrate a need for ongoing, skilled care in a home environment to ensure they receive appropriate home health services. If the patient needs fewer services or can be cared for in other settings, they may not qualify for Medicare home health benefits.

Beachwood Home Health contracted with OPTUM

Get the Care You Deserve – Call Us Today for More Information!

(818) 363-6477

Sarah L.

“Beachwood Home Health provided exceptional care for my mother. The staff was compassionate, professional, and truly made a difference in her recovery.”

Jasmine M.

“Thanks to Beachwood, I was able to recover in the comfort of my own home.
The nurses and therapists were incredibly supportive and knowledgeable.”