The home health agency submits claims to Medicare for payment. Medicare pays the full approved cost of all covered home health visits. You may be charged for:
- Medical services and supplies that Medicare does not cover.
- 20 percent coinsurance for Medicare covered medical equipment such as wheelchairs, walkers and oxygen equipment. If the home health agency doesn’t supply medical equipment directly, they will arrange for a home equipment supplier to provide you with the items you need.
Before your care begins, the home health agency must tell you how much of your bill Medicare or other Federal programs should pay. The agency must also tell you if any items or services they provide are not covered by Medicare and how much you will have to pay for them. This must be explained orally and in writing.
If you are eligible for Medicaid it might be possible to get services in addition to those covered by Medicare. Medicaid coverage differs from State to State, but in all States it covers basic home health care and medical equipment. In addition, Medicaid programs everywhere cover homemaker, personal care, and other services that are not covered by Medicare.
To be eligible for Medicaid, you must have very low income and few savings or other assets. For more information about whether you might be eligible and about what Medicaid covers in your State, contact your State Medicaid Agency.