{"id":4543,"date":"2026-09-14T11:18:04","date_gmt":"2026-09-14T18:18:04","guid":{"rendered":"https:\/\/compassionatecare.com\/?p=4543"},"modified":"2026-07-29T11:23:27","modified_gmt":"2026-07-29T18:23:27","slug":"does-medicare-cover-home-health-hospice-care-what-you-need-to-know","status":"publish","type":"post","link":"https:\/\/compassionatecare.com\/es\/does-medicare-cover-home-health-hospice-care-what-you-need-to-know\/","title":{"rendered":"Does Medicare Cover Home Health &amp; Hospice Care? What You Need to Know"},"content":{"rendered":"<p class=\"wp-block-paragraph\">For many, the decisions about home health and hospice are made for loved ones that are advanced in age. Often, this comes with a common question: Will any of the home health or hospice treatment be covered by Medicare?&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As Medicare is the largest insurer for seniors, this question is fair and it deserves a thorough answer. In this guide, we will cover everything that you need to know about accessing these treatment options through Medicare.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Medicare\u2019s Coverage for Home Health Care&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare does cover <a href=\"https:\/\/www.medicare.gov\/coverage\/home-health-services\">atenci\u00f3n m\u00e9dica domiciliaria<\/a>, provided that certain conditions are met.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The first condition that needs to be satisfied is that the individual must require part time or intermittent skilled nursing services and they must be homebound. This would mean that leaving home requires considerable effort or is not recommended.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cIntermittent skilled nursing\u201d is defined as fewer than 7 days a week or less than 8 hours per day for up to 21 days, with limited extensions when medically necessary. You will not qualify if you need full time skilled nursing on an ongoing basis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A doctor or other authorized provider must then order your care after a face-to-face assessment. If approved, a Medicare-certified home health agency must provide the care that is prescribed. Covered services can include:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Skilled nursing<\/li>\n\n\n\n<li>Physical therapy\u00a0<\/li>\n\n\n\n<li>Occupational therapy\u00a0<\/li>\n\n\n\n<li>Speech language pathology\u00a0<\/li>\n\n\n\n<li>Medical social services<\/li>\n\n\n\n<li>Part-time home health aide services while also receiving skilled care<\/li>\n\n\n\n<li>Certain osteoporosis injections\u00a0<\/li>\n\n\n\n<li>Medical supplies\u00a0<\/li>\n\n\n\n<li>Durable medical equipment<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Cost of Medicare-Covered Home Health<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">This then raises the question of cost. How much will Medicare cover for these services? All of it? Some of it? None of it?&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For covered home health services, patients will pay nothing out of pocket. However, if you need durable medical equipment like a walker or oxygen, after you meet the Part B deductible you pay 20 percent of the Medicare-approved amount.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare will not cover any of the following:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>24-hour care at home\u00a0<\/li>\n\n\n\n<li>Routine homemaker services (i.e., cleaning or shopping) if they aren\u2019t part of your care plan\u00a0<\/li>\n\n\n\n<li>Personal care if that is the only service needed\u00a0<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Medicare Coverage for Hospice Care&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hospice is a type of care intended for those with an estimated six months or less to live, provided the illness runs its expected course. To start <a href=\"https:\/\/www.medicare.gov\/coverage\/hospice-care\">hospice under Medicare Part A<\/a>, a physician must certify terminal illness. From there, the patient must agree to focus on comfort rather than a cure for their condition and they sign an election for hospice benefits.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare will cover hospice either at home or at a hospice facility, and will include services like:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Housing at a hospice facility (if selected)\u00a0<\/li>\n\n\n\n<li>Nursing and physician care\u00a0<\/li>\n\n\n\n<li>Medications for symptom management<\/li>\n\n\n\n<li>Medical equipment and supplies\u00a0<\/li>\n\n\n\n<li>Aides\u00a0<\/li>\n\n\n\n<li>Therapy when needed for comfort<\/li>\n\n\n\n<li>Counseling\u00a0<\/li>\n\n\n\n<li>Short-term inpatient or respite care<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Initially, hospice will be covered by two 90-day periods. Following this, it will continue to be covered for 60 day periods until the individual has passed as long as eligibility requirements continue to be met.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Cost for Hospice Under Medicare&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">You will not have to pay anything out-of-pocket for hospice services provided under Medicare-approved hospice. However, there may be copays or coinsurance for items like prescription medications and respite care. Room and board at nursing homes and\/or assisted living spaces are also not covered unless the hospice team arranges short-term inpatient or respite care.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare will not cover:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Treatments intended to cure terminal illness once hospice is elected\u00a0<\/li>\n\n\n\n<li>Care from a different hospice that your team did not arrange\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">If you need care for additional needs beyond hospice, such as pre-existing conditions that predate electing hospice care, Medicare will continue to cover those services and you will owe any usual deductibles or coinsurance. You can also change your mind and revoke hospice at any time, such as if you decide to pursue curative treatments or if a patient\u2019s condition unexpectedly improves.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Tips and Next Steps for Central California Residents<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Find Medicare Agencies That Serve Your Zip Code: <\/strong>You can use the Medicare website to locate a <a href=\"https:\/\/www.medicare.gov\/care-compare\/?guidedSearch=Hospice&amp;providerType=Hospice\">local hospice agency in Central California<\/a> where you can review quality data, and read family caregiver ratings before you choose.<\/li>\n\n\n\n<li><strong>Ask Your Clinician to Write a Plan of Care: <\/strong>Ask your loved one\u2019s physician that offered home health or hospice care to also write a plan of care. Coverage rests on medical necessity, and your physician will have to provide appropriate documentation to support this.\u00a0<\/li>\n\n\n\n<li><strong>Understand Small but Important Out-of-Pocket Costs: <\/strong>Expect 20 percent coinsurance for durable medical equipment in home health and the small drug copays or respite coinsurance in hospice. Agencies must tell you in writing if something is not covered before they provide it.<\/li>\n\n\n\n<li><strong>Get Free, Unbiased Counseling: <\/strong>In California, the Health Insurance Counseling and Advocacy Program, known as HICAP, is the state\u2019s SHIP and offers one on one Medicare help. Call the statewide HICAP line at 1 800 434 0222, or for the Fresno and Madera service area call 559 224 9117 at Valley Caregiver Resource Center. Counselors can explain benefits, compare plans, and help with appeals.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Get Compassionate Home Health and Hospice Care in California<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">At Compassionate Care, we provide professional, reliable, and empathetic care to home health and hospice patients throughout all of California. With a commitment to ensuring your comfort and dignity through every step of the journey, we will help respect and treat your loved one\u2019s needs thoroughly with the utmost attention to detail.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Please <a href=\"https:\/\/compassionatecare.com\/es\/home-health\/contact\/\">Cont\u00e1ctanos<\/a> today to learn more about how we can help.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>For many, the decisions about home health and hospice are made for loved ones that are advanced in age. Often, this comes with a common question: Will any of the home health or hospice treatment be covered by Medicare?&nbsp; As Medicare is the largest insurer for seniors, this question is fair and it deserves a [&hellip;]<\/p>\n","protected":false},"author":81,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[83,81,82],"tags":[],"class_list":["post-4543","post","type-post","status-publish","format-standard","hentry","category-guides","category-home-health","category-hospice"],"acf":[],"_links":{"self":[{"href":"https:\/\/compassionatecare.com\/es\/wp-json\/wp\/v2\/posts\/4543","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/compassionatecare.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/compassionatecare.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/compassionatecare.com\/es\/wp-json\/wp\/v2\/users\/81"}],"replies":[{"embeddable":true,"href":"https:\/\/compassionatecare.com\/es\/wp-json\/wp\/v2\/comments?post=4543"}],"version-history":[{"count":1,"href":"https:\/\/compassionatecare.com\/es\/wp-json\/wp\/v2\/posts\/4543\/revisions"}],"predecessor-version":[{"id":4549,"href":"https:\/\/compassionatecare.com\/es\/wp-json\/wp\/v2\/posts\/4543\/revisions\/4549"}],"wp:attachment":[{"href":"https:\/\/compassionatecare.com\/es\/wp-json\/wp\/v2\/media?parent=4543"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/compassionatecare.com\/es\/wp-json\/wp\/v2\/categories?post=4543"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/compassionatecare.com\/es\/wp-json\/wp\/v2\/tags?post=4543"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}