This booklet describes the home health care services that Medicare covers, and how to get those benefits through Medicare. If you get your Medicare benefits through a Medicare health plan (not Original Medicare) check your plan’s membership materials, and contact the plan for details about how the plan provides your Medicare-covered home health benefits.
Medicare pays for you to get health care services in your home if you meet certain eligibility criteria and if the services are considered reasonable and necessary for the treatment of your illness or injury.
This official government booklet tells you:
Who’s eligible
What services are covered
How to find and compare home health agencies
Your Medicare rights
Get a first-hand account of this book on our blog: https://govbooktalk.gpo.gov/2018/04/24/maximize-your-dollars-during-mone...
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Table of Contents
Section 1: Medicare Coverage of Home Health Care 5
Who’s eligible? 5
How Medicare pays for home health care 7
What’s covered? 7
What isn’t covered? 10
What you pay 10
“Advance Beneficiary Notice of Noncoverage “ (ABN) 11
Your right to a fast appeal 12
Section 2:
Choosing a Home Health Agency 15
Finding a Medicare-certified home health agency 15
Comparing home health agencies 15
Comparing quality 16
Home Health Agency Checklist 17
Special rules for home health care 18
Find out more about home health agencies 18
Section 3:
Getting Home Health Care 19
Your plan of care 19
Your rights getting home health care 20
Where to file a complaint about the quality of your home health care 21
Home Health Care Checklist 22
Section 4:
Getting the Help You Need 23
Help with questions about home health coverage 23
What you need to know about fraud 24
Definitions 27
All Americans eligible for Medicare or about to be. Health professional counsellors, health practitioners, governmental officials serving within the Medicare services community,
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