The process for starting the Medicare home health benefit changes depending on whether you are currently in a hospital or if you are already at home. Remember, in both cases you must meet the eligibility requirements and qualify for coverage under either Part A or Part B.
- If you are in the hospital: A hospital social worker or discharge Discharge is the end to your stay as an inpatient in a medical institution such as a hospital or skilled nursing facility (SNF). planner should arrange for a Medicare-certified home health agency (HHA) A home health agency (HHA) is an organization that provides home care services, such as skilled nursing, physical therapy, occupational therapy, speech-language pathology, and personal care. to visit you and assess your condition. If you qualify, you should receive home health care after being discharged.
- If you are at home or leaving a SNF: Speak to your doctor about your home health needs and ask for a list of Medicare-certified HHAs. You, your doctor, or a
caregiver
A caregiver is anyone who provides help and support to someone who is either temporarily or permanently unable to function or someone who can function but not optimally. Most caregivers are unpaid, and are often a family member, friend, or neighbor. Formal caregivers are paid care providers or volunteers associated with a service system.
should be able to call an HHA directly and ask them to visit your home and assess your condition.
- You should also be able to find local HHAs through your hospital discharge planning office, 1-800-MEDICARE, or the Eldercare Locator.
In either situation, the HHA should evaluate your home health needs and create a plan of care. Your doctor must certify that you qualify for Medicare’s home health benefit, sign off on the plan of care, and recertify the plan every 60 days.