Medicare’s home health care benefit is limited. Medicare does not cover many home care services. Medicare home health care does not cover:

  • 24-hour a day care at home
  • Prescription drugs
    • To get Medicare drug coverage, you need to enroll in a Medicare Part D plan. You can choose a stand-alone Medicare private drug plan (PDP), or a Medicare Advantage Plan with Part D coverage (MADP).
  • Meals delivered to your home
  • Homemaker or custodial care services (i.e. cooking, shopping, laundry)
    • Unless custodial care is part of the skilled nursing and/or skilled therapy services you receive from a home health aide or other personal care attendant.

The Medicare hospice benefit may pay for some of these items and services for people at the end of life.