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Does Medicare Cover Home Health Care For Dementia?

does medicare cover home health care for dementia

As someone caring for someone with dementia, it is important to be aware of all available resources which can provide support at home. This may include adult day programs, respite care services and in-home care; however these can be expensive services which require specific expertise of dementia care. Medicare may cover some or all expenses depending on various factors including their stage of dementia as well as unique requirements of their loved one.

Medicare does provide coverage for various aspects of dementia care. Medicare Part A covers annual wellness visits that can detect early symptoms and assist with care planning; cognitive assessments and home safety evaluations to make sure your loved one’s living environment is dementia-friendly; home safety evaluations as well as safety checks in your living environment can ensure safety; Medicare Part B covers care coordination services which assist individuals living with dementia as well as their caregivers manage appointments; benefits can also be obtained for durable medical equipment and preventive services.

Medicare Advantage plans provide hospital coverage as well as help individuals afford prescription drug costs, depending on which plan you select. Some plans even provide adult day services, meals and transportation to and from medical appointments while some have care coordinators and 24/7 support lines dedicated to dementia sufferers.

Medicare does provide considerable coverage for many aspects of dementia care; however, it should be understood that its coverage isn’t comprehensive. Medicare doesn’t pay for long-term nursing home stays or custodial care provided in the home. Under certain circumstances it will pay up to 100 days of skilled nursing facility (SNF) care while hospice services provided at home or a nursing care community will also be covered by this coverage.

As soon as dementia strikes, the best way to determine eligibility for home health care for dementia is by consulting with a care professional. You can do this via your local Area Agency on Aging or Alzheimer’s Association, but additionally consulting a certified home health aide can provide a more in-depth evaluation of medical and social needs along with assistance on navigating various Medicare regulations and requirements.