Does Medicare Cover COVID-19 Related Home Health Services for Seniors?
Yes—Medicare covers medically necessary home health services for seniors who meet eligibility requirements, including those affected by COVID-19. Coverage includes skilled nursing, therapy, and certain supplies, but there are rules and limits you need to know. Here’s how Medicare works for COVID-19 related home health care and how to access services for your loved one.
Medicare Coverage Basics
- Medicare Part A and Part B cover home health care if it is ordered by a doctor, the patient is homebound, and care is medically necessary (for COVID-19 or other conditions).
- Covered services include skilled nursing, physical/occupational/speech therapy, home health aide care (if also receiving skilled care), and medical supplies related to COVID-19 treatment or recovery.
- COVID-19 testing (PCR and rapid tests) is covered by Medicare with no out-of-pocket cost when ordered by a doctor or authorized provider.
Eligibility Requirements
- The patient must be homebound and under the care of a doctor, with a documented need for skilled services.
- COVID-19 diagnosis, symptoms, or related complications (such as difficulty breathing, weakness, or post-hospital recovery) can all qualify for covered care if skilled services are required.
How to Access Services
- Contact your doctor for a home health care referral if you or your loved one has COVID-19 or is recovering from it.
- Choose a Medicare-certified home health agency for services.
- The agency will conduct an assessment and develop a plan of care, which may include symptom monitoring, oxygen therapy, medication management, and help with daily activities.
Limits of Coverage
- Medicare does not cover 24/7 custodial care, meal delivery, or services not related to medical needs.
- Coverage is based on medical necessity, homebound status, and periodic recertification by a doctor.
COVID-19 Testing and Vaccination
- Medicare covers COVID-19 PCR and rapid testing, as well as vaccines and boosters, with no out-of-pocket cost for eligible seniors.
More Support and Resources
- Telehealth visits are also covered for certain types of care and follow-up, allowing seniors to receive support remotely if appropriate.
For more details or to arrange COVID-19 related home health services and testing, visit our COVID-19 PCR Diagnostic Testing page or speak with a Medicare-certified home health agency in your area.
