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Pricing, Billing and Insurance

Medicare FAQ

Medicare has specific guidelines that must be met for home health, home infusion or medical equipment services to qualify for coverage. Please contact our office at (800) 946-6344(800) 946-6344 or (800) 589-7337(800) 589-7337 to discuss your options.

Who qualifies for Medicare coverage?

To qualify for Medicare coverage, the patient must:

  • Be aged 65 years old or older
  • Currently receive Social Security benefits or be enrolled in the railroad retirement system
  • Be younger than 65 years old and have received Social Security disability benefits for at least two years (24 months)

Will Medicare pay for home health services for patients who are 65 years or older and still working?

Yes. However, if a patient is covered by an employer’s insurance plan, the employer’s health insurance could be used in conjunction with Medicare. Spouses who are a qualified Medicare beneficiary are covered under the spouse's primary Medicare benefits as well.

Are home visits covered under Medicare?

Yes, if each of the following conditions is met:

  • Patient’s physician has requested home health care and established a plan of care
  • Agency is Medicare-certified
  • Patient must be homebound and cannot leave without assistance
  • Patient requires nursing care, physical therapy, or speech therapy for at least 60 days

Are home infusion and medical equipment covered under Medicare?

Medicare has specific coverage criteria for home infusion and medical equipment. Please call the office at (800) 946-6344(800) 946-6344 or (800) 589-7337(800) 589-7337 to discuss your options.