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I live in florida and I'm trying to o tain in home care for my mom in groveland massachusetts, does she need a referral from doc and does Medicare cover this service

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Mostly no. The biggest exemption would be twice weekly visits from bath aides on hospice.
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Reply to PeggySue2020
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Medicare is health insurance and covers medical care not custodial care.

Your post sounds like you might be looking for care with activities of daily living. ADLs. That’s private pay unless your mom qualifies due to her finances.

Medicare covers in-home medical care in certain circumstances.

Think of services you receive on a doctors visit that are provided by the nurse. You go in and the nurse checks your vitals, looks at your meds and asks key questions about how you feel. If you need a flu shot she gives it, she will set up the pill box, does any wound care needed. If mom needs help with a bath, they will arrange a nurses assistant. Physical therapy etc. If a X-ray is needed that can be ordered to be done at home. This service is provided for the home bound. People who are on Medicare, who don’t drive and are difficult to take out for services. It does take a doctors order.

The Home Health companies will help you determine your moms eligibility. You can find the different companies on line. Search on Medicare.gov for providers by using your moms zip code to see the ones in her area. They could tell you if your mom would qualify based on her health issues. What I’ve described is offered by original Medicare. The Medicare advantage plans you see advertised are private insurance and have different offerings. You would need to call them to see what they offer.

If you need housekeeping or meal prep or shopping services that is not provided by health insurance, then you need a Home Care Company or an individual you can find from places like Care.com. That’s private pay.

Check with the senior services in your mom’s town for services that might be offered locally. Here is a link.

https://grovelandma.com/council-on-aging/general-services/
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Reply to 97yroldmom
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