What do I do if Medicare stops paying for my home health care?

September 20, 2009 by admin

Your home health agency must give you a notice that explains why and when they think Medicare will stop paying for your home health care. If you get this notice and your doctor believes you still need home health care and that Medicare should keep paying, you can ask Medicare for an official decision. Here's how to get an official decision:

• Keep getting home health care if you think you need it. Ask how much it will cost. (You should talk to your doctor and family about this.)
• Understand you may have to pay the home health agency for these services.
• Ask the home health agency to send your claim to Medicare so that Medicare can decide if it will pay.

If Medicare decides to pay, you will get back any payments you made for these services, except for any coinsurance you paid for durable medical equipment.