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The primary treatment for Alzheimer’s and other types of dementia is caregiver care. Having an in-home caregiver to care for a loved one with dementia can be life-changing. Both for you and your loved one. However, caregiver care can be quite expensive.
So a common question many people have is, “does Medicare cover dementia care at home?” In this article, we answer that question in clear, plain English. You will also find the average costs of home dementia care and other helpful info.
The short answer is yes; Medicare will cover the cost of home dementia care. But not 100% of the time. As is often the case with Medicare, certain conditions have to be met in order for Medicare to pay for your home-based dementia care. Below we look at what these are so you know what to expect.
Original Medicare (Medicare Part A and Part B) provides coverage for home-based dementia care. Both Medicare Part A and Part B provide coverage for home health care for your dementia. Here are the services that you may receive during your home healthcare:
But for Medicare Part A and Part B to provide coverage for your home health care for dementia, these conditions have to be followed:
Medicare covers all of the costs with regard to your home health services. But they will only cover 80 percent of the costs of your needed durable medical equipment such as wheelchairs. You will pay for the remaining 20 percent.
Medicare Advantage plans (Medicare Part C) also provide coverage for home-based dementia care. Pact C plans cover everything Original Medicare covers. But they offer some additional benefits too. What each plan covers and how much you have to pay out of pocket for this coverage will vary depending on the specifics of your plan.
Caregiving coming from a home health aide for home-based dementia care can cost you over $20 per hour. For around 40 hours per week, in-home caregiver care costs an average of $4,000 per month.
Note: Medicare coverage changes all the time. And your specific coverage may vary from plan to plan for Medicare Advantage and Medigap plans. Always be sure to double check with your health care provider and/or Medicare insurance provider about what your plan covers and what it does not.
This article is part of our series on “What does Medicare cover?”
Also, you can check out other articles in this series including: Does Medicare cover UroLift procedure?