What is the main limitation for Medicare's coverage of home health care services?

The main limitation for Medicare's coverage of home health care services is that it is restricted to skilled nursing care. Under Medicare, home health care must involve skilled services, meaning that the care must be provided by trained professionals such as registered nurses, physical therapists, or occupational therapists. This requirement ensures that patients receive the necessary medical attention, particularly for rehabilitation or recovery from illness or injury.

While home health care can include additional services, such as therapy and short-term nursing care, it does not typically encompass daily living assistance (like help with bathing or meal preparation) unless it relates to a therapeutic or skilled need. This distinction highlights that Medicare is designed primarily to address medically necessary skilled services rather than custodial or personal care that aids in daily living.

Therefore, understanding this limitation is crucial for beneficiaries or their caregivers when considering what home health services can be covered under Medicare, ensuring they meet the necessary criteria for skilled care at home.