Understanding Your Medicare Coverage for Home Visits

Here’s a clear guide to what “home visits” mean under Medicare—and what’s covered—so you can use your benefits with confidence.

Two kinds of Medicare-covered care at home

“Home visits” generally fall into two Medicare paths:

  1. In-home medical visits (Part B): These are medical appointments held in your home. They’re covered when medically necessary and billed under Part B. After the Part B deductible, most people pay 20% of the Medicare-approved amount (coinsurance). Medicare
  2. Medicare Home Health services (Part A and/or B): This is a separate benefit designed for people who need part-time or intermittent skilled care at home (like nursing or therapy) and who meet Medicare’s “homebound” definition. When eligible, you pay $0 for covered home health services; if equipment like walkers or oxygen is needed, Part B generally applies a 20% coinsurance. Medicare

In-home medical visits (Part B): what to know

House-call visits can take place in a private residence when care is medically necessary. For these Part B visits, Medicare does not require you to meet the homebound standard used in the Home Health benefit. These visits must occur in your home setting and be documented as medically necessary. Medicare

The information on this website is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.

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