Can I choose any home health agency if I am in a Medicare Advantage Plan?
Medicare Advantage Plans, such as a Medicare Managed Care Plan, a Medicare Preferred Provider Organization, or a Medicare Private Fee-for-Service Plan, are health care choices in some areas of the country. In most plans, you can only go to doctors, specialists, or hospitals on the plan’s list. Medicare health plans must cover all Medicare Part A and Part B health care, including home health care.
If you belong to a Medicare Advantage Plan, you may only be able to choose a home health agency that works with your plan. Call your plan if you have questions about the plan’s home health care rules, coverage, appeal rights, and your costs (quality of care ?) If you get services from a doctor or a home health agency that doesn’t work with your Medicare Advantage Plan, your plan and Medicare won’t pay the bill.
If you aren’t sure if you are in a Medicare Advantage plan, you can call your local Social Security office, or call Social Security at 1-800-772-1213. (TTY users should call 1-800-325-0778.)