The benefit includes coverage of medical equipment, supplies, certain therapies and nursing care to homebound patients whose conditions make home visits necessary.
While a beneficiary does not need to be bedridden, his or her condition should demonstrate a normal inability to leave home and leaving home would require a considerable and taxing effort. Short-term absences from the home for nonmedical purposes are permitted.
Assistance with daily living activities (e.g., laundry, cleaning dishes, etc.) is not part of the home healthcare benefit.
Respite care for ADSMs who are homebound because of a serious injury or illness incurred while serving on active duty, may be covered if the ADSM’s plan of care includes frequent interventions by the primary caregiver. It requires prior authorization from Humana Military and the ADSM’s approving authority (i.e., DHA-GL or the referring military hospital or clinic).