Navigating home health insurance coverage in Idaho can feel overwhelming, but it doesn’t have to be. At Eden Health, we help you understand your options and ensure you get the in-home care you need without unexpected costs or confusion.
Whether you’re exploring Medicare, Medicaid, or private insurance, this guide will walk you through what’s covered, who qualifies, and how to get started.
Home health care provides medical and non-medical services to patients in their own homes. It may include:
Skilled nursing
Physical, occupational, or speech therapy
Medical social work
Personal care services (bathing, hygiene, dressing)
These services allow seniors, individuals with disabilities, or patients recovering from surgery to receive expert care without leaving home.
Yes—many insurance plans cover home health services in Idaho, including:
1. Medicare
Medicare Part A or Part B typically covers home health care if:
You are under the care of a doctor
You’re homebound
You require skilled services
The services are provided by a Medicare-certified agency
Covered services may include:
Intermittent skilled nursing
Physical or occupational therapy
Medical social services
Home health aide (limited to medical need)
Learn more at Medicare.gov
2. Medicaid (Idaho Medicaid Plus)
Idaho Medicaid may cover in-home care services through several programs, including:
Aged and Disabled Waiver
Idaho Medicaid Plus
Personal Care Services Program
Coverage may include:
Bathing and grooming assistance
Meal prep and homemaker services
Medication reminders
Home modifications for safety
Visit the Idaho Department of Health and Welfare for eligibility details.
3. Private Insurance Plans
Most private health insurance plans offer limited coverage for home health services, usually for short-term skilled nursing or therapy after hospitalization. Check with your provider to confirm:
What services are covered
How many visits are allowed
What copays or deductibles apply
If prior authorization is required
4. Long-Term Care Insurance
If you or your loved one has long-term care insurance, it may cover personal in-home services like:
Help with dressing, bathing, and hygiene
Housekeeping and transportation
Caregiver support
Respite care
Not all policies are the same, so review your plan documents or speak with a care advisor.
Even with coverage, certain services may not be included:
24/7 or round-the-clock care
Housekeeping unrelated to medical needs
Meal delivery services
Long-term care (in most private plans)
At Eden Health, we’ll help you understand what’s included before services begin—so there are no surprises.
If you’re unsure what your plan covers, follow these steps:
Get a Doctor’s Order: Most plans require a physician referral or care order.
Call Your Insurance Provider: Ask them what’s covered for in-home care in Idaho.
Speak With Our Team: We’ll verify benefits and help create a plan that works for you.
📞 Call Eden Health: (208) 538-9470
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We’re more than just a care provider , we’re your partner in health. Eden Health is proud to be a Medicare-certified agency serving Idaho Falls and surrounding areas.
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Medicare & Medicaid accepted
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