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There are many different kinds of long-term care. Long-term care can
take place at home, in senior centers, at community centers, in
assisted living or special retirement communities, as well as in nursing
homes. Long-term care service is not only nursing home care.
IMPORTANT: Medicare does not pay for most long-term care.
Medicare pays only for medically necessary skilled nursing facility or
home health care. You must meet certain conditions for Medicare to pay
for these types of care when you get out of the hospital. Most
long-term care is to assist people with support services such as
dressing, bathing, and using the bathroom. Medicare doesn’t pay for
this type of care, which is often called “custodial care.” Custodial
care is care that helps you with activities of daily living. It may
also include care that most people do for themselves.
The chart below lists some of the many kinds of custodial care people
often need, like help with activities of daily living or care most people do
themselves. Think about whether you need these services now, or if you may
need them in the future. Check off the services you think you may need.
You may need help with only one or two types of activities of daily
living, like help with eating or bathing. Or, you may need help with many
activities of daily living or help with care needs, like diabetes monitoring
or help with oxygen if you have breathing problems. Also, your needs may
change over time. It is important to make a list of the kinds of services
you need and revise this list as your needs change.
Will I need help with the following activities of daily living?
Using the bathroom, including caring for a catheter or colostomy bag if needed.
Moving into or out of a bed, chair, or wheelchair.
Will I need help with these additional services?
Housework and laundry
Getting to appointments
Paying bills and other money matters
Home maintenance and repairs
Using the telephone
Will I need help with the following care?
Remembering to take medicines
Using eye drops
Taking care of colostomy or bladder catheters
For additional information, please look at the
Summary of Long-Term Care Choices information.