Home Health Care vs. Non-Medical Home Care

Home Health Care vs. Non-Medical Home Care


The significant difference between home health care vs. non-medical home care is the level of medically skilled care administered by the home health care staff. Home health is care given to patients at home by medically trained and licensed professionals. It is an alternative to receiving care in a nursing home or hospital to regain health and independence.

Home Health Care

The services of home health, prescribed by a physician, and administered by a nurse, home health aide, certified nurse assistant, licensed vocational nurse, or a doctor. Payment options are private medical insurance or Medicare.

  • Catheter care, injections, IV infusions, tracheotomy care, ventilator patient care and teaching diabetes management
  • Post-op rehab: physical (mobility training), occupational and speech therapies
  • Administer medication
  • Pain management
  • Discharge planning, skilled assessments, and training, facilitating support groups, grief counseling, child or elder abuse investigations and reporting
  • Education on disease management
  • Wound care
  • Teaching medication management
  • Durable medical equipment

Non-Medical Home Care

Non-medical home care (home care) services, offered by caregivers, perform only non-medical care tasks. Payment options are out-of-pocket private pay or long-term care insurance. Medicare does not pay for in-home care because Medicare only covers medical expenses, and in-home care is non-medical.

In-home care is not home health, and it offers:

  • Assistance with Activities of Daily Living and Personal Care such as feeding, bathing, toileting, dressing, ambulation and transferring
  • Assistance with Instrumental Activities of Daily Living, such as light housekeeping, laundry, grocery shopping, errands, meal preparation, medication reminders and companionship
  • Personal Assistant Services (PAS) which includes any hands-on assistance, incontinent care, and bathing
  • Companionship services which include social outings, playing cards, visiting and conversation, reading books, activities and hobbies, recreational activities and travel
  • Caregivers provide reminders to clients to take medication
  • Light transportation
  • Respite Care that gives caregivers a much-needed break

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Author: Taylor

Taylor M. Fletcher, ​is the Founder and Principle of Liberty Licensing & Consulting, LLC.