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Medicare’s exclusion of personal aide services leaves families paying about $30 an hour for home care, highlighting a cost gap in long‑term care coverage

Executive summary: Medicare covers skilled nurse visits but does not reimburse personal aide services, leaving families to pay about $30 per hour for aides who assist with dressing and other daily activities. The out‑of‑pocket expense highlights a coverage gap in long‑term care that can burden household budgets and limit access to essential home help for seniors.

Who is involved: Medicare program, seniors and their families requiring home care, home health aides, and policymakers considering benefit expansions.

Likely next: Debate may intensify in Congress or CMS about adding aide services to Medicare coverage, while private pay home‑care providers could see increased demand.

The article notes that while Medicare reimburses skilled nursing visits, it does not cover the personal aide tasks that help seniors with dressing, bathing and meals. Families must therefore bear the full cost of aide wages, reported at roughly $30 per hour. This coverage gap underscores a growing financial strain on households and signals a potential policy pressure point for expanding Medicare benefits to include non‑medical home help.

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