Home Health Care vs. Home Care: What Is the Difference?
← Back to Blog
Guides5 min read

Home Health Care vs. Home Care: What Is the Difference?

Apr 20, 2025

One of the most common sources of confusion for families is the difference between "home health care" and "home care." While the terms sound similar, they refer to very different types of services with different providers, costs, and insurance coverage.

Home Health Care (Medical)

Home health care refers to skilled medical services provided in the home by licensed professionals. These services are prescribed by a physician and are part of a formal plan of care.

Services include:

  • Skilled nursing (wound care, medication management, IV therapy)
  • Physical therapy
  • Occupational therapy
  • Speech-language pathology
  • Medical social work
  • Home health aide services (when combined with skilled care)
  • Key characteristics:

  • Requires a physician's order
  • Provided by Medicare-certified agencies
  • Delivered by licensed medical professionals
  • Medicare covers at 100% when eligible
  • Intermittent and part-time (not 24/7)
  • Goal is to treat a condition, restore function, or maintain stability
  • Home Care (Non-Medical)

    Home care, also called personal care or companion care, refers to non-medical assistance with daily activities. These services do not require a physician's order and are typically provided by non-licensed caregivers.

    Services include:

  • Companionship and conversation
  • Light housekeeping and laundry
  • Meal preparation and grocery shopping
  • Transportation to appointments
  • Medication reminders (not administration)
  • Personal care assistance (bathing, dressing, grooming)
  • Respite care for family caregivers
  • Key characteristics:

  • Does not require a doctor's order
  • Not typically covered by Medicare
  • May be covered by Medicaid, long-term care insurance, or VA benefits
  • Can be part-time or 24/7
  • Goal is to provide support for daily living and quality of life
  • Which Do You Need?

    Many families need a combination of both. For example, a patient recovering from hip replacement surgery might need:

  • Home health care (skilled nursing and physical therapy) covered by Medicare
  • Home care (cooking, cleaning, companionship) paid privately or through other coverage
  • Getting Help

    Not sure which type of care your family needs? Our care advisors can help you understand your options and navigate the process. Contact us for free, personalized guidance.