Medicare does not cover most nursing home care. Custodial care, which includes helping you with daily activities such as bathing, dressing, eating or using the bathroom, is not covered. Medicare Part A may cover skilled nursing facility care, but it must be certified and your care must be medically necessary. Original Medicare may also provide some home health care coverage. Home health care services covered by Original Medicare include: Injectable osteoporosis drugs for women Occupational therapy Part-time or intermittent home health aide services providing personal, hands-on care Part-time or intermittent skilled nursing care Physical therapy Speech-language pathology services