Home care is mostly non-medical services such as companionship, housekeeping, transportation, personal care, respite care and dementia care. Enlisting home care services does not require a doctor’s order. Home health care is skilled nursing care and certain other health care services related to the treatment of an illness or injury, including rehabilitation services for speech, physical and respiratory therapies. Medicare may cover some home health services if certain criteria are met, including a doctor’s referral for home health services.