In home health care is covered by the following insurance plans:
Home health care services are covered 100% by Medicare; services must be intermittent or part-time and provided by a Medicare-certified home health agency.
To qualify for home health under Medicare you must be:
•Older than 65 (some disabled under 65 are exempt from this age requirement)
•Under a physician's care (the physician must authorize and periodically review the home health care plan)
•In need of medically necessary skilled nursing or therapy
Medicaid: A program for low-income individuals, eligibility for which varies by state. Home health care coverage is mandated in all states for people who:
•Receive federally assisted income maintenance payments such as Social Security income or Aid to Family with Dependent Children
•Are deemed "categorically needy" (individuals who are aged, blind, and/or disabled with incomes above the mandatory coverage level but below federal poverty levels)
Home healthcare may be covered for veterans through the Veterans Administration.
Social Services Block Grant Programs:
Federal social services block grants are awarded to states each year for service needs, which may include an allocation to home healthcare agencies.
Depending on a patient's eligibility and financial circumstances, certain community organizations may pay for all or part of the necessary home health or care services.
Private Insurance, Managed Care Plans and Workers Compensation: Many private insurance policies, HMOs, PPOs and Workers Compensation plans cover home healthcare when prescribed by a physician. Please review your policy for specific terms. All of our companies are preferred providers for numerous insurance plans. For insurance cases, eligibility and patient's coverage, including any co-payment are verified and billed to the insurance company or other third-party payer for the patient.
You may have to pay out of pocket for home health care services if you do not meet the requirements of third-party payers. If this is the situation that meets your needs, you will meet and discuss what services you specifically need and a plan of care to suit your needs will be established and we will invoice you for our services.