Home health is covered by the following insurance plans:
Medicare:
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)
•Home-bound
•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)
Veterans Administration:
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.
Community Organizations:
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
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. GENERATIONS HEALTH CARE, INC. is a preferred provider for numerous insurance plans. For insurance cases, GENERATIONS HEALTH CARE, INC. will verify the patient's coverage, including any co-payment, and bill the insurance company or other third-party payer for the patient.
Self-Pay:
You may have to pay out of pocket for home health care services if you do not meet the requirements of third-party payers. GENERATIONS HEALTH CARE, INC. will invoice you for our services.