What is Home Care?
Home care, also known as home health care and home support services, encompasses a wide range of medical and non-medical services delivered in an individual’s home. The spectrum of services ranges from high-tech infusion nursing to non-medical home care services.
Health care delivered in the comfort and security of the home provides the patient and his/her family with a sense of control and peace of mind. Home care also helps reduce the strain caused by excessive hospital or nursing home bills during an illness or disability. Staying at home will enable the patient to maintain social ties and involvement with community, friends and family. This preserves a sense of independence and security for the patient.
Home care continues to grow as the demand for cost effective services in the home increases. The growth is due in part to the again population and shortened hospitalizations. Today, services that previously required hospitalization are routinely delivered in the home.
Who is Eligible for Medicare Home Health Care?
To be eligible for Medicare covered home health care, you must meet the following criteria:
- You must be under a physician’s care and the physician must order the services.
- You must require a skilled, intermittent service such as: skilled nursing care, physical therapy, or speech therapy.
- You must be homebound due to an illness or injury which makes it difficult for you to leave home in order to receive medical care.
Does any government program cover the cost?
Yes. Both Medicare and MediCal cover the cost of our services. Although we are not able to accept MediCal, we have several qualified agencies that can be referred to you.
What is Homebound?
Medicare considers a patient to be homebound if “leaving the home would require a considerable and taxing effort,” and if “he/she has a condition due to an illness or injury which restricts his/her ability to leave his/her place of residence except with the aid of supportive devices such as crutches, canes, wheel chairs and walkers, [with] the use of special transportation, or the assistance of another person, or if leaving the home is medically contraindicated.” Homebound patients may leave the home “if the absences are undertaken on an infrequent basis or are relatively short duration…or for the purpose of receiving medical treatment.”
Is Medicare only for the elderly?
There is a misconception that Medicare and MediCal coverage is only for the very old or the very young – while both of these programs do offer coverage to these age groups there is also coverage offered for others who meet certain qualifications.
You may also DOWNLOAD a copy of the brochure published by the government that offers more details regarding Medicare and Medicaid coverage for Home Health Services. Click here for a Benefit brochure.
How much notice do you need?
Normally, we need two days notice but can place someone with 24 hours if need be.
Can your service care for a client in a facility (nursing home or assisted living)?
Yes. We can provide services to care facility residents who have a medical skilled need. All other non-medical needs are not covered.
Is Durable Medical Equipment provided?
Yes. Arrangement for these services will be made for the special needs of the patient and in most cases are covered by Medicare. For example: commodes, wheelchairs, crutches, hospital beds and I.V. equipment.
How are your caregivers selected?
All of our caregivers are thoroughly interviewed, reference checked and triple screened. Every care-giver is an employee of ours and they are insured for additional protection.
Who pays the caregiver?
We do. They are our employees and are paid through our regular payroll. We take care of all their employment, payroll taxes, insurance, social security and worker’s compensation so that you don’t have to worry about anything.
What forms of payment do we accept?
Home Health Care costs can be covered in a number of ways: (1) Self-Paid without the assistance of an insurance program; (2) Paid all or in part by private insurance; (3) Paid all or in part by Medicare or Medicaid.