Most often, patients use Home Care services when they are recovering from a surgery or managing a chronic illness. Most plans follow the Medicare guidelines when considering coverage. The Medicare guidelines include the following criteria:
- The services must be ordered by a physician.
- There must be a skilled need. Skilled nursing or therapy services (such as physical, occupational, and/or speech) are needed on an intermittent basis.
- A patient must be homebound. The patient’s ability to leave their home requires abnormally taxing effort. This is considered the ‘Homebound Status’, and it needs to be confirmed and certified by the patient’s doctor.
If you have:
- Medicare or Medicaid Insurance – Click the link to view more detailed requirements: The Center for Medicare and Medicaid Services guide, “Medicare and Home Health Care (PDF).”
- Private Insurance – Contact your insurance company to determine Home Care eligibility.
Of course, we are always available to speak with you about your options. Please feel free to contact us.