Are home health care services covered by health insurance?
Many health insurance carriers have a home health benefit covered under the major medical portion of the policy or prescription benefit. Some insurance carriers choose a home health care company that their members must use in order to be covered for services (this is called a "preferred provider"). If you need home health care services, you should check with your insurance carrier to see if they have a designated home health care company. Other types of insurance do not restrict which home health care company their members use, but may limit the home health benefit in some way (e.g., total number of visits, hours or dollars spent on home health care permitted in a year). Check your subscriber agreement or contact you health plan provider
Can people without insurance pay out-of-pocket for services?
Yes, our staff will assist patients in identifying alternate payor sources, or refer them to local community agencies for additional assistance.
What services does Medicare cover?
Medicare covers part-time or intermittent skilled nursing, physical therapy, speech-language pathology, occupational therapy, medical social worker and home health aide services in patient's home when certain criteria are met. In addition, certain supplies and durable medical equipment are also covered under the home health benefit. When services meet all the Medical coverage criteria, Medicare pays for covered home health services at 100% without deductible or coinsurance with the exception of durable medical equipment for which Medicare pay 80%. A staff can explain the medicare requirements in detail as they apply to your solution.
Private Pay Home Care Services
At sis Home Health Care, we understand the concerns that you face. Private pay home care services are designed to address those concerns. Our extensive experience in screening, training and supervising health care providers has helped us maintain standards of delivery of service as well as clinical standards of excellence. Our highly trained staff can save you valuable time and money that you would otherwise spend seeking alternative care providers. That means you don't have to worry about how to find, hire, train and supervise caregivers. We will do it for you.
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