| Medicare
fully covers home health care that meets the criteria for coverage.
The services covered include skilled nursing, therapy, home health
aide, and social work visits. The criteria for coverage includes:
- Homebound
Status: The client must
be confined to his or her home and leave the home only with difficulty.
- Intermittent:
Services must be provided on an intermittent basis. This means
that the care required can be accomplished in approximately an
hour long visit by the professional. In addition, there must be
a predictable end to the service required.
- Skilled
Care: Medicare
cover care that is considered to be skilled. Skilled care included
wound care, IV therapy, and instruction regarding the illness
and medications. At the time that the services are not skilled,
the nurse will begin discharge plans.
- Physician
Ordered: The care received
must be ordered by a physician and be appropriate for the medical
diagnosis.
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- Various
state agencies pay for home services
for qualified clients. Passport,
Waiver, Medicaid, Senior Options, and In
Home Services are some of these programs. Heritage
provides services for these programs.
- Insurance
policies often have a home health care benefit. Heritage accepts
insurance cases and will provide insurance verification before
care starts to protect and inform the client fully of the costs.
Heritage will bill the insurance company and the client appropriately.
- Private
Pay home care is chosen by many individuals. This
can include whatever service the client desires. Some examples
include personal care, homemaking, laundry, meal preparations,
companionship, errands, assistance to the doctor's office or hospital
procedures. Clients are billed directly by Heritage on a weekly
basis.
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