Home Health Frequently Asked Question
Who pays for Home Health Care?
Medicare and Medicaid as well as some private insurance companies will pay for home health services. In order to receive this benefit from your insurance company there will need to be documentation by a physician indicating your need for home health. This documentation must show your homebound status (scroll down for further information on this topic). Please contact your insurance company regarding any questions you have about your coverage, including what percentage will go to your private insurance deductible.
How long will Medicare pay for Home Health services?
You can receive home health services as long as your physician believes there is a skilled need. Under Medicare and Medicaid your clinical need for home health will be re-evaluated by our home health staff every 60 days. We may re-evaluate you before 60 day if there is a distinct improvement in your independence and functioning.
It is our intention to begin discharge planning at the start of care because the goal of home health is to help you maintain independence in your home as long as possible. This independence typically includes an eventual discharge from home health care due to improvement in your health, wellness, and home independence.
Discharge planning will be a topic discussed with you throughout your episode of care by the home health staff assigned to your case.
Does Home Health provide respite care or caregiver services?
Respite care is defined as a temporary institutional care of a dependent elderly, ill, or handicapped person in order to provide caregiver relief. Premier Home Care does not provide this service because we are limited to providing intermittent and temporary skilled assistance. However, we believe there is a significant need in our community for this type of care. We know that being the caregiver of a loved one who is elderly, ill, or disabled is a rewarding though taxing job and that caregivers provide the best care when they themselves are rested and well cared for. This is one reason that we created our new branch Premier Home Care Personal Care & Homemaker Services which can provide respite care services.
What does it mean to be homebound?
The Medicare definition of homebound includes the following:
Where do we provide care?
We provide Home Health Care to clients in a 60 mile radius around Buena Vista, Colorado. This includes areas of four counties: Chaffee, Lake, Park, and Fremont. We do not guarantee that all services are available at all times. When accepting a client we have many considerations including our current staffing, safe staff-client ratios, access to the client home, seasonal weather and road conditions. Please call the office to find out what services are available in your area.
Who qualifies for home health?
To qualify for home health services under Medicare guidelines clients must be considered home bound, require the assistance of intermittent nursing care and other home health services, and be under the care a physician who is willing to order home health services and establish a plan of care for the home health agency staff to follow
Does Home Health Provide 24 hours care?
Home Health provides intermittent in-home care, which does not include 24 hour service. Because we are aware that our clients may have concerns and complications during non-business hours we do provide access to our on-call nurse 24/7 by phone.
Do I need a referral from my doctor?
Yes. The doctor discharging you from the hospital or your primary care provider will need to refer you for home health services. He/she will indicate what services are most appropriate to meet your needs. These services may include:
Skilled Nursing to provide assistance for wounds, oral and injection medications, lab draws, in home I.V. management and treatment, Negative Pressure Wound Vac Therapy, nutritional education,
Physical Therapy to work with your to improve your strength, balance, and endurance for the prevention of falls by creating a home exercise routine.
Occupational Therapy to help you improve your independence with activities of daily living with exercises, identifying needed durable medical equipment and possible home modifications .
Speech Therapy to assist you with concerns regarding speech and swallowing secondary to disease processes such as a stroke or for children with developmental delays.
Medical Social Work to help you acquire access to community resources that are available and assist you and your family to process through social and emotional stress related to your medication condition.
Certified Nurse Aid to assist you with bathing, showering, nail care, and other hygienic assistance if you have a skilled need.
When we receive the referral we will contact you within 48 hours to establish care. Please contact Premier Home Care or your doctor for any further questions regarding the referral process.
Does Home Health provide transportation?
Premier Home Care staff cannot provide transportation for our clients due to liability issues. However, there is a local company, Chaffee Shuttle, that can assist you with your transportation needs.