Are you wondering about how to get home health care services? If so, you’re at the right place. All Medicare Advisory offers the very best information online on home health care services, nursing home care, and hospice care.
About Home Health Care Services
Home health care services are NOT personal or custodial care services. This is one of the most misunderstood parts of home health care services.
Home HEALTH CARE is health care in the home.
- Occupational Therapy
- Physical Therapy
- Speech Therapy
- Skilled Nursing
- Wound Care
- Pain Management
Patients receive skilled nursing care in the home with home health care. It’s just like getting care while in the hospital but in the home. This means that only skilled professionals provide in home health care services:
- Registered Nurses
- Licensed Practical Nurses (LPNs)
- Occupational Therapists
- Physical Therapists
- Speech Therapists
Research shows that people who receive home health care services recover faster and decrease their chances of re-hospitalization.
What You Need to Know About How to Get Home Health Care Services
How do you get home health care services? There is a process.
The first step is to either be hospitalized because of an injury or major medical condition or suffer from a major medical condition that requires acute care to stabilize.
For instance, if someone’s blood pressure is in the hypertensive crisis stage, which could result in serious medical emergency.
Someone in hypertensive crisis may need to be hospitalized or can remain in the home while being monitored by a health care provider.
Whatever the medical case may be, a doctor must deem the person as needing skilled care, which can be provided at home or at a skilled nursing facility.
The doctor submits a request for coverage for home health care services to Medicare. The patient and doctor contact home health care agencies to start the process of beginning services.
If Medicare approves coverage for home health care services, the patient can start receiving care immediately.
It’s important to know that there are strict guidelines when it comes to Medicare coverage for home health care services. Please read Who Qualifies for Home Health Care Services to learn more about the qualifications for receiving coverage.
Hospitalization to Home Health Care Services
People who are in the hospital may need medical care when they return home, so this is an instance where home health care services can be used and approved by Medicare. In this situation, it’s important for the hospital’s treating physician and nurses to acknowledge the need for rehabilitation in the home with skilled nursing care (SNC). This recommendation is sent to Medicare, which is then processed to begin paying for the skilled nursing services.
This is how to get home health care services after leaving the hospital. Now, let’s discuss what happens if Medicare decides they will not cover the costs or all of the costs of home health care.
Out-of-Pocket Expenses with Home Health Care Services
People who do not receive approval from Medicare can have home health care services, but they will have to pay for it out-of-pocket. This can be very expensive, which is why it is beneficial to understand why Medicare won’t pay for it and learn what needs to happen for the program to cover the costs.
The other part of Medicare covering home health care services is that the time a patient can receive those services is limited. The government-run program will only pay for the time it takes to stabilize the medical condition. If a patient wants to continue home health care after that time, the services will need to be paid by the patient.
Learn More About Home Health Care Services
This article was written by Marcelina Hardy and was last updated on .