Frequently Asked Questions

“Home health” refers to medical services provided at the patient’s residence. Home health care provides medical treatment for an illness or injury, with the goal of helping you recover, regain your independence and become as self-sufficient as possible.  The residence can be a private home or assisted living facility. The home health services typically include skilled nursing, physical therapy, occupational therapy, speech therapy, medical social work and in-home aide. Home health may also include medical equipment and supplies.

 

Home health care is a wide range of health care services that can be given in your home for an illness or injury. Home health care is usually less expensive, more convenient, and just as effective as care you get in a hospital or skilled nursing facility (SNF).

Examples of skilled home health services include:

  • Wound care for pressure sores or a surgical wound
  • Patient and caregiver education
  • Intravenous or nutrition therapy
  • Injections

Monitoring serious illness and unstable health status

Individuals of all ages and with a variety of health care needs can receive home health services. As the name implies, home health is for people who require assistance from a health care professional at home. Medicare, Medicaid and insurance companies require medical orders from a physician before care can be initiated.

All people with Medicare Part A and/or Part B who meet all of these conditions are covered:

  • You must be under the care of a doctor, and you must be getting services under a plan of care established and reviewed regularly by a doctor.
  • You must need, and a doctor must certify that you need, one or more of these:
  • Intermittent skilled nursing care (other than just drawing blood)
  • Physical therapy, speech-language pathology, or continued occupational therapy services. These services are covered only when the services are specific, safe and an effective treatment for your condition. The amount, frequency and time period of the services needs to be reasonable, and they need to be complex or only qualified therapists can do them safely and effectively. To be eligible, either: 1) your condition must be expected to improve in a reasonable and generally-predictable period of time, or 2) you need a skilled therapist to safely and effectively make a maintenance program for your condition, or 3) you need a skilled therapist to safely and effectively do maintenance therapy for your condition.
  • The home health agency caring for you must be Medicare-certified.
  • Your must be homebound, and a doctor must certify that you’re homebound.
  • You’re not eligible for the home health benefit if you need more than part-time or “intermittent” skilled nursing care.

If you feel that you or a loved one may benefit from home health, we are only a phone call away. A member of our experienced staff can work with you and your physician to determine if home health is right for you.

Yes. After your doctor refers you to Intrepid USA Healthcare Services, an Intrepid USA clinician will come to your home to assess your needs. We will communicate with your doctor to discuss the assessment and work together to develop your personal plan of care. Intrepid USA Health Care staff will implement your physician-ordered plan of care and keep your doctor updated about your progress. If your condition or needs change, we will collaborate with your doctor to review your plan of care and make any adjustments deemed necessary.

There are several requirements for receiving home health care:

  • You must have a doctor prescribe home health care.
  • You must need either skilled nursing care on an intermittent basis or therapy services (i.e., physical/occupational/speech therapy)

You must be restricted in your ability to leave home (“homebound”), and your homebound status must be certified by a physician.
This means that you require the help or supervision of another person, or you use a supportive device such as a cane or walker. You can leave the home as often as you need for medical treatment. You are allowed brief and infrequent absences from the home for some non-medical reasons, such as an occasional trip to the barber/beauty shop or a walk around the block.er mattis, pulvinar dapibus leo.

If you meet certain eligibility requirements, Medicare may pay for your covered home health care for as long as you’re eligible and your doctor certifies that you need it.

Additionally, your state’s Medicaid program or your private insurance also may cover home health care, or some services that Medicare doesn’t cover. Check with your state Medicaid program or insurance company to learn about their specific eligibility requirements.

Your costs in Original Medicare:

Before you start getting your home health care, the home health agency should tell you how much Medicare will pay. The agency should also tell you if any items or services they give you aren’t covered by Medicare, and how much you’ll have to pay for them.

Medicare doesn’t pay for:

The frequency of home health care visits and the services provided are based on your doctor’s orders in your personal plan of care. Your doctor may change your plan of care, increasing or decreasing the number of visits or services provided, in order to provide you with the best home health care for your needs.

Private duty care agencies perform household and personal care services, like preparing meals, cleaning, and helping with bathing or dressing; however the cost associated with these services are considered to be  under private pay, possibly a long term care policy, or through local and/or state programs based on need. These services are not covered under the Medicare Home Health benefits.

Home health care provides medical treatment for an illness or injury, with the goal of helping you recover, regain your independence and become as self-sufficient as possible. Home health care can also help you live with a chronic condition, like heart disease, COPD, or diabetes. Additionally, home health care can include some personal care services, like help bathing and dressing, as part of the plan of care ordered by your doctor.

While both Home Health and Hospice Care provide comprehensive care for the needs of a patient within his/her home, the difference is the care focus. Home Health Care focuses on patient rehabilitation and medical management in order to improve a patient’s medical condition. Hospice care is designed to provide non-curative treatment and comfort for those who are facing a life-limiting illness. It offers a support system of medical, social, psychological, and spiritual services that support a patient, their family, and other loved ones.