Health Plus Home Health Care services are covered by most health insurance plans including: Medicare; managed care plan insurance; commercial and private insurance. Allow us to assist you in determining eligibility for service. To find out more, just call us at 619-223-2779 and ask to speak to our billing specialist.
WHAT DOES HOME HEALTH COST?
Medicare A Benefit
If you are covered under Medicare A benefits, our services may be available at no cost to you. Patients who qualify for home health under Medicare are never billed for services personally, we bill for you.
Commercial/Private/Managed Care Insurance
Commercial health insurance policies typically cover home care, however benefits vary from plan to plan. Our billing specialist is able to assist in determining coverage with your insurance company and the procedures involved to bill for those services. The patient is responsible for deductible or non- covered services and payment arrangements can be made directly with us for this self pay piece.
Home care services that fail to meet the criteria of third party payers must be paid for "out of pocket" by the patient or other party. Health Plus Home Health Care does require a deposit that will be applied to the last month’s charges on termination of services.
WHO IS ELIGIBLE FOR HOME HEALTH CARE SERVICES?
Patients are to be under the care of a physician and the patient requires intermittent skilled services, such as skilled nursing and/or therapies.
The physician orders skilled home health care for their patient. Your physician decides that you need medical care in your home and makes a plan for your medical health care at your home. And the patient is determined to be homebound.
Defining Homebound Status
A patient is considered homebound when they are confined to their residence the majority of the time. Patients can leave the home for absences that are infrequent in nature, short in duration and require a taxing effort. Examples of infrequent/short in duration absences are: attending a religious service, a trip to barber or salon, a walk around the block, drive/ride in the car, family reunion, funeral, a family celebration such as graduation. A taxing effort is recognized as an effort that requires the assistance of another person to leave the home, may require the use of a cane, walker, or wheel chair, and may require a high level of assistance in order to get into an automobile.