Hallmark Home Health is honored to provide professional home health services to members of our community. Our skilled professional nurses specialize in caring for patients in the home. Their years of experience give them the confidence and skills to deliver the highest quality in-home services available. We work closely with your doctor when he/she determines home health services are the best option for your personal situation.
Medicare.gov provides the following detailed information regarding the use of professional home health services.
How often is Home Health covered?
- Part-time or intermittent skilled nursing care
- Physical therapy
- Occupational therapy
- Speech-language pathology services
- Medical social services
- Part-time or intermittent home health aide services (personal hands-on care)
Usually, a home health care agency coordinates the services your doctor orders for you.
Medicare doesn’t pay for:
- 24-hour-a-day care at home
- Meals delivered to your home
-
Homemaker services include shopping, cleaning, and laundry when this is the only care you need, and when these services aren’t related to your plan of care - Custodial or personal care (like bathing, dressing, or using the bathroom), when this is the only care you need
Who’s eligible?
All people with 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 created 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 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:
-
- Your condition must be expected to improve in a reasonable and generally predictable period of time, or
- You need a skilled therapist to safely and effectively make a maintenance program for your condition, or
- You need a skilled therapist to safely and effectively do maintenance therapy for your condition.
- The home health agency caring for you is approved by Medicare (Medicare certified).
-
- You 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.
- You may leave home for medical treatment or short, infrequent absences for non-medical reasons, like attending religious services. You can still get home health care if you attend adult day care.
Other Insurance Coverage
The requirements discussed in this article are specific to Medicare. We also work with many other insurances as well that may have different requirements. We’re happy to discuss care options with you and determine what your insurance covers.
Contact Us
If your doctor recommends home health care for you or your loved one, contact us at 434.799.3938 and let us help. We’re happy to provide you with a no-cost consultation on services we provide. We work directly with your doctor and insurance company to arrange all necessary services.
Our nurses deliver professional home health services with a heart!
Source: Medicare.gov – Your Medicare Coverage.
HALLMARK HOME HEALTH CARE 