Below you will find our most frequently asked questions (FAQs). If you have any further questions, please contact us. We would like to talk with you about any questions, concerns and comments you have.
What services will I receive under Home Care?
Services available from home care may include: Skilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Social Worker, and Home Health Aide. The case manager in collaboration with you and your physician will develop a plan of care to meet your specific needs. These services are goal oriented and intermittent. Once your goals have been met, home care services are discontinued. Back to Top
How are Home Care Services paid for?
Services received under Home Care are covered 100% by Medicare and medicaid with no deductible or co-pay. To qualify for Medicare home care you must meet the following conditions.
Be enrolled in the Medicare Health Benefit, either Part A or Part B
Be considered homebound
Third Party insurers and Medicare managed care plans also have the Home Care benefit. This benefit can differ from plan to plan and some may require a co-payment in order to receive service. You must check your benefit with your insurance company. Insurance companies for whoom we are a provider include:
What are the differences between Home Care Services and Private Pay services?
Home Care services are provided under a plan of care supervised by a physician. These services require a skilled professional and are usually needed as a result of a medical issue identified in your physician's office or as a result of a recent hospitalization of discharge from a skilled or rehabilitation facility. Private pay services are those deemed needed by you or your family usually to assist with the activities of daily living. These services are usually provided on an hourly basis and are paid for by the client. These services may continue for as long as the client wishes to pay for the services. Back to Top
How long can I qualify for services?
Home Care services covered by Medicare have no limit as long as there is a continued need for intermittent skilled care and the patient remains homebound. Home Care services covered by Missouri Medicaid are subject to 100 visits per calendar year except in special circumstances. Insurance and other third party payers require authorization for each visit on a case by case basis. Back to Top
What does "homebound" mean under Medicare?
The patient must be unable to leave home except with "reasonable and taxing effort." This means that patients can leave their homes if they have assistance and do not drive themselves to go to a doctor's appointment, grocery store, hairdresser or to attend a church / synagogue / religious meeting. Back to Top
Who initiates Home Care if my loved one needs services?
Services can be initiated by the potential patient, family member, social worker at the hospital or skilled facility or by your physician. The home care agency will follow up with your physician to determine services needs. If you feel you or a loved one needs skilled home care services, please call and we will follow up with your physician to review your potential service needs. Back to Top
Can I choose whatever Home Care Company I want?
Home care services are a benefit available through your Medicare benefit or your managed care benefits. Choosing a home care agency is your choice. You can choose whatever agency you would like and your physician will work collaboratively with the agency to provide you the services you need. Back to Top
