Home Health Services

Our highly skilled and trained staffs work with your doctors and other health care team members to provide the quality care and help you recover, regain independence, and improve current level of function.

Skilled Nursing

After surgery, injury, diabetes, stroke, cardiac event, medication management, wound care, other acute illness, or chronic diseases.

• Rehabilitation

Physical, occupational, and speech therapy.

• Medical Social Services

Counseling and community resources.

• Home Health Aide Care

Bathing, feeding eating, dressing, light housework, meal preparation & more

• Medical Supplies as recommended by a physician (coverage limits may apply)

Who Is Eligible for Home Healthcare Under Medicare?

You or your loved one may be eligible for home health care under the Medicare benefit if:

• Their physician recommends home health services. Your doctor must assess you face-to-face before you can be certified for home health services.

• The care must be medically necessary. They intermittently require skilled nursing care and/or physical, occupational, or speech therapy

• Their illness, injury, or disability renders them homebound (or incapable of leaving home independently)

• Medicare-certified home health agency must provide the home health services

MORE ABOUT MEDICARE ELIGIBILITY

If you have Medicare coverage, there are no out-of-pocket expenses if you meet the following criteria to receive home health services.

To qualify for the Medicare home health benefits, you must meet the following requirements:

1. Be confined to the home – if the following two criteria are met, you are considered “confined to the home”.

a. Criterion 1 – you must either:

– Because of illness or injury, need the aid of supportive devices such as crutches, canes, wheelchairs, and walkers; the use of special transportation; or the assistance of another person in order to leave their place of residence

OR

– Have a condition such that leaving his or her home is medically contraindicated.

b. Criterion 2

– There must exist a normal inability to leave home;

AND

– Leaving home must require a considerable and taxing effort.

However, occasional absences from the home for nonmedical purpose, e.g., infrequent, short period of time, and has therapeutic value such as church weekly or hair cut are allowed.

2. Under the care of a Physician or allowed practitioner– your doctor must assess you face-to-face before certifying that you need home health services (within 90 days before you start home health care, or the 30 days after the first day you receive home health care). This can be an office visit or hospital visit (in certain circumstances a face-to-face visit facilitated by technology such as video conferencing).

3. Your doctor should review and sign your home health plan every 60 days.

4. Be in need of skilled nursing care on an intermittent basis or physical therapy or speech-language pathology; or have a continuing need for occupational therapy.

5. Medicare-certified home health agency must provide the home health services.

Your doctor must order home health care for you. If you are home bound and have trouble leaving your home, you would benefit from home health care. If you need help getting a referral from your primary care physician, call us today at 713-932-0017. We may able to help you to start the referral process.

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