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The term “Home Care” refers to health care services provided at the patient’s residence. The residence can be a private home or assisted living facility. These services typically include skilled nursing, physical therapy, occupational therapy, medical social work and in-home aide. Home care may also include medical equipment and supplies.
Medicare, Medicaid and many private insurance plans have a home care benefit. A brief summary is listed under Home Care Payment Options FAQ. Additionally, our expert financial staff can help you understand your coverage provisions and will contact your insurance company to determine your specific benefits.
Individuals of all ages and with a variety of health care needs can receive home care services. As the name implies, home care 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.
If you feel that you or a loved one may benefit from home care, we are only a phone call away. A member of our experienced staff can work with you and your physician to determine if home care is right for you.
If you prefer to be contacted via e-mail, please complete the Request Info form and we will promptly reply to your request.
Home care patients have the right:
1. To competent, individualized health care that is given without discrimination to race, creed, color, age, sex, national origin, disability, marital status, source of payment, or political beliefs.
2. To expect a written care plan which is in accordance with physicians’ orders and to participate in all decisions affecting his/her care and plan of treatment.
3. To be informed in advance about the care to be furnished, the disciplines that will furnish the care and the proposed visit frequency.
4. To know the identity and responsibilities of those who are coordinating, rendering, and supervising the care, including health care providers under contractual relationships.
5. To have his/her privacy respected and all health, social, and financial information treated as confidential. The patient may approve or refuse to release medical information to any individual outside of the agency, except in the case of transfer to another agency or health facility, or as required by law, accrediting bodies or third-party payment contract.
6. To a complete explanation of all services provided, initially and on a continuous basis. To health teaching and education in a language or form the patient can reasonably be expected to understand.
7. To expect recommendations for services, evaluations, and referrals, appropriate to the nature of his/her illness and rehabilitation, to other community agencies or health care agencies that can assist or enhance the provision of health care regardless of ability to pay.
8. To be fully informed as to the nature and method of experimental treatment or research and either give documented voluntary informed consent or refuse such treatment.
9. To be assured that transfer or discharge from the agency is only for medical reasons, self-welfare, or the welfare of others. To participate in the transfer process, to another agency or level of care, if the agency can no longer meet the care or needs of the patient because of the agency’s mission, philosophy, or limitations in its scope of care or services.
10. To be involved in resolving ethical issues or conflicts about care or service.
11. To have his/her property and person treated with respect.
12. To voice complaints or grievances, or ask questions about care or services and recommend changes in policies and services without being subject to coercion, discrimination, reprisal or unreasonable interruption of service for so doing. All complaints will be investigated and documented, including resolution, within five (5) working days after their receipt.
13. To know that his/her family or guardian may exercise the patient’s rights if the patient has been judged incompetent by a court of law.
14. To know that Medicare / Medicaid are accepted as payment in full. If you enroll with an HMO during our period of care, then you may be liable and may be billed for services rendered.
15. To be advised, orally and in writing, of any changes in the payment expectations, as soon as possible, but no later than 30 calendar days from the date the agency becomes aware of the change.
16. To be informed of the financial responsibilities under private insurance arrangements.
17. To continuity of services.
18. To select or change his/her own physician, treatment or agency.
19. To refuse treatments and to be informed about the consequences of such action.
20. To have Advance Directives honored as permitted by local, state, and federal law.
21. To choose or reject ancillary services and to be fully informed of any financial gain or relationship to the agency of such services.One of the main requirements for a patient to receive services paid for by Medicare is that they are “homebound”. Homebound means you have an inability to leave home and, therefore, leaving home requires a considerable and taxing effort. Occasional absences from the home are permitted as long as they are of short duration. For example, doctor appointments, family reunions, funerals, religious services, graduations will not disqualify you from home care services as long as they do not indicate you have the ability to obtain services in a setting other than your home.