From a hospital, skilled nursing facility, or physician's office.
Step 2Documentation
PATIENT SCREENING
The home health agency will review the referral to determine if the patient meets eligibility requirements.
Step 3Contact
INITIAL CONTACT
The Home Health agency will contact the patient to discuss their needs and schedule an initial assessment.
Step 4Home Visit
INITIAL ASSESSMENT
A skilled nurse will visit the patient in their home to conduct a thorough assessment, including a medical history, physical examination, functional evaluation, medication review, and environmental assessment.
Step 5Care Plan
MEDICAL NECESSITY DETERMINATION
Evaluate the patient's needs for home health services, such as skilled nursing, PT, OT, ST, MSW, CHHA, etc.
Step 6Implementation
CARE PLAN DEVELOPMENT
Based on the assessment, a comprehensive care plan outlining specific services, interventions, and goals will be created.
Step 7Ongoing Support
SERVICE INITIATION
The home health agency will begin delivering the planned services.
Insurance & Eligibility
Understanding your coverage and eligibility requirements
Medicare Coverage
Medicare Part A and Part B typically cover home health services at no cost to eligible patients.
Home health care is medical and rehabilitation services provided by healthcare professionals (such as registered nurses, therapists, etc.) in your home to help you recover from illness, surgery, or injury, or to manage chronic conditions, while maintaining your independence in a familiar environment.
• Comfort and Convenience: Patients avoid travel fatigue and long waiting times, receiving care in the comfort of their own home, reducing stress and fatigue.
• Reduced Infection Risk: Receiving care at home can reduce the possibility of hospital cross-infections.
• Personalized Attention: Care providers can better understand your home environment and living habits to develop care plans that better meet your needs.
• Cost Savings: For eligible patients, Medicare or insurance can cover most costs, avoiding unnecessary hospitalization expenses.
• Improved Continuity and Compliance: The care team can directly observe daily living and adjust plans promptly, enhancing recovery outcomes.
• People recovering from surgery or hospitalization.
• Those with chronic conditions (such as diabetes, COPD, heart failure) requiring long-term management.
• Individuals with mobility issues who find it difficult to go out frequently.
• Those wishing to shorten hospital stays or avoid unnecessary hospitalization.
If you are 65 or older with Medicare Part A and Part B (Red-Blue Card), you can contact us directly to help determine your eligibility. If you qualify, Medicare typically covers compliant medical/rehabilitation services in home healthcare in full, at no cost to you.
We are happy to help you check your eligibility - please contact us via phone or our contact form.
Common services include: registered nurse care, physical therapy, occupational therapy, speech therapy, home health aide (assistance with daily activities like dressing and bathing), wound care, medication management, condition education, and chronic disease management. Some agencies also provide diagnostic services such as mobile blood draws/labs and X-rays.
• Professionals conduct a detailed assessment.
• A care plan is developed with you, your family, and your doctor.
• Service frequency, types, and personnel arrangements are determined.
• Visit frequency and service types are based on your care plan and doctor's recommendations. They may be several times a week or intermittent.
• If your condition improves or changes, you can discuss adjustments to the plan with your care team and doctor.
• Home Health Care: Medical/rehabilitation in nature, provided by licensed professionals, aimed at restoring, maintaining, or managing health.
• Hospice: For terminal illnesses, focusing on symptom relief and quality of life rather than cure.
• Home Care / Personal Care: Mainly assists with daily living activities such as bathing, dressing, cooking, and cleaning, without medical/rehabilitation professional operations.
• Personnel visiting your home typically include registered nurses (RN), licensed practical/vocational nurses (LPN/LVN), physical/occupational/speech therapists, home health aides, medical social workers, etc.
• These personnel hold licenses or certificates issued by national or state authorities and undergo training and background checks. Agencies generally have supervisory mechanisms to ensure service quality.
• This is determined by your doctor and care team based on your recovery progress and plan. If you recover well or achieve medical/rehabilitation goals, service frequency can be reduced or terminated.
• Patients can also request changes or discontinuation of services and should communicate with their doctor and agency.