Eligibility for Home Healthcare Services
Patients may qualify for Home Healthcare services through insurance or private pay options based on specific eligibility criteria. These services are designed to facilitate recovery, manage chronic conditions, and provide essential care in the comfort and privacy of the patient’s home.
Insurance Eligibility Requirements:
- Physician’s Prescription and Medical Necessity:
- Services must be prescribed by the patient’s physician as part of a treatment plan, with confirmation that they are medically necessary for the patient’s health and recovery.
- Homebound Status:
- The patient must be considered homebound, meaning they have considerable difficulty leaving home without assistance or require specialized transportation due to their condition.
- Skilled Nursing or Therapy Services:
- The prescribed care plan must include skilled services, such as nursing care, physical therapy, occupational therapy, or other necessary professional healthcare services.
Private Pay Options:
For patients who do not meet insurance requirements or prefer additional services beyond what insurance covers, private pay options are available. These allow greater flexibility in tailoring care to individual needs without the restrictions of insurance criteria.
Our team collaborates with patients, families, and physicians to ensure proper documentation, streamline insurance processes, and make accessing care as seamless as possible. We also provide clear guidance for those choosing private pay to ensure all care options are fully understood and accessible.
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