- Centers for Medicare & Medicaid ServicesFederal agency that administers the Medicare & Medicaid programs
- National Association for Home Care & HospiceNational Association for Home Care & Hospice
- Medicare.govMedicare plans, contacts, publications, health care fraud and nursing homes
- Illinois Department of Healthcare and Family ServicesState agency to help Illinois families with healthcare coverage and child support
- Illinois Department on AgingState agency to serve and advocate for older Illinoisans and their caregivers
- Illinois Department of Public HealthState agency to prevents and controls disease and injury, regulates medical practitioners, and promotes sanitation
- Texas Association for Home Care & HospiceTexas Association for Home Care & Hospice
- Indiana Association for Home & Hospice CareIndiana Association for Home & Hospice Care
Who needs home health care?
- Patients with a new diagnosis
- Homebound patients
- Patients with recent hospital/rehab discharges
- People with chronic medical conditions – Congestive Heart Failure, Diabetes, COPD, etc.
- Patients with a recent fall or mobility issue
What does it mean to be homebound?
Homebound means that you have an inability to leave your home or that it takes a considerable and taxing effort to leave home. Absences from the home must be infrequent or for a very short period of time, for example, leaving your home for medical care. Time away from home should not last longer than one to two hours or occur more often than one to two times per week, such as attending a place of worship once a week. In general, you are homebound if you have an illness or injury, which restricts your ability to leave home unless you have help.
Examples would be if you need special transportation or help from another person to leave your home.
If you leave your home and if the absences are long and frequent, such as frequent shopping trips or visits to friends, you are not deemed homebound. When you are able to leave your home on a regular basis, Medicare expects that any medical care you require will be provided in an outpatient setting.
Will my insurance pay for home health services?
Home health services are fully covered by Medicare and by most commercial insurance plans. Our reimbursement specialists can help you determine patients’ coverage.
To find out if you are eligible for Medicare home health care services, read the free publication Medicare and Home Health Care (Publication No. CMS-10969), available at http://www.medicare.gov/Publications/Pubs/pdf/10969.pdf.