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Who is Eligible for Home Health Care Under Medicare?
Medicare is a federal health insurance program that serves
as a vital support system for people aged 65 and older. Patients may be
eligible for Medicare earlier if they have certain disabilities, End-Stage
Renal Disease or ALS. Among Medicare’s unique benefits is home health
care, which provides skilled nursing, therapies and other care services to
those with specific health needs.
Basic Eligibility for Medicare Home Health Care Benefits
To be eligible for Medicare home health care benefits, the
patient must meet several key criteria to help determine if the patient’s
condition and home environment warrant home health care benefits.
Patients may be eligible for home health if they meet the
following criteria:
Being Homebound
A patient is homebound if they are unable to leave their
home or must go through considerable effort when doing so, or that leaving home
is not recommended because of their medical condition. Homebound status is
determined by the patient’s primary care physician based on physical
limitations, such as disabilities, surgery recovery, severe illness or
cognitive impairment.
Demonstrating a Medical Need
In addition to being homebound, the patient must require
intermittent skilled nursing care or skilled therapy services.
Physician Approval/Face-to-Face Encounter
The patient’s physician must authorize home health care
services and review the patient’s care plan regularly.
The patient must have the required face-to-face encounter
with their physician within the timeframes required by Medicare. The encounter
must also be related to the primary reason you need home health care.
Choosing Medicare-Certified Home Health Agency
The agency providing care must be certified by
Medicare.
Common Conditions Among Patients Requiring Home Health Care
Home health care services cater to a wide range of
conditions commonly experienced by patients aged 65 and above. These
conditions often require comprehensive care by an interdisciplinary
team.
A few of the conditions commonly found among patients of
home health care include:
A home health care plan tailored to a patient's needs can
effectively address these conditions, providing the necessary support to
promote well-being, independence and quality of life for patients while helping
to avoid unnecessary hospitalizations.
Circumstances That May Lead to Discharge from Home Health
Care
Several circumstances may negate a patient’s basic
eligibility and lead to the termination of home health care. These factors
include:
Types of Care Covered Under Medicare Home Health Care
Medicare home health care provides a wide range of
skilled nursing, therapy and support services to address the medical
and therapeutic needs of eligible patients depending on their needs.
Skilled nursing care includes:
Therapy services include:
Additional dependent services are available once the patient
has a qualifying need for skilled nursing or skilled therapy services,
including:
Services Not Included in Medicare Home Health Care
It’s important to be aware of services not included in
Medicare’s home health care benefit. Although some of these may be necessary
for your needs, you don’t want to be in a situation in which you expect to have
certain services covered but end up with a significant medical bill. Uncovered
services include:
Supplemental Services Outside of the Medicare Home Health
Care Benefit
Although Medicare covers core home health care services,
certain services not covered by Medicare might be essential to a patient’s
well-being. These home and community-based services may vary according to the
patient’s location and program requirements. Patient eligibility is determined
through a patient assessment with approval from a patient's primary care
physician or social worker. Services like these include:
These non-medical services are generally funded through
out-of-pocket payments or community resource programs. Patients eligible for
Medicaid or Veterans Affairs (VA) benefits may receive additional support. To
find out more, contact your insurance plan or a home health care agency that
connects patients with these external resources.
Costs for Medicare Home Health Care
Understanding associated costs is crucial for patients and
their families when deciding to elect Medicare home health services.
It’s always important to fully understand the cost of benefits from your agency
of choice, but the following key points are a great place to start:
No Out-of-Pocket Costs for Medically Necessary Services
For eligible patients, Medicare covers the costs of all home
health care services deemed necessary by the physician, ensuring that these
patients do not have to pay out of pocket.
Transparency in Medicare Coverage
The home health care agency is responsible for informing the
patient of all costs associated with Medicare coverage. This level of
transparency allows patients to plan and manage their healthcare expenses.
Partial Responsibility for Medical Equipment
When a patient requires Medicare-covered medical equipment,
Medicare may be responsible for covering 20 percent of the cost.
Work with medical equipment provider to receive an estimate to help anticipate
and manage out-of-pocket expenses.
Next Steps for Home Health Care
If you or your loved one has been diagnosed with a severe or
chronic illness, open communication and timely action can significantly impact
the quality of care and support. Take these recommended next steps if you think
home health care is the right choice:
1. Facilitate open communication.
If possible, encourage your loved one to communicate their
wishes and desires with you and other family members and caregivers. Ensure
everyone involved is aware of your or your loved one’s preferences and goals
for care.
2. Contact an agency for connections to resources.
A reputable agency can facilitate access to necessary
resources. In addition to offering access to essential services, the right
agency can provide comprehensive support for a seamless care experience.
3. Consider agencies with a full continuum of care.
A full continuum of care provides a comprehensive range of
healthcare services that address an individual’s care needs across different
stages of illness or recovery.
Choose an agency that offers a full continuum of care so you
or your loved one can smoothly transition from one program to another, if
necessary. This approach ensures they receive consistent, uninterrupted care
tailored to their care needs.
Severe or chronic illnesses create many challenges, but navigating Medicare home health care benefits shouldn't be one of them.
Contact Amedisys Home Health Care in the South Alabama Area with locations in Bay Minette: 251-580-8236, Brewton: 251-809-1717, Citronelle: 251-866-3261, Foley: 800-763-6382, Mobile: 251-380-0492 and Monroeville: 866-334-0260.
The Benefits and Services of Non-Medical In-Home CareAs our loved ones age or face health challenges, ensuring their well-being and independence becomes a priority. Non-medical in-home care offers a compassionate solution, providing personalized support in the comfort of home. Homecare Companions specializes in delivering this care, catering to a diverse range of needs with services designed to enhance quality of life and peace of mind.Who Benefits from Non-Medical In-Home Care?Non-medical in-home care is ideal for individuals facing health-related challenges, including: Aging parents who need assistance with daily activities. Those living with chronic or progressive conditions such as ALS, Parkinsons disease, or dementia. Individuals recovering from surgery or rehabilitation after a stroke. Patients with visual impairments, mobility issues, or an increased risk of falls. People navigating the complexities of end-of-life care due to diseases like cancer, heart disease, or COPD. Amputees and others adjusting to significant physical changes. Whether the goal is regaining independence or enhancing comfort during challenging times, in-home care provides tailored support for every unique situation. Core Services Provided by Homecare CompanionsHomecare Companions focus on non-medical services that improve clients daily lives. Key offerings include: Help with Activities of Daily Living (ADLs): Assistance with bathing, dressing, grooming, toileting, and incontinence care. Meal Preparation and Nutrition Support: Cooking, feeding assistance, and ensuring dietary needs are met. Light Housekeeping: Tasks such as laundry, cleaning, and maintaining a tidy home environment. Medication Reminders: Helping clients stay on track with their medication schedules. Transportation Services: Driving clients to medical appointments, grocery stores, or social outings. Companionship: Providing emotional support and reducing feelings of isolation through meaningful interactions. Mobility Support: Helping clients with mobility and transferring. End-of-Life Support: Offering compassionate care and emotional support for patients and families in hospice care. Enhanced Services and CustomizationHomecare Companions also offer additional services to suit individual needs, such as: Personalized Care Plans: Based on a complimentary in-home assessment, tailored care plans address the specific needs of each client. Collaboration with Other Care Providers: Coordinating with home health or hospice care teams to provide seamless, 24/7 support. Insurance Assistance: We are a fully insured, certified and bonded long-term care company. With an RN on staff we can accommodate almost all long term care insurance requirements. FAQs About Non-Medical In-Home Care1. How Much Does It Cost? The cost depends on the level of care, location, and frequency of visits. Contact Homecare Companions for a customized quote.2. Is It Covered by Insurance? Medicare typically doesnt cover non-medical in-home care, but many long-term care insurance policies do. Homecare Companions is certified to meet insurance requirements and can assist with claims.3. How Do I Find a Qualified Caregiver? Homecare Companions carefully vets each caregiver with background checks, reference verification, and training to ensure professionalism and trustworthiness.4. How Can I Arrange Services? Contact Homecare Companions at (251) 699-3441 to schedule a complimentary assessment and create a care plan tailored to your loved ones needs. The Benefits of Homecare CompanionsHaving a homecare companion brings numerous advantages, including: Promoting independence by assisting with daily tasks. Providing genuine companionship to combat loneliness. Reducing stress for families by offering peace of mind. Enhancing overall well-being in the familiarity of home. Whether supporting recovery, navigating chronic conditions, or ensuring comfort during end-of-life care, Homecare Companions are committed to delivering compassionate and comprehensive support. Serving Baldwin and Mobile counties. Contact Homecare Companions today at 251-699-3441 to learn more about how we can assist you and your family!
Audiologist Versus Hearing Aid Dispenser: What is the difference?There are vast differences in the professional roles in diagnosing and treatment of hearing loss. It is still common today for someone to get screened, tested, or fitted with a hearing aid by someone and still not know what qualifications that person had. How do you know who you can trust? An important distinction to understand when treating your hearing loss is the difference between an Audiologist and a hearing aid dispenser. An Audiologist is a Doctor of Audiology who is extensively trained in the science of hearing; while a hearing aid dispenser applies for a license after meeting some basic requirements (see below).Audiologist: An Audiologist is trained to diagnose, treat and monitor disorders of the hearing and balance system. They are trained in anatomy and physiology, amplification devices, cochlear Implants, electrophysiology, acoustics, psychophysics and auditory rehabilitation. Doctors of Audiology complete, at a minimum, an undergraduate and doctoral level degree in audiology, as well as a supervised externship prior to state licensure and national certification. This usually requires 8 years of post-secondary education (4 years of college and 4 years of graduate school). The graduate school years focus on the medical, diagnostic and rehabilitative aspects of hearing loss, hearing aids and the vestibular system. Upon completion of training, Audiologists must also pass a national standardized examination in order to be eligible for state licensure. Continuing education requirements must be met in order for an Audiologist to maintain state licensure.Hearing Aid Dispenser: A hearing aid dispenser is licensed to perform audiometric testing for the sole purpose of selling and fitting hearing aids. In order to obtain a license, hearing aid dispensers are required to pass an exam. Prior to taking the exam, certain requirements must be met, which vary from state to state. In many states, hearing aid dispensers are only required to have a high school diploma. In other states, hearing aid dispensers must complete two years of college or post-secondary education in any field prior to applying for licensure. Some states require completion of distance learning coursework prior to taking the exam.In summary, the requirement for state licensure to dispense hearing aids is based on the minimum education necessary to protect the health, safety and welfare of the patient. The differences in education required for Audiologists versus hearing aid dispensers reflect the significantly larger range of professional practices that Audiologists are permitted to engage in.Audiologists are highly trained degree professionals. Audiologists receive extensive training in assessment of hearing, diagnosis, fitting and adjustment of hearing aids that helps to ensure: An accurate diagnosis; An appropriate treatment plan of intervention; A positive outcome from the hearing aid. At Naro Audiology & Hearing Solutions, our mission is to provide professional audiological services and hearing health care while developing excellent rapport with our patients by giving individualized attention and personal, compassionate care. We do our best to accurately test and diagnose every patient. For the hearing impaired, we seek to improve quality of life and maximize communication by listening to the patients' needs, accurately diagnosing their hearing loss and providing a vast array of communication solutions and cutting edge technologies to meet the needs of the patient. Naro Audiology serves Bay Minette, Brewton, Fairhope, and Foley. Contact Naro Audiology at 251-758-4326. We are hear for you!
Become a Volunteer with St. Joseph Hospice: Make a Difference Today!Volunteering with St. Joseph Hospice is an opportunity to profoundly impact the lives of individuals and families during some of their most challenging moments. As a hospice volunteer, you will help create an environment of hope, courage, and compassion for patients facing terminal illnesses and their loved ones. By dedicating your time and skills, you can provide invaluable emotional support and companionship that makes a lasting difference.Why Join the St. Joseph Hospice Volunteer Team?Volunteers play a vital role in the mission of St. Joseph Hospice. They enrich the lives of patients by offering comfort, assisting with practical needs, and simply being present. Whether you have a knack for planning activities, offering companionship, or providing administrative assistance, there is a place for you on our team.To ensure our volunteers are well-prepared, we offer a comprehensive Hospice Volunteer Training Program. This training equips you to understand the unique needs of hospice patients and their families, preparing you to bring comfort and a sense of normalcy to their lives.What Can You Do as a Volunteer?St. Joseph Hospice volunteers bring diverse skills to a variety of roles. Depending on your interests and experience, you could engage in: Companionship Visits: Spend time with patients, providing a comforting presence. Activity Planning: Organize recreational activities to brighten patients' days. Office Support: Assist with administrative tasks to ensure smooth operations. Health Fairs and Special Events: Help manage outreach events to promote awareness. Special Projects: Contribute your unique talents to meet the needs of patients and staff. Who Should Apply?We welcome individuals with various backgrounds and experiences. Ideal candidates might have experience in nursing home volunteering, direct-care support, or activity coordination. More importantly, we seek compassionate individuals with a genuine desire to help others.Volunteers must meet a few essential qualifications to ensure theyre ready for this meaningful role: Confidentiality: Respecting patients privacy is critical. Volunteers must commit to maintaining confidentiality and sign an agreement to this effect. Good Health: Assignments are tailored to your physical capabilities to ensure your safety and the well-being of those you support. Transportation: Volunteers must have reliable transportation to and from their assignments. Training Completion: Direct-care volunteers are required to complete the St. Joseph Hospice Volunteer Training Program. Flexibility: Volunteers should be able to accommodate a variety of scheduling needs, including short-notice requests. Ideal candidates have the following experience: Nursing home volunteer Direct-care volunteer Health fair management Entertainment and activity planning Office/administrative assistance Special projectsHow to Get InvolvedBecoming a hospice volunteer is simple. Visit the St. Joseph Hospice website and fill out a Contact Us form to express your interest. You can also explore our locations page to find a branch nearest to you.Volunteering with St. Joseph Hospice is more than just an act of serviceits a chance to bring light and comfort to those who need it most. Join our dedicated team of volunteers and help make a difference, one moment at a time.Contact St. Joseph Hospice at 251-675-7555 or email humanresources@carpenterhealth.net or more information about the volunteer program.
Whether youre recovering from surgery or illness, or living with an ongoing condition like diabetes or heart problems, Amedisys Home Health Care in Brewton is here to help. We can help you recover, manage your condition and live as independently as possible. Following the plan of care developed with your doctor, our home health care team can deliver the care you need where you need it most: at home.With Amedisys Home Health Care in Brewton, youll work with an experienced team that understands the challenges youre facing and is passionate about helping you get better. You and your family will have peace of mind knowing youre being cared for by highly trained, carefully screened home health care professionals.
Whether youre recovering from surgery or illness, or living with an ongoing condition like diabetes or heart problems, Amedisys Home Health Care in Bay Minette is here to help. We can help you recover, manage your condition and live as independently as possible. Following the plan of care developed with your doctor, our home health care team can deliver the care you need where you need it most: at home.With Amedisys Home Health Care in Bay Minette, youll work with an experienced team that understands the challenges youre facing and is passionate about helping you get better. You and your family will have peace of mind knowing youre being cared for by highly trained, carefully screened home health care professionals.
Amedisys Home Health in Mobile provides in-home health care for people managing chronic illness or recovering from a surgery or injury. We make visits to patient's homes in cities throughout Mobile County. These include Mobile, Theodore, Semmes, Grand Bay, Saraland, Wilmer, Eight Mile, Irvington, Prichard, Satsuma, Dauphin Island and other communities within about 50 miles of our care center. Call us at (251) 380-0492 to find out if we provide home health care in your area.