According to the www.medicare.gov website, home health care provides skilled, short-term services in-home. These services are typically ordered by a doctor to help with recovery following an inpatient hospital stay, rehabilitation, or a stay at a facility providing skilled nursing care. In general, the goal of home health care is to help you get better, regain your independence, and be as self-sufficient as you can.
Who’s eligible? All people with Part A and/or Part B Medicare who meet all of these conditions are covered:
- You must be under the care of a doctor, and you must be getting services under a plan of care created and reviewed regularly by a doctor.
- You must need, and a doctor must certify that you need, one or more of these:
- Intermittent skilled nursing care (other than drawing blood)
- Physical therapy, speech-language pathology, or continued occupational therapy services. These services are covered only when the services are specific, safe and an effective treatment for your condition. The amount, frequency and time period of the services needs to be reasonable, and they need to be complex or only qualified therapists can do them safely and effectively. To be eligible, either: 1) your condition must be expected to improve in a reasonable and generally predictable period of time, or 2) you need a skilled therapist to safely and effectively make a maintenance program for your condition, or 3) you need a skilled therapist to safely and effectively do maintenance therapy for your condition. The home health agency caring for you is approved by Medicare (Medicare certified).
- You must be homebound, and a doctor must certify that you’re homebound.
You’re not eligible for the home health benefit if you need more than part-time or “intermittent” skilled nursing care. You may leave home for medical treatment or short, infrequent absences for non-medical reasons, like attending religious services. You can still get home health care if you attend adult day care.
Medicare does not pay for:
- 24-hour-a-day care at home
- Meals delivered to your home
- Homemaker services (like shopping, cleaning, and laundry), when this is the only care you need
- Custodial or personal care (like bathing, dressing, or using the bathroom), when this is the only care you need
An in-depth explanation of home health is provided in Medicare’s Official Booklet and can be found here.
If you have additional questions about home care in the DFW area, please call us at 972-471-1111.
My name is Jimmie Stapleton. I am the founder and CEO of Arcy Healthcare. Arcy Healthcare includes Arcy Hospice, Arcy Supportive Care, MaximaCare Home Health and Arcy at Home.
Arcy Hospice was opened in 2007 to provide care and support for individuals and families facing a life limiting illness. It was established after my wife Ellen, who had been diagnosed with breast cancer, had completed her chemo and radiation therapies. At that time, things were looking positive, and we wanted to do something for our community that had been so supportive of our family during her treatments. Unfortunately, the cancer returned a few years later, and she subsequently passed away under our care in 2010.
In the years that followed, I began to see the need to provide the same level of excellent care to patients across the continuum of care. Therefore, we have added a home health division (MaximaCare Home Health), a palliative care division (Arcy Supportive Care), and a home care division, (Arcy at Home). With the addition of these divisions, we can meet most of the post-acute care needs for you and your family in your home.
I started Arcy Hospice with my wife as my motivation to provide exceptional care and support in the patient’s home, where they are surrounded by family and where they feel most comfortable. I’m proud to say that our staff provides some of the best in home care in the Dallas-Ft. Worth area.
Please let us know if we can enrich the quality of life for you or a loved one.
Sincerely,
Jimmie Stapleton – Founder and CEO
Arcy Healthcare
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