In Home Health Care Delray Beach, FL
Home Health Care Delray Beach, FL
When considering in home health care for their loved one in Delray Beach, FL, families often have many questions about which services may be covered by Medicare. In Florida, the services you receive from an in home health agency may fall under the Medicare demonstration program. If this is the case, either you or the agency may submit a pre-claim review request from Medicare in advance of seeking in home health care services in Delray Beach, FL. This can be helpful in order to understand to what degree Medicare will provide coverage for those services. We encourage you to call us at Expicare Nursing Agency with your questions about this process. Below is some general information about Medicare and coverage for in home health care in Delray Beach, FL, though it is important to clarify and confirm with Medicare about your family’s financial obligations for these services. You can also learn from them if you meet their requirements for in home health care coverage.
In Home Health Care Services in Delray Beach, FL Commonly Covered by Medicare
Medicare hospital insurance falls under Part A and medical insurance falls under Part B. Between these two parts of Medicare, the following in home health care services in Delray Beach, FL are often covered:
- Occupational therapy.
- Physical therapy.
- Speech language pathology services.
- Intermittent or part time in home health care provided by an aide.
- Intermittent or part time in home skilled nursing care.
- Medical social services.
Contact us at Expicare Nursing Agency to learn how we coordinate doctor-ordered services for your loved one when we provide in home health care services in Delray Beach, FL.
What Medicare Does Not Usually Cover
Though there may be exceptions, Medicare usually does not cover the following services:
- Meal deliveries to the home.
- 24-hour-a-day in home health care.
- If the only care your loved one needs is help with dressing, bathing, or using the bathroom, these services are considered personal care or custodial care and may not be covered.
Eligibility for Part A and/or Part B Medicare Coverage
To meet eligibility requirements for Medicare coverage under Part A and/or Part B, you must meet all of the following:
- Your loved one must be under the care of a doctor and receiving services under a care plan that a doctor is reviewing on a regular basis.
- A doctor must certify that your loved one requires one or more of the following:
a: Speech language pathology, physical therapy, or another type of continuous occupational therapy service. These services must be safe, specific, and effective for your loved one’s condition. The duration of these services must be reasonable and offered by qualified therapists for reasons of effectiveness and safety. The services must be offered by a Medicare approved or certified in home health care agency in Delray Beach, FL.
i: The condition must be expected to improve within a reasonable and predictable timeframe, or;
ii:Your loved one requires a skilled therapist to effectively and safely address their condition, or;
iii. Your loved one requires a skilled therapist as part of a maintenance program for their condition.
- Your loved one must be doctor-certified homebound. If your loved one needs more than intermittent or part time skilled nursing care.
Contact us at Expicare Nursing Agency to learn more about the in home health care services we offer to Delray Beach, FL families and which may be eligible for Medicare coverage.
Tips for Finding the Right Home Health Care Aide
If your elderly parent needs extra help at home, you may have considered home health care Delray Beach, FL residents trust. However, with so many home health care workers out there, how do you choose the right one? Here are some helpful tips to consider.
- Determine Your Parent’s Needs: Not everyone has the same needs when it comes to home care services. Some people just need assistance with housework and meal preparation while others require around the clock care. It’s important to assess your parent’s needs before hiring a home care professional. For example, if your parent recently suffered a stroke, he or she may require a skilled nurse to come to his or her home.
- Ask About a Background Check: A home care worker will be coming into your parent’s house every day, so you want to select someone who is trustworthy. That’s why you should make sure the home health agency conducts thorough background checks on all their workers.
- Ask About the Home Care Worker’s Experience: When hiring home health care in Delray Beach, FL for your parent, it’s important to consider a home care provider’s individual experience. During the interviews, ask candidates how many years of experience they have in the industry and what type of patients they’ve typically cared for. For instance, if your parent is in the early stages of dementia, you may want to hire a home care worker who has experience caring for dementia patients.
- Request References: Before hiring a home care worker, ask for at least three different references. A reputable home health care professional should be more than willing to provide you with several references. When you contact these references, ask them about their experience with the home health care worker and if they would hire that person again or not. If the references you contact provide positive reviews, there’s a good chance the home care worker is a good fit.
- Let Your Parent Have a Say: Your parent will be the one who is around the healthcare worker the most often, so he or she should have a say in the hiring decision. That’s why you should have your parent sit in during the interview. Let your parent ask the home care worker questions and see if he or she feels comfortable around the person or not. Your parent should feel comfortable communicating with the home care worker.
Look at Your Finances: Your finances can greatly impact your home health care in Delray Beach, FL options. Assess your budget and determine the kind of home health care you can realistically afford. There are also government programs that offer financial assistance for care for elderly people.