You’ve Got Questions — We’ve Got Answers

What are the payment options?

We offer many payment options to fit your individual needs and resources. Our services can be paid for by Private Insurance, Medicare, Medicaid, Worker’s Compensation, or Private Pay. If you have Private Insurance or Managed Care, some may require pre-certification or pre-authorization before you receive services and there may be coverage limits as described by your plan. You may also be required to meet an out-of-pocket or co-payment amount for each visit provided. If there are any changes or we are made aware by your payor source that a service will not be covered, we will inform you as soon as we know.

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If you are eligible for Medicare or Medicaid, most services are covered. For those services not covered by Medicare or Medicaid, any charges will be discussed before the services will be provided to you. You will also be informed of these charges and possible methods of payment either before you are admitted to our program or as soon as you are admitted to our program or as soon as you are admitted to our program to the extent possible. If there are any changes or we are made aware by Medicare or Medicaid that a service will not be covered, we will inform you as soon as we know. If you have any questions about your charges or billing, please speak with our Intake Team for assistance.

What is covered by Medicare?

Medicare Patients:

• Medicare covers home health services 100% as long as the delivered care is necessary to the patient’s wellbeing, requires skilled intervention, and the patient is homebound as defined by Medicare guidelines.

• Medicare patients should not owe any out-of-pocket expenses for home health services including therapy, nursing, and home health aide assistance.

• Items such as walkers, wheelchairs, and canes will be purchased through a medical equipment company and billed to Medicare.

• In the event that we suspect any services or goods will not be covered by Medicare, we will notify the patient prior to delivery of said goods and services.

What is covered by Medicaid?

Medicaid Patients:

• Medicaid covers 100% of home health services including nursing, therapy, and home health aide assistance. Medicaid patients should not be responsible for any part of the bill for services.

• In the event that we suspect any services or goods will not be covered by Medicaid, we will notify the patient prior to delivery of said goods and services.

What is covered by Insurance?

Insurance Patients:

• We will bill a patient’s insurance company for all services that we provide. We will bill secondary insurance policies as well. Information is obtained during the admission process.

• The patient/guardian will be responsible for any fees that have not been paid by the patient’s insurance company. For example, if the insurance policy covers home health 80%, then the patient will be billed for the other 20% of services.

What happens if I need a refund?