- Traditional Medicare
- Medicare Advantage Plans
- Traditional Medicaid
- Medicaid Managed Care Plans
- Medicaid Waiver Programs
- Passport
- Numerous Commercial Insurances
- Veterans Administration
- Private Pay
CHN staff will review your insurance benefits with you and discuss your options to cover the cost of your care. We bill your insurance directly and require no payment up-front from you.
To be eligible to utilize Medicare’s home health benefit, you must meet the following criteria:
- Be basically homebound.
- Require a skilled service – nursing, physical therapy or speech therapy.
- Services are intermittent and must be reasonable and necessary.
- Have a face-to-face encounter with your physician for the reason you are receiving home care.
Traditional Medicare provides payment in full for all qualifying home care services – skilled services, supportive personal care during that period, and most medical supplies (wound care supplies, urological supplies and colostomy supplies). You pay nothing out-of-pocket.
Medicare Advantage Plans may have some benefit differences. CHN staff will review those differences with you.
No, Medicare does not cover 24-hour care in the home, homemaker-only services or home delivered meals. They will cover minimal homemaking that is incidental to personal care services.
For you to be considered homebound, Medicare states “leaving home requires considerable and taxing effort”. You are considered homebound if absences from the home are infrequent, for periods of relatively short duration, or to receive health care treatment.
You are also considered homebound if leaving is medically contraindicated or if you have a condition due to an illness or injury that restricts your ability to leave your home except with the aide or assistance of a supportive device (crutches, cane, wheelchair, or walker); special transportation; or another person.
Can you go to church? Yes.
Can you go to the beauty shop occasionally? Yes.
Can you go to your doctor’s appointment? Yes.
Can you go to a special family function? Yes.
No. Medicare aide services are only covered as long as there is a skilled service. However, the nurse will work with you to identify if there is another payor source available to you.
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CHN accepts payment from Medicaid and several state funded programs designed specifically to help Ohioans of all ages to remain safely in their homes. The state recognizes the cost-effective services that home care provides.
Medicaid also provides payment in full for all qualifying home care services. You pay nothing out-of-pocket.
No, Medicaid is less restrictive in its requirements for services than Medicare - Medicaid does not require you to be homebound and will pay for some services that Medicare does not. |
