FAQs
Frequently Asked Questions
Home health refers to a range of healthcare services that are provided to patients in their own homes. It is an alternative to receiving care in a hospital or other healthcare facility. Home health services are typically provided by trained professionals, such as nurses, therapists, and home health aides. The goal of home health is to provide patients with the necessary care and support to recover from an illness or injury, manage a chronic condition, or maintain their overall health and wellbeing. Home health services can include a range of medical and non-medical services, such as nursing care, physical therapy, occupational therapy, speech therapy, wound care, medication management, and assistance
with daily living activities. The specific services provided will depend on the patient’s individual needs and treatment plan
Whether or not a person qualifies for home health services can depend on various factors, including the patient’s medical condition, insurance coverage, and the specific requirements of the home health agency. In general, patients who may qualify for home health services must:
- Be confined to the home, either on a temporary or permanent basis.
- Have a physician’s order for home health care and be under the care of a physician.
- Need skilled care services from a nurse, therapist, or other medical professional.
- Require intermittent or part-time care that is reasonable and necessary to treat the patient’s condition.
- Have a home environment that is safe and conducive to receiving home healthservices.
In addition to the above requirements, the patient must also have a condition that is expected to improve or stabilize with the home health services, rather than worsen without it. The patient must also meet any specific eligibility criteria set by their insurance provider or Medicare
Home health care is typically covered by Medicare, Medicaid, and most private insurance plans. The specific coverage and eligibility requirements can vary depending on the payer source and the individual’s situation. It’s important to consult with your healthcare provider and your insurance company to determine your coverage and out-of-pocket costs for home health services. Additionally, AILI Home Health can assist you in understanding your benefits related to home health and navigating the insurance process.
No. In most cases, the patient’s personal physician will order home health services and oversee their medical care. The home health care team will work closely with the patient’s physician to ensure that they receive appropriate care and that their individual needs are met. It is important for the patient to maintain regular communication with their physician and home health care team to ensure that they receive coordinated and effective care.