choosing the most appropriate medicare1731 .pdf
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choosing the most appropriate medicare
Medicare recipients may be eligible for home care services if these medical services are deemed
necessary and to meet the eligibility requirements. Medicare home health care is generally less
expensive and just as effective as treatments performed at a hospital or skilled nursing care
facility and so it makes perfect economic sense for the Medicare homecare program to pay for
homecare treatments whenever they are deemed necessary Medicare home health care is a
program designed to help patients to adjust quickly, regain their health independence and selfsufficiency as quickly as possible.
Eligibility requires that a senior beyond Medicare and under a doctor's supervision. In
The individual must also be getting services under a plan of care which is established and
regularly supervised by a doctor. The patient must require one of the following forms of medical
treatment and the doctor must verify that this is the case
PT (physical therapy), The services on a speech pathology therapist, .Medical nursing services,
Continued occupational therapy.
The home healthcare agency providing these medical services and service people must be
The Medicare recipient must be homebound and a doctor must verify that this is the case. To be
officially defined as homebound patient must meet the following requirements.
It requires a great deal of effort to leave one's home.
Leaving their home is not recommended because of their conditionTheir medical condition
prevents them from leaving their home without the aid of a transportation assistance device such
as a wheelchair or Walker or the help of another person.
Broward County Florida Medicare home care
An individual is eligible if a doctor verifies that they meet all of the aforementioned criteria. The
eligibility is contingent upon that patient not requiring more than part-time or intermittent care.
Should the treatments exceeds that, they will lose their Medicare home care benefits.
The definition of intermittent and part-time is defined by Medicare as less than eight hours a day
or less than seven days a week over a 21 day or less period. Medicare will allow exceptions
occasionally when there are unusual circumstances. The limitations on the number of days and
hours may be extended during those exceptional circumstances when the doctor involved can
make a reasonable prediction when the requirements for the additional care will no longer be
needed. Medicare home health care is not a permanent treatment.
Payments to the Medicare home care agency are the only payments that Medicare home care will
provide. Visits to the doctor and other medical services are not paid by Medicare home health
care instead by other parts of the Medicare program.
Your physician or hospital discharge planner can recommend a qualified and certified Medicare
home care agency.
Any of these can provide names of Medicare-certified home health agencies in the individual's
local area. In addition, the State Survey Agency for the individual's state of residence will also
have all of the state survey reports available on the state government website. These state survey
reports will have all of the quality indicators for all of the licensed home health agencies in the
state. It is a good idea to check and see how any home health agency did on their last state
survey before hiring them to provide Medicare Home Care services for yourself or anyone you
may care about.
South Florida Medicare home care