Orthopedic Rehabilitation Home Health Specialists.
Are Home Health Services Covered by Insurance?
The Home health benefit is included in most Medicare, HMO, Worker’s Comp and Commercial insurance plans. Click below for a free consultation to see if your plan is covered.
Here are the most frequent questions and answers we get.
Home health services enable patients to rehabilitate in the comfort of their own residence. Home health care is usually less expensive, more convenient, and just as effective as care you get in a hospital or skilled nursing facility (SNF). Home health is prescribed by a doctor when an individual is recently discharged from a hospital or long-term care facility. The doctor will determine the need for nursing or therapy services at home.
Orthopedics is a branch of medicine focusing on the care of the musculoskeletal system made up of muscles, bones, joints, ligaments and tendons. The most common orthopedic surgeries include:
- Knee Replacement
- Hip Replacement
- ACL Surgery
- Shoulder Replacement
- Joint Fusion
Home Health provides skilled care by licensed medical professionals such as a physical therapist, occupational therapist or skilled nurse. This type of care is typically prescribed by a doctor following hospitalization or an injury. The cost of Home Health services is covered by most insurance plans. The services offered typically include:
- Physical therapy
- Occupational therapy
- Speech therapy
- Skilled nursing
- Mobility Training
- Wound care
- Medication management
Home Care provides help for seniors who need assistance with activities of daily living (ADLs). This is unskilled care, and the cost is not covered by most insurance plans. Home Care services include:
- Care Companionship
- Meal Planning and Preparation
- Errands and Grocery Shopping
- Medication Oversight
- Light Housekeeping, Laundry
- Bathing and Dressing
- Incontinence Assistance and Toileting
- Assistance with Bill Paying
- Transportation services
The combination of Home Health and Home Care services can be beneficial for some individuals by providing a holistic approach ensuring that both their medical and daily needs are met.
Home health services are prescribed by a physician when a patient is homebound following a surgery or medical setback. Home health therapy exercises are less advanced and are focused on restoring functional mobility to be able to do activities of daily living (transfer, bathing, dressing, grooming) without any falls or injuries. These exercises are focused on restoring the patient’s range of motion (ROM) and ambulation so that they are no longer homebound and can transition to outpatient therapy.
Outpatient therapy services are provided after home health is complete. Patients are no longer considered homebound and are a few weeks post-operative. These exercises are more advanced and are focused on restoring and maintaining strength, endurance, flexibility, stability and balance.
The Home health benefit is included in most Medicare, HMO and Commercial insurance plans. In some cases, there may be a co-pay.
To receive home health services, a physician must prescribe the need for the care and certify that the patient is homebound. A patient will be considered homebound if they have a condition or injury that restricts their ability to leave their place of residence without the aid of supportive devices or the use of special transportation. If you think that you or a loved one may benefit from home health services, contact your physician’s office.
See how GrandCare compares to other home health agencies here using the Medicare Care Compare tool.
Yes. All patients have the right to control the care that is provided to them. This includes choosing the provider that renders the care. Your choice must be honored. You can ask your physician or hospital discharge planner about home health services and inform them that you would like to choose GrandCare if you prefer our services.
- Recognized as the leading Orthopedic In-Home Rehab agency in Southern California
- Consistent 5-Star CMS Ratings
- Proven to provide high quality, cost-effective patient care
- 200+ 5-star reviews on Yelp and Google from previous patients
- In-house therapy team specializing in orthopedic rehabilitation
- Single point of contact with dedicated case managers
- Continuum of care between physicians and post-acute care settings
- Home Care Elite status
Providing quality care to our patients is our top priority. We are proud to have over 95% of our reviewers rating us as 5-star on Google and Yelp. See what previous clients have to say about our services! Read more reviews.
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