FAQ's
What is Home Health Care?
This is care offered by a certified home health agency. Home health care is an intermittent care to treat an illness or injury. Home health care is less expensive, less intrusive, more convenient, and just as effective as the care you receive in the hospital or skilled nursing facility. Home health care allows patient to stay at home, safeguarding their independence and dignity in their familiar home setting. Home health care may include skilled nursing in addition to speech, occupational, behavioral health care and physical therapy. It also includes monitoring the patient's adherence to prescriptions.
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Who is eligible for home health care?
If you have Medicare, you can use your home health benefits if you meet all the following conditions:
- You must be under the care of a doctor, and you must be getting services under a plan of care established and regularly reviewed by a doctor.
- The home health agency caring for you must be approved by Medicare (Medicare-certified).
- You must be homebound, and a doctor must certify that
you’re homebound
- You must need, and a doctor must certify that you need, one or more of the following.
- Intermittent skilled nursing care
- Physical therapy
- Speech-language pathology services
- Continued occupational
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What are the advantages of home health care?
Home health care services permit a person to be discharged earlier from a hospital, reduce hospital admissions/re-admissions, and assists with a more rapid recovery. Most importantly, people are back in familiar terrains, happier at home; receive more care and attention from family, friends and home health care professionals.
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What types of home care agencies are there?
Certified Agencies
Certified home health care agencies comply with Medicare and Medicaid regulations. In addition some Agencies like Gilead Home Care, Inc. have gone above and beyond these regulations to obtain CHAP certification. Founded in 1965, CHAP is the oldest community-based accreditation program. CHAP accreditation is a professional peer review program administered by a private non-profit organization which is structured to institute higher standards than states and federal regulatory requirements. CHAP examines and certifies the total firm’s care management delivery policies, processes and procedures
Private Duty Agencies
Private duty agencies offer a wide variety of services including medical and nonmedical care. For example, private duty services, in addition to nursing, could include assistance with shopping, laundry, meals and companionship. The patient/family generally incur the cost of care, although some insurance plans may also cover all or a portion of it.
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Who pays for home health care services?
Medicare, Medicaid or other health insurances may cover the cost of home health care services. Some insurance policies may not cover all home health care services unless certain conditions are met. You may still obtain care without insurance coverage, through a private duty agency on a private pay basis.
In addition, some agencies may have funding to help people who cannot afford the private pay option. The home health care agency will be able to assist in determining if the services you need are covered or if you need to make other arrangements.
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How does service begin?
A physician, patient or family member can initiate service. However, Medicare, Medicaid and most insurance policies require physician oversight. Once the physician prescribes home health care, he/she authorizes a coordinated treatment plan, commonly called a "plan of care," and periodically reviews services and the patient's progress.
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Does my doctor have to order homecare?
YES
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Do I have a say in which Home Care Agency I use?
Yes. It is your right to choose which home health agency to use, unless you are enrolled in an HMO where your choice is limited to the agencies that are enrolled with your HMO.
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How do I effect a switch if I am not satisfied with my current agency?
Call the agency and ask for a discharge. This is your right as a patient.
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Will my Insurance cover the services?
In original Medicare, Medicare pays your Medicare-certified home health agency one payment for covered services you get during a
60-day period. This 60-day period is called an “episode of care.” The
payment is based on your condition and care needs. Some private insurance also pay for home health if it is included in your plan.
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How soon will the services start?
A Registered Nurse will perform an assessment within 24 hours of a referral for home health
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How often will you come to my home?
The predominant determinant of frequency of visit is your resultant health condition and your physician’s prescription.
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What are my rights as a patient?
- Right to choose your own home health agency
- Right to have your property treated with respect
- Right to be given a copy of your plan of care, and participate in decisions about your care
- Right to have your family or guardian act for you if you are unable
- Right to make complaints to the agency or the State Survey Agency about your treatment
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How do I get in touch with you?
Our Website: www.gileadhomehealth.com
Click on the patient referral button on our home page and follow the instructions
By phone: 512.323.5858 or 1-877.445.3236
By Fax: 512.323.5860
Physical & Postal Address: 8011-B Cameron Road, suite 200, Austin, TX 78754
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