One of the biggest misconceptions is that people must use the home health provider, palliative care provider, or hospice provider assigned by the case manager or social worker.  That is not true. The law allows people to have choices. 

How does one get home health?

To obtain home health services, a person must qualify and obtain a referral from a doctor. Patients have a choice of which provider to use.  The problem is that most people don’t know which companies are out there. Many people are already overwhelmed because of the current situation, so some do not even have the energy to try and find another provider.   Others have experience with a home health provider through a family member or friend but are referred to a different agency. The patient does not know they have a choice on which home health agency to use. Furthermore, some people may not be happy with an agency’s performance and may not realize they can switch providers.

Does my Medical insurance cover home health?

Home health is covered by medical insurance. Therefore, medical insurance is one of the most significant factors in which agencies can provide service.  The second most significant factor is staffing, which means the provider has the various professionals (nurse, physical therapist, occupational therapist, speech therapist, social worker, etc.) needed to help with your current needs or what the doctor prescribed.   Since a home health provider, palliative care provider, or hospice provider travels to the patient’s residence, it can limit the number of professionals available based on travel and demand.

Who can help find a home health provider?

This is where a case manager or social worker helps out because they generally prescreen and find a company that takes your insurance and has the staffing.  Always remember, you have a voice when it comes to healthcare and your care.

STAGES is here to educate about the aging process.