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FINANCIAL
ARRANGEMENTS FOR HOME HEALTH SERVICES
There
are several financial resources available for payment of
Home Health care services. Most patients are covered by
health insurance policies or by state and federal entitlement
programs such as Medicaid and Medicare. You will be asked
to provide information regarding your private insurance
or Medicare/Medicaid coverage during the first home visit.
Jefferson Memorial Home Care staff will gladly assist you
in determining coverage for your bill and in filing claims.
If you have any questions, need to clarify your financial
arrangements, or anticipate problems paying for your care,
please contact us at 728-1750. Below is more specific information
regarding each payment source:
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For
more information on how Jefferson Memorial Hospital's business
health Services can benefit your company, call the Business
Health Services office at 304-264-1271 or contact Leslie
Young at lyoung@cityhospital.org. |
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| Medicare |
Medicare
will pay 100% of home health services and supplies when
all qualifying criteria are met. Jefferson Memorial Home
Care staff will explain these criteria to you and will determine
your eligibility for services.
Medicare will pay 80% of the cost of equipment; the patient
is expected to pay the remaining 20%.
Care
related to dialysis or end-stage renal disease may not be
included in your home health benefit under Medicare. Lab
work, x-rays, doctor office visits, and ambulance services
are not covered under the home health benefit.
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| Medicaid |
Generally,
all home health services you receive will be covered in full
if you meet the conditions specified for Medicare coverage.
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| Insurance |
Many
insurance policies cover home health services. CHECK YOUR
INSURANCE PLAN because coverage varies greatly from company
to company.
Most insurance
plans have a co-insurance and/or deductible obligation. The
amount not paid by your insurance company will be billed to
you.
The
home care staff will work with you and your insurance company
to determine what will be covered and what you may be expected
to pay. This information will be provided to you as soon
as it is available to us.
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| Private
Pay |
You
will be billed on a monthly basis for services rendered and
supplies used. A schedule of fees will be provided to you
prior to the start of care, and a payment plan must be established
prior to receiving services. |
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