Frequently Asked Questions
When does Medicare pay for home health services?
Medicare covers home healthcare for homebound individuals when there is a clinical necessity. This may include nursing; physical, occupational or speech therapies; and non-medical personal care. This care is paid through the open/traditional Medicare plan or Medicare HMO’s.
What is the difference between Long Term Care and Private Homecare?
Private Homecare, sometimes referred to as Private Duty, are private payments for homecare services billed directly to the patient. There are services that could also be paid by private insurance policies.
Long Term Care policies cover assistance that can be from a few hours, up to 24 hours a day. Some Medicaid recipients qualify for Long Term Care coverage. Some individuals may also have private Long Term Care insurance policies that cover non-medical homecare services such as personal care, companions, homemaking, and respite care.
We can help you determine which services you are currently eligible for, and if you qualify to enroll for any of these benefits.
What are the rates charged for caregivers?
Because we are not sure what services you require it is difficult to quote a rate. A qualified healthcare professional will meet with you and provide an evaluation to determine your needs and at that time provide you with the rates. Please contact us at 305 220-1088 for more information or to schedule an appointment for an evaluation.
What services will I need?
You will need to consult with your doctor who will determine what services you will need based on your medical condition. For Private Duty, we will have one of our healthcare professionals perform an initial evaluation to determine which home care services you or your loved one will need. Please refer to our services page for more details on what is offered.
What is the screening process for the caregivers that are referred out?
At Providence Healthcare Services, we pride ourselves in maintaining the highest standards in screening and hiring of both skilled and non-skilled caregivers. We verify all licenses and references; we check legal status and conduct a background screening on all applicants. We maintain high ethical work standards and strictly adhere to all state and federal regulations governing our industry.
May I meet the caregiver before I begin home healthcare services?
Yes. Upon request, you may meet prospective caregivers and/or healthcare professionals before services are initiated. We are very diligent during our caregiver and healthcare professionals screening process so we are sure you will find a perfect fit for your needs.
How many hours a week of service will I need?
If your care is private pay, this will be determined at the time of your initial evaluation. If you are a Medicare or Medicaid recipient, we must check eligibility and prior authorization may be required. We have the capacity to provide up to 24 hours, 7 days a week, if it is medically necessary and approved by your plan. Whatever your needs, we will find you a perfect fit.
What insurances do you accept?
We accept open Medicare, traditional Medicaid, and both Medicaid Managed Medical Assistance (MMA) and Long Term Care (LTC)plans. We also accept some private insurances, HMO’s, and international plans. We are also contracted to accept beneficiaries of the Children’s Medical Services (CMS) plan. Please refer to our Insurance Plans page for more details on the insurances we take, or call us and we will be happy to check your eligibility.
When can I start care?
Medically-necessary services may be initiated after receipt of a physician’s order and/or insurance authorization. Many insurances require prior authorization before services may began. Certain paperwork is also required by the State to be completed before services may be initiated. Once the required documentation is completed we can commence immediately. This process usually takes 24 – 48 hours.
What if I am not satisfied with my caregiver?
We understand that circumstances may arise that may cause you to want to change your caregiver. If this should occur, contact our office immediately and our staff will promptly find a better match for you.
In the event of a natural disaster or an emergency, is there a plan to provide care?
Yes. We have a comprehensive Emergency Management Plan which is reviewed and approved by the State each year. In addition, we work closely with local authorities to ensure our patients are prepared prior to and well cared for during and after a natural disaster or an emergency.
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