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4 Things to Know About Qualifying for In-Home HealthCare

Old Man Under Home HealthCare
Many people mistakenly believe that residents enrolled in-home health care are only people who face an end-of-life need or are too sick to help themselves with daily tasks. The truth is you may be eligible for home health care long before you become too ill to totally care for yourself or before end-of-life arrangements are necessary.

If your doctor has mentioned home health care as an option for your medical needs, here are four things you should know about qualifying for in-home health care services.

1. Basic Qualifications for In-Home Care

To qualify for in-home health care, you must meet several basic qualifications. Rapidly failing health is a common qualification for in-home health care, but there are other qualifications for in-home health care your physician may consider.

For example, consider if you are on several life-saving medications. If you develop memory issues, you may have difficulty remembering these medications. These memory issues may also affect your memory for eating, bathing, and other daily tasks. These are all memory-related qualifications for in-home health care.

Basically, you can qualify for in-home care if you are at risk of endangering your health and safety by being alone.

2. Physician Monitored Activities

Monitoring and recording daily activities can help you qualify for in-home health care. You should note if you are having issues with tasks like bathing and mobility. For example, you may find that you are very tired after a bath or shower. You may need to sit down and take a small break before you can move on to getting dressed or other hygiene tasks. This fatigue may lead to a fall that could cause serious injury.

You should also note any mobility issues, missed medications, or your inability to bathe or cook a simple meal. Then you should send your notations to your doctor or give them to your doctor during your next visit. The doctor will look over these notes and determine if your activities show signs that you may need in-home help.

You can keep notations in a notebook, on a smartphone app, or on a mixture of both. If you have issues with making notations, a caregiver or family member can help with this step.

3. Physician Referral

Once you know what issues you are having that may lead you to need home health care, you should see your doctor. Talk to them about the current health care routine they have you on as well as the problems you are having.

Your doctor can evaluate your current activities and the notes you have made about them and can determine what you need help with. The doctor will also compare your issues with your current health. This evaluation will help them make a recommendation for treatment, such as a referral to an in-home health care service.

4. Medicare Coverage

Qualifying for home health through your doctor is only one step. You will also need to qualify with your insurance. This may mean dealing with Medicare coverage qualifications for home health. Some Medicare coverage qualifications depend on the physician referral. The qualifications for health care coverage may also depend on prescribed medical needs.

For example, you may need physical therapy. You may also need daily caregiving and homemaking help. Medicare Part A will cover the therapy visit, but it will not cover the costs of the daily caregiving services, such as cooking, cleaning, and personal care. You will need a secondary insurance or savings to cover those services and fees.

If you believe you are ready to move forward with in-home health care, contact Angelic Health Care Inc. We can schedule a consultation to discuss your needs and the services you believe you will want to have. We can also discuss long-term care needs and how you will transition to related services if necessary.