Who pays for home health care services?
Medicare, Medicaid, and most private insurance plans may pay for services that licensed home health agencies deliver. Payment from these sources depends on whether the care is medically necessary and the individual meets specific coverage criteria. Individuals may opt to pay out-of-pocket for services that are not covered by other sources. Some agencies receive special funding from state and local governments and community organizations to cover the costs of care when other options are not available.
Medicare, Medicaid or other health insurances may cover the cost of home health care services. Some insurance policies will not cover all home health care services unless certain conditions are met. You can still obtain care without insurance coverage through a private duty agency on a private pay basis. Additionally, 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.
The costs of specific home health care services are generally covered by private/group insurance, Medicare, Medicaid, or Worker’s Compensation. Tri County Home Health can provide clients with a benefit expert, available to answer any questions the client may have concerning eligibility and coverage.
