Eligibility

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AM I ELIGIBLE?

WHO IS ELIGIBLE FOR HOME HEALTH CARE?

Medicare Requirements

1.  Your doctor must certify that you require 1 or more of the following:

  • Skilled nursing care
  • Physical therapy
  • Occupational therapy
  • Speech therapy

2.  You must be home bound, and your doctor must verify that you are with these requirements:

  • It is not recommended that you leave your home due to your condition
  • It is not recommended that you leave home without assistance (including use of a
  • wheelchair or walker, needing special transportation or getting assistance from
  • another person)
  • Leaving your home take a considerable and taxing effort

*You may leave home for short, infrequent non-medical visits, such as attending religious services or for medical treatment. If you
attend adult day care, you are still qualified to receive home health in your home.

3.  You currently must be under the care of a doctor, and he or she must establish and regularly review your plan of care.

4.  Your home health care company must be approved by your insurance company from www.medicare.gov.


If you are unsure if you qualify for home health care, contact our staff today and an in-home consultation.

TOP 10 REASONS TO CHOOSE
HOME HEALTH CARE
YOUR PATIENT . . .

  1. has a new diagnosis or an exacerbation of an existing chronic condition.
  2. has been prescribed more than 3 prescription medications and has issues which may hinder medication compliance.
  3. is a high fall risk due to balance or weakness concerns, home safety or new assistive devices.
  4. has inadequate caregiver support necessary for a safe home environment.
  5. needs assistance with wound care or disease management.
  6. requires habilitiation to restore strength and balance for ADL’s.
  7. requires in-home vital sign monitoring.
  8. is at risk of hospital re-admission shortly after discharging.
  9. has pain issues that affect their daily life.
  10. has cognitive issues that may affect medication compliance or home safety.

What can I expect on the first home health care visit?

One of our care team members will conduct a primary evaluation on their first visit to your home. We will determine your specific health care needs to develop a care plan alongside your doctor to help reach your health goals. If you are transferring from a hospital or skill facility, we will help to facilitate your transition back into your home by communicating with your family or caregiver and by determining any specific home safety needs.

How often will my home health care visits be?

The frequency of our visits will be determined by your specific needs as well as your doctor’s orders and care plan. We will work with your doctor to keep your plan of care of to date so that we can provide the best care possible by increasing or decreasing your home visits and services provided.

Can I request Valentine Home Health Services by name?

Federal law gives you a choice in health care providers as long as they accept your insurance. You can tell your doctor which company you prefer once he or she determines your need for home care services. We would be honored if you chose Valentine Home Care Services as your home health care provider.

Does my insurance pay for home health care services?

All insurance plan are different, but most will pay for certain home health care services as long as you qualify under your insurance’s guidelines and as long as your doctor certifies that you need home care. Contact your insurance for additional details about your plan. We can also offer private pay out of pocket.

How long do I have to wait for my first visit?

We recognize that nursing and therapy services are vital to regaining your health once you are discharged from a hospital or skilled nursing facility. As part of your continued health plan, we plan to visit you within 24 hours of your discharge.

Please reference the Illinois Department of Aging for more information: www.state.il.us/aging

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