Many health care treatments that were once offered only in a hospital or a doctor’s office can now be done in your home. Home health care is usually less expensive, more convenient, and just as effective as care you get in a hospital or skilled nursing facility. In general, the goal of home health care is to provide treatment for an illness or injury. Home health care helps you get better, regain your independence, and become as self-sufficient as possible.
Benefits of Skilled Home Health Care
It’s Your Choice
Should your physician recommend home health care, you are assured the right to choose your home care provider yourself. We would be honored to care for you or your loved one. Federal law gives patients the freedom to choose their health care provider under Medicare.
Referrals and requests for home health services may come from physicians, hospital’s case management, continuing care and social work departments, health insurance provider, community agencies, family members and other care providers or community resources. Once the referral is received, a member of our staff will obtain the necessary information and speak with the physician, patient and family to determine what services are appropriate and necessary.
Information required when making a referral:
Eligibility for Home Health Care includes:
What does “homebound status” mean?
A patient’s residence is wherever he/she makes his/her home. This may be a house, an apartment, a relative’s home, a home for the aged, or some other type of institution. However, a hospital, skilled nursing facility (SNF) or intermediate care facility (ICF) is not considered the patient’s home.
Your home health agency will work with you and your doctor to develop your plan of care. A plan of care lists what kind of services and care you should get for your health problem. You have the right to be involved in any decisions about your plan of care that includes the following:
Metro Home Health Care services may be paid for by Medicare, private insurance and most health insurance plans. In most cases, services are billed directly to the insurance company, with no expenditure required on the part of the patients' family. A health care staff member will discuss your insurance benefits prior to initiating services. In some instances, patients may pay for services privately, on a sliding fee scale, or receive them without charge, when no other resources are available.
Medicare Benefits pays for you to get certain health care services in your home if you meet certain eligibility criteria and if the services are considered reasonable and necessary for the treatment of your illness or injury. If you get your Medicare benefits through a Medicare health plan (not Original Medicare) check your plan’s membership materials, and contact the plan for details about how the plan provides your Medicare-covered home health benefits.
Patients must be 65 years of age or older, have a skilled need and homebound. The primary care physician must provide a referral and order for home health care. Patients younger than 65 may qualify if they have received Social Security disability benefits for at least two years, they currently receive Medicare disability benefits, or are enrolled in the railroad retirement system.
Patients that are 65 years of age or older and are still working can use Medicare. If the patient is covered by the employer’s health insurance plan, that plan could be used in conjunction with Medicare benefits. Metro Home Health Care staff will be happy to help you with secondary insurance issues.
Medicare will not cover any of the following:
Private insurers may provide coverage for some services that Medicare does not. Many times, your doctor, a social worker or a hospital discharge planner will help arrange for Medicare or insurance-covered home health care.
Home-care agencies perform household and personal care services, like preparing meals, cleaning, and helping with bathing or dressing.
Home health care focuses on patient recovery and provides medical treatment for an illness or injury, with the goal of helping you recover, regain your independence and become as self-sufficient as possible. Home health care can also help you live with a chronic condition, like heart disease, COPD, or diabetes. Additionally, home health care can include some personal care services, like help bathing and dressing, as part of the plan of care ordered by your doctor.
Hospice care is designed to provide non-curative treatment and focuses on facilitating comfort for those who are facing a life-limiting illness. It offers a support system of medical, social, psychological, and spiritual services that support a patient, their family, and other loved ones.
At Metro Home Health Care, we want you to always have control of your medical treatment. We will do our part to help you make the best decisions for your health care situation by educating you about your treatment choices and the possible outcomes of each. We will also provide you with all the information you need so you can make an informed decision.
In the event you become too sick to make decisions for yourself, it will be important to have advance directives in place to ensure your wishes are honored. Advance directives are legal documents that give instructions to health care providers about the kind of treatment you want to receive if you are not able to communicate with your doctors, nurses and family.
We serve 11 counties in the state of Illinois:
Our professional home health care team is licensed and bonded and is led by a registered nurse who is available 24 hours a day, 7 days a week. Under the direction of your physician, our highly trained staff will ensure you are on the right path to recovery. We make sure your physician is kept informed of your progress so adjustments can be made in your treatment and recovery, quickly and effectively, as needed.
Metro Home Health Care, NFP
1032 E Ogden Ave.
Naperville, IL. 60563