If your doctor decides you need home health care, you have the right to choose which home health agency will provide you with the care and services you need. Your choice should be respected by the discharge planner, hospital, physician and/or other home health agency. Although some hospitals have their own home health agency, you don’t have to choose the hospital agency. You have the right to choose any Medicare-certified agency that you believe will meet your medical needs.
It is important to remember that Medicare only pays for skilled home health services that are provided by a Medicare certified agency, which is an agency that meets certain quality standards set by the Medicare program. Although, you have a say in which home health agency you use, your choices may be limited by agency availability or if you are in a Medicare Managed Care health plan, you may have to use the home health agency that works for the health plan. A home health agency has the right to refuse to accept any individual patient if the agency is unable to meet the patient’s needs.
Who is eligible to receive Medicare-covered Home health care?
If you have Medicare you can use your home health care benefit if you meet all of the following conditions:
Your doctor must order the home health care you are to receive You must need one of the following:
- Intermittent skilled nursing care, or physical/Speech therapy or speech-language therapy, or continue to need occupational therapy
- You must be homebound, or normally unable to leave your home unassisted
- To be homebound means that leaving home takes considerable and taxing effort
- A person may leave home for medical treatment or short infrequent non-medical absences such as a religious service or a trip to the barber
- The home health agency must be Medicare-certified
Anova does not discriminate on the basis of race, color, religion, sex, national
origin, age or disability with regard to admission, access to treatment, or