Frequently Asked Questions
Here are some questions our previous clients have asked about the Home Health Care and Private Duty services. For more information,
send us an email or call us at 630-323-0128.
Home Health Care
Who is eligible for Home Health Care?
You must be under the care of a doctor, and you must be getting services under a plan of care established and reviewed regularly by a doctor. Your doctor must certify that you need one or more of the following:
Intermittent skilled nursing care
Physical therapy
Speech-language pathology services
Occupational therapy
Medicare eligibility criteria:
You must be homebound, i.e.:
leaving your home isn’t recommended because of your condition or illness
your condition keeps you from leaving home without help (such as using a wheelchair or walker, needing special transportation, or getting help from another person).
leaving home takes a considerable and taxing effort
A person may leave home for medical treatment or short, infrequent absences for non-medical reasons, such as attending religious services. You can still get home health care if you attend adult day care, but you would get the home care services in your home.
What’s covered by Medicare?
If you’re eligible for Medicare-covered home health care, Medicare covers these services of they’re reasonable and necessary for the treatment of your illness or injury.
Skilled nursing care: Medicare covers skilled nursing care when the services you need require the skills of a nurse, are reasonable and necessary for the treatment of your illness or injury, and are given on a part-time or intermittent basis. Visits solely for the purpose of getting your blood drawn are not covered by Medicare.
Physical therapy, occupational therapy, and speech-language pathology services: Your therapy services are considered reasonable and necessary in the home setting if:
They’re a specific, safe, and effective treatment for your condition.
They’re complex such that you'r condition requires services that can only be safely and effectively performed by, or under the supervision of, qualified therapists
Your condition requires on of these:
Therapy that’s reasonable and necessary to restore or improve functions affected by your illness or injury
A skilled therapist to safely and effectively establish a program and/or perform therapy under a maintenance program to help you maintain your current condition or to prevent your condition from getting worse
The amount, frequency, and duration of the services are reasonable
Home health aide services: Medicare will pay for part-time or intermittent home health aide services (like personal care), if needed to maintain your health or treat your illness or injury. Medicare doesn’t cover home health aide services unless you’re also getting skilled care. Skilled care includes:
Skilled nursing care
Physical therapy
Speech-language pathology services
Continuing occupational therapy, if you no longer need any of the above
Medical supplies: Medicare covers supplies like wound dressings, when your doctor orders them as part of your care. Medicare pays separately for durable medical equipment. The equipment must meet certain criteria and be ordered by a doctor. Medicare only pays 80% of the Medicare-approved amount for certain pieces of medical equipment, like a wheelchair or walker.
How do I get Home Health Care?
If your doctor decides you need home health care, you may choose Aledli Home Health Care. Your choice should be honored by your doctor, hospital discharge planner, or other referring agency.
Who is eligible for Home Health Care?
To qualify to receive Home Health Care, you must be under the care of a doctor and receiving services under a plan of care established and reviewed regularly by a doctor.
Your doctor must certify that you need one or more of the following:
Intermittent skilled nursing care
Physical therapy
Speech-language pathology services
Occupational therapy
Additional criteria for those under Medicare: You must be homebound, i.e., :
Leaving your home isn’t recommended because of your condition or illness.
Your condition keeps you from leaving home without help, such as using a wheelchair or a walker, needing special transportation, or getting help from another person.
Leaving home takes a considerable and taxing effort.
A person may leave home for medical treatment or short, infrequent absences for non-medical reasons, such as attending religious services. You can still get home health care if you attend adult day care, but you would get the home care services in your home.
Who pays for Home Health Care services?
In some cases, Medicare pays for your covered Home Health Care services as long as you’re eligible and a doctor certifies that you need them.
Private insurance companies and Medicaid can also pre-authorize Home Health Care coverage.
We also accept cash or check payments if you choose to pay without private insurance, Medicare or Medicaid.