Frequently Asked Questions

• Skilled Nursing Physical Therapy
• Occupational Therapy
• Speech Therapy
• Medical Social Worker
• Home Health Aides
• Medical Supplies & Equipment

Choice follows your physician orders and plan of care.  We communicate with the doctor to ensure that he is aware of how your treatment plan is progressing and about any health concerns. 

At Choice we accept all traditional Medicare. We also accept several BCBS, Aetna, Humana, United Healthcare, and other insurance plans depending on the carrier. MORE THAN ANYTHING we want to help as insurance can be very complicated. Call or contact us today and we will review your benefit plans as they relate to home health services!

Home Health services are 100% covered by traditional Medicare with no out of pocket expense to the patient. Medicare Replacement Plans may have an associated expense depending on the plan. Our financial counselor will help you determine if you will have any co-payments due for home health services.

Specifically Medicare covers eligible home health services like these:

• Part-time or "intermittent" skilled nursing care
• Physical therapy Occupational therapy
• Speech-language pathology services
• Medical social services
• Part-time or intermittent home health aide services (personal hands-on care)

Usually, a home health care agency coordinates the services your doctor orders for you.​

Below are the qualifications for home health. If you are unsure if you qualify but feel you have a need for services please contact us so that we can help.

A patient must meet the following four criteria as set forth by Medicare.gov:

1. Eligible recipients must be under the care of a doctor. The doctor must prescribe a plan of care that involves medically necessary services for the treatment or maintenance of a health condition. This care is intended to be short term, so the doctor is required to re-certify the plan of care every 60 days.
2. Eligible recipients must be certified by a doctor as homebound. This means it requires a considerable and taxing effort to leave the home because of reliance on a mobility aid (e.g. cane, wheelchair or walker), special transportation, or the assistance of another person to do so. An individual does not have to be bedridden to be considered homebound and can still qualify even if they are able to leave home for medical treatments, adult day care, and short, infrequent nonmedical outings, such as religious services and family gatherings.
3. Eligible recipients must have a doctor’s certification of need for at least one of the following services:
   • Intermittent skilled nursing care
   • Intermittent means part-time services that are needed “less than seven days per week or less than eight hours per day over a period of three weeks or less.” There are some exceptions in special circumstances, but Medicare generally will not cover additional care.
   • Skilled therapy services
     These services can include physical therapy (PT), speech-language pathology (SLP) and occupational therapy (OT) and a qualified therapist must administer them. The services must be necessary to improve the patient’s condition in a reasonable and somewhat predictable period of time, to create an initial maintenance program for the condition, or to safely and effectively engage in a maintenance program with proper supervision and instruction.
4. Home health care services must be provided by a Medicare-certified home health care agency.

Below are the qualifications for home health. If you are unsure if you qualify but feel you have a need for services please contact us so that we can help.

A patient must meet the following four criteria as set forth by Medicare.gov:

1. Eligible recipients must be under the care of a doctor. The doctor must prescribe a plan of care that involves medically necessary services for the treatment or maintenance of a health condition. This care is intended to be short term, so the doctor is required to re-certify the plan of care every 60 days.
2. Eligible recipients must be certified by a doctor as homebound. This means it requires a considerable and taxing effort to leave the home because of reliance on a mobility aid (e.g. cane, wheelchair or walker), special transportation, or the assistance of another person to do so. An individual does not have to be bedridden to be considered homebound and can still qualify even if they are able to leave home for medical treatments, adult day care, and short, infrequent nonmedical outings, such as religious services and family gatherings.
3. Eligible recipients must have a doctor’s certification of need for at least one of the following services:
   • Intermittent skilled nursing care
   • Intermittent means part-time services that are needed “less than seven days per week or less than eight hours per day over a period of three weeks or less.” There are some exceptions in special circumstances, but Medicare generally will not cover additional care.
   • Skilled therapy services
     These services can include physical therapy (PT), speech-language pathology (SLP) and occupational therapy (OT) and a qualified therapist must administer them. The services must be necessary to improve the patient’s condition in a reasonable and somewhat predictable period of time, to create an initial maintenance program for the condition, or to safely and effectively engage in a maintenance program with proper supervision and instruction.
4. Home health care services must be provided by a Medicare-certified home health care agency.

Medicare doesn't pay for:

• 24-hour-a-day care at home
• Meals delivered to your home
• Homemaker services (like shopping, cleaning, and laundry), when this is the only care you need
• Custodial or personal care (like bathing, dressing, or using the bathroom), when this is the only care you need