Serving these counties in Illinois:

Cook
DuPage
Kane
Kankakee
Lake
Will

HomeCare Elite Home Care Elite

2011 Top 100 Agency

2010 Top 500 Home Health

2009 Top 100 Agency 2009 Top 100 Agency

2009 Top 100 Agency 2008 Top 100 Agency 2008 Top 100 Home Health

Our agency has been selected as one of the top 100 & 500 home health agencies in the United States

FAQ

HOW CAN I BENEFIT FROM HOME HEALTH CARE?
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.

Medicare 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. This is known as the Medicare home health benefit.

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.
AM I ELIGIBLE FOR HOME HEALTH CARE?

If you have Medicare, you can use your home health benefits if you meet all the following conditions:

  • 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
    • Continued occupational therapy
  • The home health agency caring for you must be Medicare-certified.
  • Your doctor must certify that you’re homebound. To be homebound means:
    • Leaving your home isn’t recommended because of your condition.
    • 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.

MEDICARE COVERAGE FOR HOME HEALTH CARE

  • Skilled nursing care. Skilled nursing services are covered when they’re given on a part-time or intermittent basis. In order for skilled nursing care to be covered by the Medicare home health benefit, your care must be necessary and ordered by your doctor for your specific condition. You must meet certain eligibility requirements.Skilled nursing services are given by either a registered nurse (RN) or a licensed practical nurse (LPN). If you get services from a LPN, your care will be supervised by a RN. Home health nurses provide direct care, teach you and your caregivers about your care, and also manage, observe, and evaluate your care. Examples of skilled nursing care include: giving IV drugs, shots, or tube feedings; changing dressings; and teaching about prescription drugs or diabetes care. Home health aide services may be covered when given on a part-time or intermittent basis if needed as support services for skilled nursing care. Home health aide services must be part of the care for your illness or injury. Medicare doesn’t cover home health aide services unless you’re also getting skilled care such as nursing care or other physical therapy, occupational therapy, or speech-language pathology services from the home health agency.
  • Physical therapy, occupational therapy, and speech-language pathology services. Medicare uses the following criteria to assess whether these therapy services are reasonable and necessary in the home setting:
    • The therapy services must be a specific, safe, and effective treatment for your condition.
    • The therapy services must be complex or your condition must require services that can safely and effectively be performed only by qualified therapists.
    • One of the three following conditions must exist:
      • It’s expected that your condition will improve in a reasonable and generally-predictable period of time.
      • Your condition requires a skilled therapist to safely and effectively establish a maintenance program.
      • Your condition requires a skilled therapist to safely and effectively perform maintenance therapy.
    • The amount, frequency, and duration of the services must be reasonable.
  • Medical social services. These services are covered when given under the direction of a doctor to help you with social and emotional concerns related to your illness. This might include counseling or help finding resources in your community.
  • Medical supplies. Supplies, like wound dressings, are covered when they are ordered as part of your care.

WHAT MEDICARE DOES NOT COVER.

Below are some examples of what 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, and when these services aren’t related to your plan of care.
  • Personal care given by home health aides like bathing, dressing, and using the bathroom when this is the only care you need.

Talk to your doctor or call us at (708) 481-6604 if you have questions about whether certain services are covered. You can also call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

To read more about Medicare and home health care, please visit http://www.medicare.gov/publications/pubs/pdf/10969.pdf