Medicare offers a variety of opportunities for those who need to receive in-home nursing care. Facility care is one option that has become increasingly popular for seniors that need assistance with their recovery from illness or injury. There are several different reasons why a person would be considering in-home rehabilitation or facility care. Some individuals may need to receive nursing care that can’t be afforded at a traditional nursing facility, while others simply prefer to be in a familiar environment and receive the care they need.
Facility care is provided by licensed professionals in a rehabilitation facility or home. In some cases, these individuals work closely with qualified nurses, but in other instances, they work on their own. Regardless of whether they work in an assisted living facility or Nursing Homes, they provide health care services that can’t be found at a traditional nursing facility. Facility care can be provided to individuals who have a wide variety of medical conditions including physical disabilities, mental health conditions, and those with serious illnesses. Individuals may need specialized medical attention as well.
When it comes to Medicare part A and Medicare part B, there are opportunities for individuals to receive both types of coverage through a facility. Although facility-based care may not be as comprehensive as traditional nursing home care, it can provide the necessary services for an in-home resident who doesn’t have access to regular medical care. It is important to understand the difference between these two different types of coverage, as well as to understand what Medicare offers in terms of in-home nursing home care.
Medicare provides coverage for in-home services for adults who require assistance to take advantage of those services. They include transportation, help bathing, getting dressed, meals, and similar services. To qualify for services, a resident must sign an eligible Contract for Service with the State Department of Health. Once a resident begins receiving services under a contract, he or she must continue to pay for the service — in some cases, the facility will bill Medicare for the service and then reimburse the state.
On the other hand, when a person requires an in-home period of rehabilitation services after receiving a hospital stay, he or she would most likely need Medicare Part B. This type of nursing home coverage pays for periodical assistance to help an injured or ill individual return to normal functioning. Rehabilitation facility services cover various topics, from occupational therapy to speech therapy to physical therapy. Each month, a Medicare benefit card will come in the mail with a schedule of services that have been determined by a physician based on his or her recommendation.
Another program available from the State Department of Health is long-term care benefits. This type of coverage pays benefits to residents who are 80 years old or older. The benefits can be used to cover home care, assisted living, adult day care, and any type of nursing home coverage a person may require. This program helps prevent the elderly from having to give up their homes and be placed in a nursing facility. It also prevents an Alzheimer’s patient or a severely disabled person from becoming a neglected and abandoned member of the community.
An additional type of coverage known as personal care services is available through Medicare Part B. Personal care services may include in-home personal care and assistance with activities of daily living such as bathing, dressing, eating, using the toilet, and exercising. These services are usually covered under one level of coverage. A more comprehensive plan may offer the deluxe service of personal care along with hospitalization and nursing home coverage. However, since the vast majority of senior citizens do not need all of these services, the cost associated with them is usually insignificant.
Medicare Part D is a prescription drug plan that covers prescription medications, durable medical equipment, and certain mental health services. To participate in the Medicare Part D prescription drug benefit program, you must be age 65 or older. Although Part D does not cover nursing home coverage, it does require certain behavioral health services, such as alcohol and drug abuse, to be delivered in a facility that is certified by Medicare. For more information on the different options available to individuals receiving either Medicare or Medicaid, their families, or seniors in need of skilled nursing care, please visit the site cited below.