Insurance Coverage & Billing Information
We work with most major insurance plans to make quality home healthcare accessible and affordable. Our billing specialists handle all insurance paperwork so you can focus on your health and recovery.
Accepted Insurance Plans
We are credentialed with major insurance providers to ensure you receive the coverage you deserve for essential home healthcare services.
Coverage:
Covers skilled nursing, therapy services, and medical social work
Requirements:
Physician order, homebound status, skilled care need
Coverage:
Comprehensive home health services and personal care
Requirements:
Prior authorization, eligibility verification
Coverage:
Full range of home health services with referral
Requirements:
Referral from Kaiser physician required
Coverage:
Skilled nursing, therapy, and aide services
Requirements:
Pre-authorization for some services
Coverage:
Home health services per plan benefits
Requirements:
Physician certification and plan verification
Coverage:
Comprehensive home health coverage
Requirements:
Prior authorization and eligibility verification
Medicare Coverage for Home Health
Medicare covers home health services when you meet specific criteria. We handle all Medicare documentation and work directly with Medicare to ensure your services are covered.
Medicare Requirements:
Private Pay Options
For services not covered by insurance or for additional care beyond insurance benefits, we offer competitive private pay rates.
| Service | Rate | Duration |
|---|---|---|
| Skilled Nursing Visit | $150-200 per visit | 45-60 minutes |
| Physical Therapy | $120-150 per visit | 45-60 minutes |
| Occupational Therapy | $120-150 per visit | 45-60 minutes |
| Speech Therapy | $120-150 per visit | 45-60 minutes |
| Home Health Aide | $35-45 per hour | 2-8 hour shifts |
| Medical Social Worker | $100-125 per visit | 45-60 minutes |
Payment Options
Discounts Available
Our Billing Process
We handle all insurance billing and work to minimize your out-of-pocket costs while ensuring you receive the care you need.
Insurance FAQs
Common questions about insurance coverage and billing for home health services.
Do I need a referral for home health services?
For Medicare and most insurance plans, you need a physician's order. We can help coordinate with your doctor to obtain the necessary referral.
What if my insurance doesn't cover all services?
We offer private pay options for additional services and work with you to create an affordable care plan that meets your needs.
How do I know if I'm eligible for Medicare coverage?
Our intake team will verify your Medicare benefits and eligibility. We'll let you know what services are covered before we begin care.
What are my out-of-pocket costs?
Costs vary by insurance plan. Medicare typically covers 100% of approved home health services. We'll explain your specific costs upfront.
Do you accept assignment from Medicare?
Yes, we accept assignment from Medicare, which means Medicare pays us directly and you're not responsible for covered services.
What if I have secondary insurance?
We'll bill your secondary insurance for any remaining balance after your primary insurance pays. This often reduces your out-of-pocket costs.
Questions About Your Coverage?
Our insurance specialists are here to help verify your benefits, explain your coverage, and ensure you get the care you need.