Frequently Asked Questions
Home Health Care
1. What is home health care?
Home healthcare is an essential part of healthcare today encompassing a broad range of professional healthcare and support services provided in the home. These services can be provided on a long-term or short-term basis.
Home health care services usually include assisting those persons who are recovering, disabled, chronically or terminally ill and are in need of medical, nursing, social or therapeutic treatment and/or assistance with activities of daily living.
Per visit (intermittent) home health services are provided under the orders of a physician, usually, lasts an hour or less and require a skilled nursing or therapist to care for the patient. These visits are generally covered by a third party payor such as Medicare, Medi-Cal or private insurance. Private duty services are often provided for longer periods of time, in shifts of 4-24 hours and usually is paid for by the individual or family, although in some case a third party will cover the cost of shift care. Non-medical home care services can be arranged for those requiring assistance with activities of daily living including housekeeping and companionship. Services can be covered through long-term care insurance and/or private pay.
Complementary medicine home visits can be arranged, however, most require private pay arrangements.
2. Who needs home health care?
There are many good reasons for wanting an ill or recuperating loved one to be cared for at home. Homecare is a humane and compassionate way to deliver healthcare because it enables the patient to enjoy the comfort, privacy and convenience of home. Home care is a cost-effective alternative to institutional care. Some typical cases in which home health care may be appropriate:
- A patient has been discharged from the hospital but is not fully recovered or has a condition that needs monitoring (e.g. surgery, heart attack, stroke).
- A person has a chronic condition and requires care until the condition has been stabilized (e.g. heart/lung disease, diabetes).
- An accident victim suffers fractures and needs therapy.
- Someone diagnosed with a disease needs education about the illness and help to cope with it (e.g. high blood pressure).
- A family caring for an elderly, disabled or sick family member and needs education or additional support.
- A person is being hospitalized repeatedly or is experiencing prolonged hospital stays.
- Someone in the final stages of an incurable disease.
- After delivering a baby, a woman needs follow-up care/support at home.
- An infant born prematurely goes home but requires monitoring.
3. Who provides home health care?
Homecare services are typically provided by homecare organizations including Medicare-certified home health agencies, hospices, area agencies on aging, homemaker agencies, staff and private duty nursing agencies. Other companies may be utilized to deliver specialized services and products such as medical equipment and supplies, pharmaceuticals and drug infusion therapy.
4. What does “skilled service” mean?
A skilled service is defined by Medicare as a service that is provided by a nurse, physical therapist or speech therapist and is complex enough to require the expertise of a trained professional.
5. What does it mean to be homebound?
Homebound means that you have a normal inability to leave your home, or that it takes a considerable and taxing effort to leave home. Absences from the home must be infrequent or for a very short period of time, for example leaving your home for medical care. Time away from home should not last longer than one to two hours or occur more often than one to two times per week, such as attending a place of worship once a week. In general, you are homebound if you have an illness or injury which restricts your ability to leave home unless you have help i.e. if you need help from another person, a wheelchair or special transportation.
In most cases, if you drive you are not considered homebound. If you leave home for purposes other than to receive medical treatment and if the time away is frequent and for long periods of time you are not deemed homebound. When you are able to leave home frequently and independently, Medicare expects that any medical care you require will be provided in an outpatient setting (at your doctor’s office, clinic, etc.).
6. What is a home health agency?
A home health agency often indicates that a homecare provider is Medicare certified. A Medicare certified agency has met minimum requirements and therefore can provide services to Medicare and Medicaid beneficiaries. Individuals requiring skilled care usually receive their care from a home health agency. Due to regulatory requirements, these agencies are highly supervised and controlled.
7. What services do home health agencies provide?
Services vary depending on the agency. Forever Caring Home Health Services, Inc. offers skilled nursing, physical, occupational and speech therapy, home health aides, medical social services, and homemakers. In addition, we arrange for durable medical equipment, pharmaceuticals, palliative care and respiratory therapy. In addition, we have a staff of professionals who specialize in complementary health approaches such as acupuncture, acupressure, reiki, etc.
8. Who can receive home health care?
People of all ages with acute and chronic healthcare needs can receive home health care services. Home healthcare is for persons who require health care from a professional or who need supportive assistance in the home environment. The payer(s) for these services typically determines what type of care is covered and who qualifies. In most cases, medical orders from a physician are required for care.
9. When are home healthcare services available?
Home health care services provided by Forever Caring Home Health Services, Inc. are available 24-hours a day, seven days a week, 365 days a year depending on the needs of the client.
10. Will my insurance cover home health care?
If the care is medically necessary and the patient meets certain coverage requirements then Medicare, Medicaid, and most private insurance plans will usually pay for home health care services. For services that are not covered, patients may choose to pay out of their own pocket. Community groups subsidize some agencies and some receive funding from local and state government to assist patients in paying for their care when they no or limited resources.
11. How do I choose the right home health care agency?
First, assess your needs and find an agency that offers those particular services. Second, ask the agencies about their accreditations, licenses, and certifications. You’ll also want to evaluate the quality of care, skills and training of personnel at the agency under consideration.
12. What is Medicare Advantage Plan?
According to the Center for Medicare and Medicaid Services, this is a type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all of your Medicare Part A and Part B benefits. Also called “Part C,” Medicare Advantage Plans include Health Maintenance Organizations, Preferred Provider Organizations, Private Fee-for-Service Plans, Special Needs Plans, and Medicare Medical Savings Account Plans. If you are enrolled in a Medicare Advantage Plan, Medicare services are covered through the plan, and aren’t paid for under the original Medicare Plan. Most Medicare Advantage Plans offer prescription drug coverage.
Adult Day Health Care
What support team is available at Forever Caring's Adult Day Health Care Centers?
- Registered Nurses (RN) and Licensed Vocational Nurses (LVN)
- Occupational Therapists
- Physical Therapists
- Speech Therapists
- Social Workers
- Activity Coordinator
- Certified Nursing Assistants (CNA)
- Registered Dietician
- Clinical Psychologist
What is Adult Day Healthcare?
Forever Caring Adult Day Healthcare is a fully licensed and certified healthcare facility where adults and elderly persons with varying health conditions receive physical, occupational and speech therapy as well as nursing care, dietary supervision, social services, and activities Monday -Friday between the hours of 9 am – 2 pm.
How does the team work with the members at Adult Day Healthcare?
The Forever Caring team plans and monitors the member’s care on an individual basis. Our staff provides close supervision of health care needs and communicates with caregivers and physicians allowing for prompt treatment. As a result, the member may avoid hospitalization or convalescent placement. Regularly held team meetings ensure that the changing needs of the patient are met throughout the continuum of care.
What are the payment options for Adult Day Healthcare services?
Medi-cal, some insurance plans and private pay.
What are the basic services provided for each member at Adult Day Healthcare?
- Assessment and monitoring of physical, functional and cognitive capabilities
- Speech Therapy
- Physical Therapy
- Occupational Therapy
- Skilled Nursing
- Transportation to and from the center nearest you
- Meals and snacks prepared by Registered Dietician
- Counseling and education regarding medical conditions
- Braille/low vision activities
- Memory stimulation exercise
- Cholesterol lower program
- Yoga and Meditation class
How do I enroll in Forever Caring’s Adult Day Healthcare?
Just call 310.538.5808 Our friendly staff will answer all of your questions and perform a preliminary intake assessment to determine if Adult Day Healthcare is right for you. We will walk you through the process and schedule a tour or free one day pass.
What are the operating hours at the Adult Day Healthcare?
Monday – Friday
Program Hours: 9am-2pm
Extended Care: 7am to after 3 pm (additional fees will apply)
Members may attend 2-5 days per week (some insurances may not cover 5 days attendance)
What are the benefits of Adult Day Health care?
- Decrease cognitive decline.
- Less frequent or no hospitalization.
- Delay or negate the need for convalescent facilities.
- Increase independence and dignity.
- Encourage creativity and self-worth.
- Referrals to additional healthcare resources and community resources.
- A break from the demands of daily care for caregivers and family members.
What are the eligibility requirements to enroll in Adult Day Healthcare?
Any person who has medical condition(s) that requires monitoring or therapy. Conditions such as, but not limited to, Diabetes, High Blood pressure and Disabilities.