TYPES OF CARE
(see Services for the types of care provided by Texas Angels)
What are the Details for the Various Senior Care Options?
There are many senior care options that can meet a variety of needs. While some care options are private pay, others are covered by health insurance. Here’s a quick breakdown.
While you may travel to see your Primary Care Physician (PCP), some medical practices now provide in-home doctor visits for those who cannot or do not want to travel to see their doctor. Many of these services are covered by Medicare and private healthcare insurance.
Licensed Home Health (LHH) is a service covered by Medicare or your private healthcare insurance that is episodic in nature. This means it is for a fixed period, like 6 weeks or until the care goals are met and it is visit based. A typical visit could last 30 to 60 minutes, or just as long it takes to complete the assigned task. Your physician must write an order, then a Registered Nurse will come out and perform an assessment. Based on the assessment and the physician’s order, you may receive wound care for a bed sore, physical therapy after a surgery, or a home health aide to assist you with bathing. Usually, the Home Health Agency will decide on what type of care you receive and which type of caregiver will provide this care. Licensed Home Health will not come out to your home and sit with your spouse while you grocery shop or visit with friends. Licensed Home Health will not wash a load of laundry, cook you dinner or perform light housekeeping.
Outpatient Hospice is another service covered by Medicare and private healthcare insurance. Outpatient Hospice assists clients with end of life care in their home. Once you start Hospice, Medicare Part A will stop covering Home Health Care and if you are hospitalized, Hospice coverage ends until you are discharged from the hospital. However, Outpatient Hospice can be converted to Inpatient Hospice without any lapse in coverage. Hospice care only lasts 6 months but can be extended after being re-certified by the hospice agency's physician.
Non-medical home care are services that provide in-home assistance with ADLs, IADLs, respite care and companionship. ADLs or Activities of Daily Living are direct care tasks like bathing, feeding, transfers toileting and ambulation. IADLs, (Instrumental ADLs) are tasks like transportation, shopping, meal preparation/cooking, laundry and medication reminders. These services allow clients to live in their own home, leading an independent and autonomous lifestyle in the comfort of their own home. Non-medical home care, sometimes referred to as Personal Assistance Services (PAS) in Texas, are typically Private Pay, although Long Term Care Insurance, certain VA Benefits, Medicare Advantage Plans (starting in 2020) and Medicaid (for those who qualify) can pay for all or a portion of these costs.
Hospitalization, Inpatient Rehabilitation and some Skilled Nursing Facility care is covered under Medicare Part A. Memory Care, long-term nursing homes, independent and assisted living facilities are typically private pay. Independent senior living facilities are communities of apartments for seniors. Your apartment unit can be one room; a bedroom with a sitting area, kitchenette and a separate bathroom. Or a multi-bedroom apartment with a full gourmet kitchen. Assisted living can have a similar range of accommodations and provide separately billed, "a la carte" style, ADL services that you can pick and choose based on you needs and your budget. These services include bathing, medication administration or feeding. Most assisted living facilities have a few nurse aides to cover many clients so you may have to wait to be fed or to be assisted to the bathroom.
As you can see, even with this brief summary, there are many care options available for seniors and the disabled. This is why a consultation with a Care Manager is vital to navigating the sea of possibilities.
Call Texas Angels today to meet with a Care Manager to see which senior care options are best for you.
MAIN OFFICE & MEETING CENTER:
3509 HULEN ST., SUITE 151
FORT WORTH, TX 76107
P - (817) 727-4525 F- (817) 727-4576
Copyright © 2019 Texas Angels Home Health Care, Inc.
Not a franchise. Family Owned and Operated since 2012.
SERVING FORT WORTH, TARRANT & SURROUNDING COUNTIES