If you or a loved one needs home health care, the process of getting started can feel overwhelming. This step-by-step guide walks you through exactly what to do, from initial conversation to first visit.
Step 1: Recognize the Need
The first step is recognizing that home health care might be beneficial. Common situations that indicate a need for home health include:
Step 2: Talk to Your Doctor
Home health care must be ordered by a physician. Schedule an appointment with your doctor to discuss your care needs. Be specific about:
Your doctor will determine if you meet the criteria for home health care and can write an order for services.
Step 3: Understand Your Coverage
Before selecting an agency, understand what your insurance covers:
Medicare: Covers home health at 100% if you are homebound, need skilled care, and use a Medicare-certified agency. No copay, no deductible.
Medicare Advantage: Coverage varies by plan. Check with your plan for details on home health benefits.
Medicaid: Coverage varies by state but typically covers home health services.
Private Insurance: Most plans cover home health care, though benefits vary. Check your policy or call your insurer.
Step 4: Choose an Agency
Your doctor or hospital may recommend specific agencies. You can also research options on your own using Medicare's Home Health Compare tool. Our care advisors can also help you evaluate agencies in your area.
Step 5: Schedule the Initial Assessment
Once you have selected an agency, a nurse or therapist will visit your home for a comprehensive assessment. They will evaluate your medical condition, functional abilities, home environment, and care needs. Based on this assessment, they will create a plan of care in coordination with your doctor.
Step 6: Begin Receiving Care
After the assessment and care plan are approved by your doctor, services will begin — usually within a few days. Your care team will visit according to the schedule in your care plan, which your doctor will review and update regularly.
Step 7: Participate Actively
For the best outcomes, actively participate in your care:
Need Help Getting Started?
The process does not have to be complicated. Our care advisors can walk you through each step, help you understand your coverage, and connect you with quality agencies in your area. Contact us for free, personalized guidance.