How to Get Home Health Care: A Step-by-Step Guide
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How to Get Home Health Care: A Step-by-Step Guide

Apr 7, 2025

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:

  • Recent hospital stay or surgery
  • New or worsening chronic condition
  • Difficulty performing daily activities
  • Frequent falls or balance problems
  • Complex medication regimen
  • Need for wound care or IV therapy
  • 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:

  • What activities are difficult for you
  • Any recent changes in your condition
  • Falls or near-falls
  • Medications you are having trouble managing
  • Your living situation at home
  • 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:

  • Follow your exercise and treatment plans
  • Ask questions about your condition and care
  • Communicate any changes in your condition to your care team
  • Keep all physician appointments
  • Take medications as prescribed
  • 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.