Who qualifies for Medicare home health?
Medicare covers home health when a physician certifies that you need intermittent skilled nursing or therapy, you are homebound (leaving home takes considerable effort), and the care is provided by a Medicare-certified agency under a plan of care. We check all of this with you on the first call.
What will it cost?
For eligible patients, Medicare pays for covered home health visits with no copay. Durable medical equipment ordered as part of care, such as a walker or hospital bed, is covered at 80 percent after the Part B deductible. We explain any cost before care begins.
Do I need a referral from my own doctor?
No. Medicare requires a physician’s order and a face-to-face encounter, and Benchmark’s own physician provides both. If you already have a doctor involved, we coordinate with them.
How many hours of care will we get?
Home health is intermittent: visits are typically a few times a week, and Medicare limits combined nursing and aide care to fewer than 8 hours a day and 28 hours a week. It is not a caregiver in the home all day. If your family needs that, we will say so and help you find the right option.
How soon can care start?
Once eligibility is verified and the order is in place, the start-of-care nursing visit is usually scheduled within a few days, and sooner after a hospital discharge when the hospital coordinates with us. Call and we will give you a realistic date for your city.
Which plans do you work with?
Bright Horizon is Medicare-certified and works with a number of Medicare Advantage and managed-care plans. See our Insurance page for the current list, or call and we will check your specific plan. We are not able to accept Kaiser Permanente members.