Carle Home Care provides high-quality health care that allows patients to recover, or live with illness, in the comfort of their own homes, surrounded by family and friends. By providing care, education, and support, we help patients become independent in managing their care.
What is Home Care?
Since 1983, Carle HomeCare has provided care for patients in their homes. With close monitoring and patient and family education, many treatments that may have once kept patients in the hospital are now being done safely at home. In addition to the comfort of familiar surroundings, Carle HomeCare is a cost effective option and is often covered by Medicare, Medicaid and most insurance companies.
Patients must be homebound, have a physician's order and insurance authorization to be eligible for home health services. Examples of conditions that may require home health care are cancer, AIDS, diabetes, heart and lung diseases, fractures, and strokes, chronic illness, and disabilities.
Carle Home Care is fully accredited by the Accreditation Commission for Health Care (ACHC). This is your assurance that we adhere to the highest standards of quality in the industry.
The Carle Home Care Team
The Carle Home Care Team offers a wide range of services and includes registered nurses, certified home health aides, medical social workers and physical, occupational and speech therapists.
They work with you, your family and physician to develop a plan of health care or treatment that will meet your needs. The Home Care team will:
- Evaluate and assess your needs and coordinate patient care and services with your physician and other healthcare team members
- Provide you with continuity from the clinic, hospital or extended care facility into the home
- Promote a safe home environment for your activities
- Train you for self-care whenever possible and/or offer your caregivers education so they can manage treatments at home
- Case manage to use community resources to meet your changing healthcare needs
- Work toward reaching your highest level of wellness and independence
Home Medical Equipment
You may need home medical equipment as part of your plan of care. Our staff will help you decide what you need and help you arrange with a home medical equipment company to deliver the supplies, equipment and oxygen to your home. Equipment can include hospital beds, wheelchairs, respiratory equipment, monitors, walkers and dressing supplies. Carle Home Services has a formulary of supplies needed for wound care, catheter care and ostomy care. If you are receiving Medicare-covered home health care, all necessary supplies needed for these treatments and other procedures must be coordinated with your HomeCare nurse. Medicare will not reimburse the home health agency for these supplies and will not reimburse you or your supplier. Your HomeCare nurse will discuss this with you.
Medicare Guidelines for Coverage
What are the Medicare guidelines used to establish coverage?
The following criteria are required for Medicare to pay for your home health care services:
- You are home bound. This means that due to your illness or injury it takes a considerable taxing effort for you to leave your home and your absences are infrequent and of relatively short duration. If you are able to drive, then you probably do not meet the homebound requirement.
- You have had a recent illness or injury or worsening of a condition that requires skilled nursing care on an intermittent basis.
- You are an eligible Medicare beneficiary and under the care of a doctor who has ordered the treatment or services we are providing.
- Care is provided on an intermittent basis. This means Medicare will not pay for our home care staff to stay with you for an extended period of time. We will only visit you for the length of time it takes to provide specific treatment ordered by your doctor. If all of these requirements are met, Medicare will also pay for medically necessary occupational therapy, medical social services, home health aides and medical supplies.
How to Arrange for Care
You, your family, or your doctor can call us when home health care services are needed. We will coordinate your care with your physician, who will supervise the services you receive.
To arrange for home health care, call (877) 877-8555.
For general information, call (800) 239-3620.
Carle Home Services does not discriminate based on race, color, creed, sex, national origin, disability, sexual preference or age.
FAQs (Frequently Asked Questions)
Do I Qualify for Home Care?
To qualify for home health care, you must be homebound, have a doctor's consent (which we can obtain), and require the services of a skilled caregiver, such as a skilled nurse or a physical therapist.
What Services Are Offered?
Carle HomeCare offers a variety of services, including skilled nursing, rehabilitation therapy, home health aides and medical social workers. We also offer a variety of special programs that cater to particular needs.
When is HomeCare right for you?
Every patient’s situation is unique. While your physician must ultimately determine your appropriateness for home care, we encourage you to call us to discuss your situation.
When should a decision about needing home health care be made-and who should make it?
At any time during an illness, it's appropriate to discuss all of a patient's care options, including home health care. By law, the decision belongs to the patient. HomeCare staff members are always available to discuss them with the patient, family and physician.
Should I wait for our physician to raise the possibility of home health care, or should I raise it first?
The patient and family should feel free to discuss home health care at any time with their physician, other healthcare professionals, clergy or friends.
What if our physician doesn't know about home health care?
Most physicians know about home health care. If your physician wants more information, it is available by having them call Carle HomeCare at (877) 877-8555 or by contacting the National Association of Home Care.
What does the Carle HomeCare admission process involve?
One of the first things Carle HomeCare will do is contact the patient's physician to make sure he or she agrees that home health care is appropriate for this patient at this time. A registered nurse will come to your home to assess your needs and to develop a plan of care with you and your family. This visit will take from one to two hours. You will be asked to sign consent and insurance forms. These are similar to the forms patient’s sign when they enter a hospital.
Is there any special equipment or are there any changes I have to make in my home once care begins?
Your home care provider will assess your needs, recommend any necessary equipment, and help make arrangements to obtain it. Often the need for equipment is minimal at first and increases as the disease progresses. In general, Carle HomeCare will assist in any way it can to make home care as convenient, clean and safe as possible.
How many family members or friends does it take to care for a patient at home?
There's no set number. One of the first things the HomeCare team will do is prepare an individualized care plan that will, among other things, address the amount of care needed for the patient. HomeCare staff visit regularly and are always accessible to answer questions and provide support.
Must someone be with the patient at all times?
This is very dependent on your needs and abilities. Your HomeCare nurse will discuss this and provide suggestions and options.
Who pays for the services?
Medicare, Medicaid, HMOs and many other health insurance plans offer coverage for home health care services. Generally, health insurance will cover any services and supplies that are medically necessary and ordered by a physician who signs and oversees the patient’s plan of care.
There are certain medical and eligibility requirements that need to be met before Medicare, Medicaid or other insurance companies will authorize care. Some services and materials may be subject to a co-payment. Our staff will work with you and your insurance company to coordinate benefits. To be sure of coverage, families should of course, check with their employer or health insurance provider.
What insurance companies do you work with?
In addition to Medicare and Medicaid, Carle HomeCare works with the following insurance companies:
- Aetna U.S. Health Care
- Blue Cross and Blue Shield of MA
- Cigna Healthcare
- Health Alliance Medical Plans
- Mutual of Omaha
- Premier Choice
- Most Commercial Insurances
How Do I Go About Getting HomeCare Services?
Today, it could not be simpler for us to start helping you. All you have to do is call. You, your family, or your doctor can call us when HomeCare services are needed. We will coordinate your care with your physician, who will supervise the services you receive.
One phone call to our Referral Line will have you on your way to quality home care at its best. Call us toll free at (877) 877-8555.