Our Medicare division has been servicing the St. Louis area and surrounding counties for more than 20 years.

medicare-services-stlouisMedicare services allow homebound clients who are 65+ or clients who have been disabled for at least two years to receive skilled intermittent visits in the comfort of their own home, often delaying having to receive care in a nursing home. With Medicare, a client must be considered “homebound”. This means that in order for the client to leave home, they need assistance. Our services include:

  • Skilled Nursing
  • Physical, Occupational and Speech Therapy
  • MSW
  • Home Health Aides
  • Healthlight – Low-level light therapy for neuropathy patients
  • Beyond Balance – for patients who are a fall risk

WE ACCEPT: 

  • Care Improvement Plus
  • Humana Gold Choice (PFFS)
  • Humana Medicare (PPO)
  • Humana Care Choice (PPO)
  • Workman’s Comp.
  • VA-Fee Base Contract

“The staff and therapist were very kind and really cared.” – Janet B.

“Please thank all of the workers. All have been extremely helpful. – Dorothy M.

“All the Therapists were great, very helpful to my husband. – Floyd M

“I would like to thank all the ladies that assisted me to getting back on my feet and not needing overnight  help from my family and Friends. Thank you! – Sandra D.

“Dori was bright, intelligent, and delightful in conversations and well versed in her craft.” – Robert B.

“I really miss my therapist, and always felt better after her visit. She was very helpful and very encouraging. She is an asset to your company. – Frannie B. 

Often clients need specialized services over and above the standard medicare program:

Healthlight would be beneficial for clients:

  • Experiencing numbness & tingling in the fingers or feet.
  • Pain in calves or feet
  • Diagnosed with diabetic neuropathy
  • At risk of falls
  • Needs assistance with walking
  • Dependent on pain medication

Remote Health Monitor 

  • Patient that is in or out of the hospital
  • Swelling in lower extremities
  • Increased shortness of breath
  • Increased use of diuretics – anti-hypertensive  medications
  • Uncontrolled blood pressure
  • Diagnosed with CHF, COPD

We work with each person’s primary physician through the entire process. The following insurances are accepted:

  • Traditional Medicare
  • VA Fee Base
  • Care Improvement Plus
  • Humana

For homebound patients who qualify. We also offer:

  • Home Tele-Monitoring – FREE tele-monitoring for Medicare homebound patients with CHF, COPD – This FREE system monitors patient’s blood pressure, weight and oxygen levels daily. A report can be sent free of charge to your primary physician.
  • HealthLight – This is a Low Level Light therapy provided for those who suffer from Diabetic Neurapthy. FREE of charge for those Medicare homebound patients.
  • Beyond Balance – This is a fall prevention program for those who are at HIGH RISK for FALLS.

Below are Common Medicare Home Services Questions
(click on a question to see the answer)

Who pays when someone is receiving Medicare visits in his or her home?

According to the “Medicare and You 2001” handbook, it states the following: If a person qualifies for home care visits, as a recipient of Medicare Part A, a person would pay nothing out of pocket.

If someone needs "durable medical supplies" i.e. a wheelchair or walker in the home, who pays for it?

If the person qualifies for Medicare home visits, and if a doctor approves those medical supplies needed, then Medicare Part B will pay for 80% of the costs. This leaves the Medicare recipient responsible for 20% of the Medicare approved amount

How do you know if you have Part A or Part B Medicare?

Each U.S. citizen who turns 65 will automatically receive a Medicare card. If someone has Part A, this helps pay for the following: Care in hospitals as an inpatient, critical access hospitals, (which are hospitals that are small facilities that give limited outpatient and inpatient services to people in rural areas), skilled nursing facilities, hospice care and some home health.

A person would not pay a monthly payment called a premium for Part A because they or a spouse paid Medicare taxes while they were working. If someone did not pay Medicare taxes while you worked and you are 65 or older, you still may be able to buy Part A. Part B Medicare helps pay for the following: Doctor’s services, outpatient hospital care, and some other medical services that Medicare Part A will not cover, such as durable medical supplies. Medicare Part B has a premium of $45.50 per month (this figure may vary). *Based on information available during the year 2000.

In some cases, this amount may be higher if you did not choose Part B when you first became eligible at age 65. The costs of Part B may go up 10% for each 12 month period that you could have had Part B but did not sign up for it, except in special cases. Enrollment for Part B is optional. For more information, call: 1-800-808-0772.

You can look at your blue/white card to see exactly what your benefits are. If you need a new Medicare card, you can call the Social Security Administration toll-free at 1-800-772-1213 or call your local Social Security Office.

How do I choose a home health agency if I am going to receive Medicare home health visits?

First and foremost, people need to know that THEY HAVE THE RIGHT TO CHOOSE THEIR OWN HOME HEALTH AGENCY. First, you want to make sure that if you or a loved one is going to receive home health, that they call the agency ahead of time.Talk to a nurse at that agency and ask them the following questions: Are you a Medicare certified agency? Are you a Joint Commissioned agency? This means that an agency has gone over and above what their state mandates of all certified agencies.

Ask the nurse in the office what their expectations are for the care you or another person will be receiving. You can also call the Better Business Bureau in your area and see if there have been any complaints against the agency you are looking into. Planning ahead will help alleviate any fears or questions you may have.

If I wanted a complete handbook regarding my Medicare privileges, where do I find it?

Anyone can call Medicare at 1-800-633-4227, TTY/TDD 1-877-486-2048 for the hearing impaired. You may also look at their web site for the “Medicare and You 2000” handbook at www.medicare.gov.

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