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How to Pay for Home Care in Delray Beach

August 22, 2019

Home Care Costs and Payment Sources for Florida Families

6 Ways to Cover the Cost of Home Health Care Service in Delray Beach

Six common ways to pay for home care services are private pay or “out of pocket” (cash, check, credit, or trust), long-term care insurance, private health insurance, VA benefits, Medicaid, and Medicare. 

Except for private pay, each of the six payment sources below has unique eligibility requirements and service limitations. In most cases, the right care solution for your loved one may require a combination of these payment sources. 

1. Private Pay or “out of pocket”

Paying with personal funds gives you and your loved one the most flexibility when seeking care services. You can work with your loved one’s doctors and a local home care provider like BrightStar Care to tailor a care plan specifically to your loved one’s needs, including meal prep, companionship, light housekeeping, bathing, grooming, feeding, infusions, wound care, and medical equipment set-up.

Private pay helps cover additional care services that can supplement the limited services and support covered by other sources like Medicaid or Medicare, as well as the “elimination period” before a long-term care policy begins to pay benefits.

2. Long-term Care Insurance

Long term care benefits can pay for in-home assistance with activities of daily living, such as bathing, dressing, incontinence care, toileting, eating, assistance with transfers, meal prep, light housekeeping, transportation, medication reminders & more, all in the comfort of their own home.

BrightStar Care helps our clients understand and process their Long Term Care Insurance (LTCi) claim. All we need from you is your contact information and policy and/ or claim number. It is up to you to notify your LTCi that you would like to start a claim. You are responsible to know your policy details; such as: your daily benefit and if they cover 100% of the billed fees, any elimination period, waiver of premium and length of policy. If you need help or guidance in filling out or submitting documentation needed to be approved for benefits, we are more than happy to assist. We will send all invoices and proof of payment to your LTCi directly; so that you will get reimbursed as quickly as possible.  This saves you and or your family members, the hassle of having to take on this task. Keep in mind that it may take up to 6-8 weeks to get initial approval on your claim and we have no control over that.

3. Private health insurance

Thanks to partnerships with national insurance companies, BrightStar Care offices are credentialed in-network with insurance companies across the country. Many BrightStar Care offices also are in-network with local insurance companies. Call to learn more.

4. Benefits for military veterans and their spouses

The Veterans Aid & Attendance Pension provides qualified veterans and surviving spouses with a pension that can help pay for at-home assistance with daily living activities such as bathing, dressing, transferring, toileting, light housekeeping, transportation, meal preparation and more.

A veteran or the surviving spouse of a vet (were married at the time of death) who has served at least 90 days or more on active duty, with one day beginning or ending during a period of war, in need of assistance at home due to their disabilities may be eligible for the VA’s non-service connected disability pension (up to $2020 per month in supplemental pension depending on their situation). Note: this is not a benefit for a person needing housekeeping or respite part time care.

5. Medicaid

Medicaid can pay for doctor appointments, hospital expenses, medicine, therapy, some adaptive equipment, and additional services. The state writes a plan that tells what kind of services will be provided under their Medicaid Waiver program. Each state’s plan is different, so consult Medicaid.gov to learn more about your state’s requirements and coverage.

You may qualify for help from a Medicaid home and community-based service (HCBS) waiver program if you meet your state’s level-of-care or functional eligibility requirements for home and community-based services; and have income and assets below certain guidelines.

6. Medicare

Medicare Home Health Agencies provide service based on a doctor’s prescription. Home Health services also are based on a specific conditions, and are usually only provided for a set period of time. Typically, Medicare can cover just a few personal care visits, but no companion care or supportive care services. Medicare agencies are limited in what they can do and for how long, so if you’re looking for additional support, call us. NOTE: BrightStar Care does not accept Medicare, but can partner with you and your Medicare Home Health Agency to provide additional care needed for any amount of time.

BrightStar Care of Delray Beach can help you identify which of these options, or combination of options, is right for your family. Please contact us to learn even more about different solutions, so your loved one can receive the best care.

BrightStar is committed to helping seniors and their famiies. We provide a full continuum of private duty home care services, including medication assistance, skilled nursing and more, to improve the lives of those we care for.

Click HERE to learn more about our award winning home health care agency or call us today at (561) 921-0550 to learn more about care options in Delray Beach areas.  We're here to help!