Frequently Asked Questions
Find answers to the most frequently asked questions about Physicians HomeCare (PHC) below. Or, contact us to learn more today!
How do I get started?
If you are a Medicare beneficiary (who is enrolled in Part A, Part B, or both), Medicare will help cover your home healthcare, if you meet the following four conditions.
1. A doctor must prescribe or order home care. The doctor, patient, family member, or other caregiver can contact Physicians HomeCare at (765) 447-3443. We come to your home to make an assessment and develop a plan of care, which then must be approved and signed by the patient’s physician.
2. You must need at least one of the following services:
- Part-time or intermittent skilled nursing care including but not limited to nursing for wound care, catheter care, monitoring after hospitalization, teaching on new medications or diagnosis.
- Physical therapy including but not limited to therapy after a break, surgery, post-stroke, after an extended illness.
- Speech-language services.
3. You must be homebound. This means that it takes a considerable and taxing effort to leave your home, and when you do leave home, you require the assistance of another person or an “assistive” device, such as a walker, cane, or wheelchair. This does not mean you may never leave your home. You may leave home at any time for medical care, approved adult day care or religious services. Absences from home for any other reason must be infrequent or for short periods of time, such as family events or outings.
4. You must receive your services from a home health agency that is certified (or approved) by Medicare. Not all agencies providing home care are Medicare certified and do not qualify for payment under the Medicare program. Physicians HomeCare is a Medicare-licensed and certified home care agency. Medicare covers 100% of all approved home care services; there are no deductibles or co-pays for our Medicare services.
After evaluation, if you meet all four conditions listed, Medicare will cover 100% of the following:
- This is care that can only be delivered safely by a registered nurse, or a licensed practical nurse under the supervision of a registered nurse. This would include injections, catheter care and complex wound care.
Home Health Aid Services
- These services include help with personal care such as bathing, using the toilet, dressing or other hands-on care. Medicare does not cover them unless you are also receiving skilled care such as nursing or therapy.
- This includes physical therapy, speech-language services and occupational therapy. Your doctor must say you need these types of care.
Certain Medical Supplies
- This includes things like wound dressings and ostomy supplies.
How do I start care?
You, your family member or caregiver, or your doctor can contact Physicians HomeCare. We will come to your home to make an assessment and develop a plan of care, which then must be approved and signed by your primary care doctor.
Do I have to be homebound?
Yes. This means that it takes a “considerable and taxing effort” to leave your home, and, when you so leave home, you require the assistance of another person OR an “assistive device”, such as a walker, cane, or wheelchair. This does not mean that you may never leave your home. You may leave home at any time for medical care, approved adult day care, or religious services. Absences from home for any other reason must be infrequent and of short duration, such as family events or outings.
Do I have to sign a contract? If so, am I paying for services not yet received?
At the time of the Initial visit and assessment, we will ask you to sign a care contract and service agreement. It will clearly define what services we are including in your care plan and the cost (if any) that the patient will be responsible for. However, each of the visits are billed individually. If for some reason, the contract or care plan is discontinued earlier than anticipated, you will not be responsible for payment of services not received.
Is the agency Medicare Certified and State Licensed?
Physicians HomeCare is a Medicare certified and state licensed home care agency. Medicare covers 100% of all approved home care services. There are no deductibles or co-pays for our Medicare services.
Medicare does not pay for 24-hour care in the home, blood draw/labs alone (with few exceptions-consult the intake nurse), delivered meals to your home, or “homemaker” services like laundry/shopping.
Does PHC accept assignments?
Yes, Physicians HomeCare does accept Medicare and Medicaid programs, and both provide payment for services at 100% coverage. We also accept the Choice program and Medicaid Waiver assignments as agreed upon.We will inquire with all other payor sources to determine possible contracts/negotiations for payment of services on a case by case basis.
Does PHC require a minimum number of hours?
For the Private Pay customers, we do not require a “minimum” other than our usual or anticipated 1 hour visit.
What are PHC's hiring practices?
Physicians HomeCare does thorough personal and professional reference checks on each applicant. We verify all clinical licensure and/or certifications are valid with no infractions or restrictions. We also conduct a criminal background check by collecting fingerprints and a 5 year history from each applicant. Upon hiring, we check competency and skill levels prior to placement in the home.
What We Accept
If you are a traditional Medicare beneficiary, Medicare will cover 100% of all approved home care services with no deductibles or co-pays, if you meet the following four conditions:
- A doctor prescribed home care and has agreed to re-evaluate you every 60 days.
- You must require part-time intermittent skilled nursing care, physical therapy or speech therapy services.
- You must be homebound or require service to leave your home at any point throughout your regular daily activities.
- You must receive your services from a Medicare Certified Agency.
Physicians HomeCare is one of the very few certified home care agencies that accepts state funded programs. These services are authorized through Area on Aging and vary depending on the client’s needs.
Upon prior authorization, your home healthcare services may be billed to your insurance company. We will verify your coverage for services.
Physicians HomeCare also accepts private payment for services.