Why Short Term Home Healthcare insurance is important for your senior (Medicare) clients
What's home health care?
Home health care is a wide range of health care services that can be given in a beneficiary’s home for an illness or injury. Home health care is usually less expensive, more convenient, and just as effective as care received in a hospital or skilled nursing facility (SNF). Usually, a home health care agency coordinates the services your doctor orders for you. Before you start getting your home health care, the home health agency should tell you how much Medicare will pay. The agency should also tell you if any items or services they give you aren't covered by Medicare, and how much you'll have to pay for them. This should be explained by both talking with you and in writing. The home health agency should give you a notice called the Advance Beneficiary Notice" (ABN) before giving you services and supplies that Medicare doesn't cover.
Key Selling Points:
After illness or injury, if feasible, most people would prefer to recuperate at home, but for a period of time may not be able to perform certain activities of daily living.
Beneficiary must qualify for Medicare to pay for any home health services, and Medicare often does not pay all costs for home health services. To qualify for Medicare payment:
· Beneficiary must be under the care of a doctor, and must be getting services under a plan of care established and reviewed regularly by a doctor.
· Beneficiary must need, and a doctor must certify that they need: Intermittent skilled nursing care (other than drawing blood), or physical therapy, speech-language therapy, or occupational therapy services. These services are covered only when the services are specific, safe and an effective treatment for the condition. The amount, frequency and time period of the services needs to be reasonable, and they need to be complex or only qualified therapists can do them safely and effectively. To be eligible, either: 1) beneficiary’s condition must be expected to improve in a reasonable and generally-predictable period of time, or 2) beneficiary needs a skilled therapist to safely and effectively make a maintenance program for their condition, or 3) beneficiary needs a skilled therapist to safely and effectively do maintenance therapy for their condition.
· The home health agency caring for beneficiary must be approved by Medicare (Medicare certified).
· Beneficiary must be homebound, and a doctor must certify that they're homebound.
· You're not eligible for the home health benefit if you need more than part-time or intermittent skilled nursing care.
Beneficiary’s doctor or other health care provider may recommend they get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, beneficiary may have to pay some or all of the costs out of pocket.
Short Term Home Healthcare
Benefits are paid directly to policyholder, regardless of any other insurance
they may have (e.g. Medicare), up to 360 days.
Policy normally includes benefits for both skilled services and home health aide agency services not covered by Medicare.
Benefits can help cover deductibles and co-payments for existing health insurance.
A prior hospitalization stay is not required to collect benefits.
Qualification is easy: Nearly a guaranteed issue product!!
Attractive prescription drug reimbursement can make this insurance very affordable and a fantastic value to supplement existing health insurance. Products today reimburse policyholder for both generic and brand name prescriptions which may substantially offset the policy premium.