Home Health Care. This plan covers the following home care services when provided by a certified home healthcare agency: • nursing services; • services of a home health aide; • visits from a social worker; • medical supplies; and • physical, occupational and speech therapy.
Home Health Care. The following Services are covered [upon prior written referral from a [Member]'s Primary Care Provider]. When home health care can take the place of Inpatient care, We cover such care furnished to a [Member] under a written home health care plan. We cover all Medically Necessary and Appropriate services or supplies, such as:
Home Health Care. Care of the Insured in the Insured’s home, which is prescribed and certified in writing by the Insured’s attending physician, as required for the proper treatment of the illness or injury, and used in place of inpatient treatment in a hospital. Home Health Care includes the services of a skilled licensed professional (nurse, therapist, etc.) outside of the hospital and does not include Custodial Care.
Home Health Care. In a Doctor’s/Therapist's Office Physical or occupational therapy services received in a doctor’s/therapist's office are covered. See the Summary of Medical Benefits for benefit limits and the amount you pay.
Home Health Care. A program of home health care and home care services to reduce the length of hospital stay and admissions shall be available at the employee's option. The service must be prescribed by an attending physician who must certify that the home health care services are being used instead of inpatient hospital care, and that the patient is confined to the home due to illness. Services shall be covered to the extent that they would have been covered if the individual had remained or been confined in the hospital. Home infusion therapy shall be covered as part of the home health care benefit or covered by its separate components (e.g. durable medical equipment and prescription drugs), however a patient shall not be required to be homebound.
Home Health Care. An initial period of up to thirty (30) days will be covered if approved in advance by USA Medical Services. Any extensions in increments of up to thirty (30) days must be approved in advance or the claim will be denied. Updated evidence of medical necessity and a treatment plan are required in advance to obtain each approval.
Home Health Care. Home health care is Medically Necessary skilled care provided to a homebound patient for the treatment of an acute illness, an acute exacerbation of a chronic illness, or to provide rehabilitative services. Benefits for home health care services provided to a homebound patient include: Professional services provided by a registered nurse or licensed practical nurse; Physical medicine, occupational therapy and speech therapy; Medical and surgical supplies provided by the home health care agency; and Medical social service consultation.
Home Health Care. Services received from a Home Health Agency that are all of the following: • Ordered by a Physician. • Provided in your home by a registered nurse, or provided by a home health aide, home health therapist, or licensed practical nurse and supervised by a registered nurse. • Provided on a part-time, Intermittent Care schedule. • Provided when Skilled Care is required. • Provides each patient with a planned program of observation and treatment by a Physician, in accordance with existing standards of medical practice for the Sickness or Injury requiring the Home Health Care. For Covered Persons that received less than 48 hours of inpatient hospitalization following a mastectomy or removal of a testicle or who undergo a mastectomy or removal of a testicle on an outpatient basis will receive the following: • One home visit scheduled to occur within 24 hours after discharge from the Hospital or outpatient health care facility; and • An additional home visit if prescribed by the Covered Person’s attending Physician. We will determine if Benefits are available by reviewing both the skilled nature of the service and the need for Physician-directed medical management.
Home Health Care. As determined to be Medically Necessary, as defined by Medicare and provided in lieu of hospitalization, as mutually agreed to by IPA, Hospital and PacifiCare, including any required DME and IV Therapy Services.
Home Health Care. An initial period of up to thirty (30) days at a maximum of two hundred dollars (US$200) a day will be covered if approved in advance by USA Medical Services. Any extensions in increments of up to thirty (30) days must be approved in advance or the claim will be denied. The benefit is limited to a maximum of sixty (60) days, per incident, per policy year, at a maximum amount of two hundred dollars (US$200) a day. Updated evidence of medical necessity and a treatment plan are required in advance to obtain each approval.
