Paying for Home Care

Every effort is made to ensure your complete satisfaction, regardless of the services you are receiving. Multi-Care is a licensed Medicaid/Medicare provider, and we work with most insurance companies.

For Home Health services, Multi-Care will investigate Medicare or your insurance benefits on your behalf.

Individual planning with Multi-Care will help you develop the best care plan to optimize your services and out-of-pocket expenses. Our Community Resource Specialist can help assist you in finding the help you need! Call today!

Payment Policies

Medicare Home Health Service

• Medicare eligibility required
• Physician orders required
• Patient must be homebound
• Patient must require skilled care, which a doctor has determined to be medically necessary.
• Medicare is billed directly and pays for all eligible services

Medicaid Service

• Medicaid eligibility required
• Department of Health & Welfare authorization required
• Client must require assistance with either ADL’s (activities of daily living) or Skilled Nursing services
• Medicaid is billed directly and pays for all eligible services
• A Client copay may be required as determined by the Department of Health & Welfare and will be billed monthly, to the client, by MultiCare

Insurance Plans & HMO’s

• The amount of coverage authorized for home care varies among insurance plans
• Multi-Care will verify the services covered and the amount of financial coverage your insurance plan will pay
• Multi-Care will file the insurance claims on your behalf
• Patient/family is financially responsible for all services not covered by the insurance plan
• We honor a combination of Medicare and Other Payers
• You can elect to receive addition services beyond what Medicare will pay– Medicare can pay for some eligible services and you and/or your insurance plan can pay for additional services
• Individual planning with MultiCare will help you develop the best care plan to optimize your services & out of pocket expenses
• In some cases, several insurance plans can be coordinated to cover the cost of home care services

Other Services (Personal Care & Select Custom Services)

• Includes those services not generally requiring a physician’s order
• Patient/family is responsible for all charges
• Services can range from 2 hours to 24 hours, and from occasional care, e.g. once a week, to continuous live-in care
• Depending on services required, a deposit equal to one week’s care may be required, which will be applied to the last invoice
• The Care Coordinator works with the patient and family to develop a care plan that fits their specific needs
• No charges are made for the nursing assessment visits or supervision of the home care aides
• Bills are sent out monthly for services of less than 40 hours/week — Services greater than 40 hours/week are billed on a semi- monthly basis
• Payment is due upon receipt of bill