All insurances are verified within 24 business
hours of referral. Patients are notified verbally and in writing
of their coverage, any co-pay, deductible, or services that will
not be covered. Non-covered services become the patient’s
responsibility. If a patient qualifies, they may apply for financial
assistance.
Medicare will reimburse 100% of covered home
care services if patient meets approved criteria for certified
home care.
Medicaid will reimburse 100% of Medicaid cap
for approved skilled home care services including skilled nursing,
home health aide, physical therapy, and occupational therapy.
Non-covered services include medical social work and speech therapy.
Blue Cross/Blue Shield will reimburse for
approved skilled home care services. Most groups have some type
of deductible and/or co-pay for which the patient is responsible.
The deductible is often met by in-patient stays. Every contract/group
has individual benefits, depending on the Blue Cross contract.
Commercial and HMO carriers are very broad
in spectrum and do not allow us to generalize coverage. All commercial
and HMO policies are verified for needed services, benefit criteria,
and coverage.
If you are a Munson Healthcare patient and have a compliment,
concern, or complaint, please contact one of our Patient
Liaisons.
