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Care provided in the home
Home Care (Non-Medical): Home Care is providing care to individuals who need assistance with their activities of daily living. Home care will consist of mobility assistance, personal hygiene, dressing, grooming, meal preparation, medication reminders, transportation and overall supervision of an individual's non-medical needs. Care can be arranged for as little as two hours intermittently to twenty-four hours per day. Home care is commonly provided in an individual's private home, however it may be provided wherever the client/patient is located (hospital, nursing facility or assisted living facility). The purpose of home care is to provide clients with independence, dignity and safety with a personal caregiver while residing in the comfort of their home. *These services can also be known as Companion Care, Custodial Care, Personal Attendant Care, Homemaker Service, Domestic Care, Home Care and Private Duty Homecare. See more about Home Care in "Learn more about" located on Home Page.
Payment Method: Home care is private pay, although some individual Long Term Care Insurance policies and Worker's Compensation may pay for Home Care services.
Home Health Care: This type of service has the ability to provide skilled services in the patient's home. The patient must be considered homebound in order to receive home health care. Generally speaking, a patient will be considered homebound if they have a condition due to an illness or injury that restricts their ability to leave their place of residence. Home health care is covered by Medicare (Either Part A or B) and most private insurance. Medicare and private insurance companies pay for many of the costs incurred with home health nurses, home health aides and therapy services. A nurse and therapist will develop a "plan of care" for the patient. Some of these therapies might include Physical or Occupational Therapy, and many others. See more about Home Health Care in "Learn more about" located on Home Page.
Payment Method: Home health care is covered by Medicare (Either Part A or B) and most private insurance. Medicare and private insurance companies pay for many of the costs incurred with home health nurses, home health aides and therapy services .If you don't meet the admitting criteria or are opting for a service not covered by your insurer, you may elect to pay "out of pocket" for services.
Care Facilities
Assisted Living: Residential Care Facilities for the Elderly (RCFE) provide care, supervision and assistance with activities of daily living, such as bathing and grooming. They may also provide incidental medical services under special care plans.
The facilities provide services to persons 60 years of age and over and persons under 60 with compatible needs. RCFEs may also be known as assisted living facilities, retirement homes and board and care homes. The facilities can range in size from six beds or less to over 100 beds. The residents in these facilities require varying levels of personal care and protective supervision. *Also known as Retirement Home, Congregate Care, Board and Care. See more about Assisted Living in "Learn More About" located on the Home Page.
Small Board & Care Facility: This type of facility is licensed as a Residential Care Facility for the Elderly (above) and provides "Assisted Living" non-medical services. This care is done in a single-family licensed residence with the capacity to care for no more than six individuals at one time. The same guidelines and licensure for large RCFEs applies.
Payment Method: Assisted Living care is "private pay". Individual Long Term Care Insurance policies may cover Assisted Living services. Medicare and MediCal do not pay for services in an Assisted Living facility.
Skilled Nursing Facilities: Also known as SNFs or Nursing Homes, care for individuals who are in need of 24-hour nursing care. SNFs provide many of the same services as other senior care options including personal care and supervision, in addition to other types of therapy. Their onsite medical staff sets them apart from other types of senior housing. Nursing care is provided by registered nurses (RN), licensed vocational nurses (LVN), and nurses aides 24 hours per day. Healthcare is supervised and authorized by a physician, and there is a Medical Director (Physician) on staff. Some of the therapies offered in SNFs may be Physical Therapy, Occupational, Speech, and others. SNFs are comprised of both long term Residents as well as those who are receiving short term rehabilitative therapy. Nursing Homes are licensed and regulated by State Department of Public Health. *Also known as "Nursing Homes", "Convalescent Facilities"
Payment Method: Facilities accept a variety of Medicare, Medicaid, private insurance carriers, and private funds.
Other types of care:
Hospice Services: Hospice, or "end of life" care is a service which focuses on comfort rather than cure. Hospice is a Medicare Benefit in which there are both Initial and Ongoing Requirements for a beneficiary to be eligible to receive hospice services. A patient must be eligible for Medicare Part A, and the attending physician and the hospice medical director or team physician must certify that the patient has a "medical prognosis that his or her life expectancy is six months or less, if the illness runs its normal course." *Also known as "Palliative care".
See more about "Hospice Services" in "Learn More About" located on the Home Page.
Adult Day Center: These centers focus on providing social stimulation, security and minimal custodial care services during the daytime hours. These facilities are used most often as "respite" or intermittent care for an individual residing at home with a loved one, providing that caregiver with a rest period. Programs focus on different levels of social stimulation, planned activities, music, exercise, meals and may provide transportation to and from the center. Basic assistance with toileting, incontinence care, and medication assistance may be provided as well.
Payment Method: These programs are generally "private pay" and do not accept insurance or entitlements.
Adult Day Healthcare Center: These centers offer similar programs as the social model Day Center (above) but also provide various levels of care for individuals with disabilities. Programs include physical, social, and recreational programs, personal hygiene assistance, and meals and snacks. ADHCs also focus on multi-disciplinary team assessments, medical and nursing services, and provide such special services as Physical Therapy, Occupational Therapy, counseling and support services, social services, health screenings, family support and more. Transportation may also be provided.
Payment Method: MediCal is accepted at these facilities, as well as Veterans Benefits, private pay, Long Term Care insurance and others.
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