Frequently Asked Questions

  • What services does Transitions Healthcare provide?
  • Are services covered by Medicare?
  • What other insurances does Transitions Home Health accept?
  • What other insurances does Transitions Chronic Care accept?
  • How do I qualify for home health care services?
  • How can transitions healthcare help me or my loved one at home?
  • What is the role of my home care clinician(s) and what is my role in my care?
  • How often will I see my home care clinician(s)?

Home Health Care

Home visits including nursing, physical therapy, occupational therapy, speech therapy, social work and certified nursing aide.

  • Medication management 
  • Advanced directives 
  • Fall prevention 
  • Pain management 
  • Assistance with self-care
  • Regaining independence and safety in daily activities by strengthening, educating, and addressing equipment needs

Chronic Care

MD and/or Nurse Practitioner home visits.

  • Manage complex care needs of patients with chronic conditions such as cancer, heart failure, lung disease, liver disease, chronic pain, and dementia. 
  • Reduce the need for urgent hospitalization and ER visits.
  • Coordinate Care with doctors, home care, home health, hospice and medical equipment. 
  • Acute home visits
  • Advanced directives 

Outpatient therapy in the home

In Home Visits including physical therapy, occupational therapy and speech therapy

  • Not required to be homebound
  • Maintenance therapy
  • Pre-operative
  • Post-operative
  • Neurological diseases
  • Home Health Care services are  generally covered 100% by Medicare A
  • Please speak to us further to be sure we are in network with your Medicare plan.
  • Chronic Care and Outpatient Therapy services are generally covered 80/20 by Medicare B, with co-pays similar to specialists.
  • Blue Cross Blue Shield, Humana, Medicaid.
  • Once the insurance coverage is verified and approved, the primary insurance carrier will be billed directly. Clients are responsible for deductibles and co-pays. There are no deductibles or co-pays for traditional Medicare and Medicaid
  • Medicaid, Anthem Blue Cross Blue Shield, Humana, Cigna , Rocky Mountain Health Plan
  • Once the insurance coverage is verified and approved, the primary insurance carrier will be billed directly. Clients are responsible for deductibles and co-pays. There are no deductibles or co-pays for traditional Medicare and Medicaid 
  • UHC

Medicare allows individuals to obtain home health services and fully covers the costs if a physician says they meet specific criteria such as:

  • Homebound
  • A medical necessity such as disease management needs, wound care, frequent falls, swallowing issues, mental health issues, therapeutic needs, post operative needs
  • A medical condition that is in whole or in part for the needs of home health
  • You are under the care of a physician who has seen you for the condition for which home health services are being ordered.

*Homebound criteria does not apply to Chronic Care visits or Outpatient therapy services.

If you or your loved one is needing help managing a conditioning or striving to improve independence, let our team help!

  • Diabetes management
  • Chronic obstructive pulmonary disease
  • Cancer
  • Orthopedic surgeries (hip or knee replacement; spinal surgeries)
  • Stroke, Parkinson’s Disease, traumatic brain injury
  • Deconditioning and/or injury after a fall
  • Congestive Heart Failure

Home Health Care is different from hospital or Rehab. The primary goal of a Home Health Care Clinician is to teach you to be independent in your health care. Although there are times when Home Health Care Clinicians perform clinical tasks, their primary goal is to teach you or your caregiver to perform these tasks safely and independently. For a home care plan to be considered safe, it is necessary that there is a willing and teachable adult patient or adult caregiver especially for infusion, wound care and rehab services.

The frequency of home health visits is determined by need and dependent upon physician orders. Home Health Care Clinicians focus not only on what they are doing for you while they are with you, but also on teaching you what you need to do in between visits to assist you in being independent in your health care.

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