Page 7 - Home Health Marketing
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  Nutrition Therapy may include assessing your dietary needs, preparing
                   a dietary plan of care based on your assessment and providing nutritional
                   counseling services to you as specified in your nutritional plan of care.
                 Telehealth Services may be provided by audio or video to supplement in-
                   person visits. Telehealth  services  must be related to your skilled  care,
                   included in your plan of care, with specific goals to  promote positive
                   treatment outcomes, and ordered and approved by your physician.
               HOME MEDICAL EQUIPMENT AND SUPPLIES


               Home medical equipment (walker, wheelchair, hospital bed, oxygen, etc.) is
               covered separately and may be supplied by a medical equipment supplier of
               your choice or a contracted supplier, as required by your insurance.

               Medical supplies may be required to carry out your plan of care. All medical
               supplies  must be coordinated with  our agency while you  are receiving
               Medicare-covered home health services. If you arrange for these supplies on
                                        PLEASE VERIFY ACCEPTED
               your own while under our plan of care, you may be responsible for the charges.
                                            PAYMENT SOURCES
               CHARGES

               We accept payment for services from Medicare, Medicaid, (e.g., TennCare, Medi-
               Cal, MaineCare, MassHealth) workers’ compensation, private insurance or
               private pay. Some insurers may limit the number and type of home care visits
               that they will pay for and may require pre-certification and/or co-payments. We
               will  inform you,  your family,  caregiver  or  representative of all charges and
               methods of payment before or upon  admission. If you are a private pay or
               uninsured patient, we will provide you with a “good faith estimate” of what you
               may be charged, at your request or prior to receiving the item or service.
               Our agency will bill Medicare and Medicaid for our services on your behalf.
               We will accept Medicare assigned payment as payment in full for the services
               we provide as long as you meet the qualifying requirements and the services
               are covered by the Medicare program. If services are ordered which are not
               covered by the Medicare or Medicaid programs, you will be notified by the
               agency before these services  are provided so that you can make other
               financial arrangements for the necessary care.

               Please notify the  agency immediately  if you decide to enroll  in a Medicare
               Advantage Plan, other insurance or hospice. The Original Medicare Plan may
               not pay for the services we are providing if you are enrolled in a Medicare
               Advantage Plan, other insurance or hospice.
               If you are receiving Medicare benefits, you may receive a Medicare Summary
               Notice (MSN) after we have submitted a final claim for services. The MSN lists
               services  and  charges billed to Medicare on your  behalf  and the amount
               Medicare paid. This is not a bill.
               If you are an Original Medicare (fee for service) beneficiary and we believe
               Medicare may not pay for an item or service that Medicare usually covers,
               you or your authorized representative will be issued and asked to sign and
               date an Advance Beneficiary Notice (ABN) prior to receiving the service.

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