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Who Pays for Personal Care Services?
Services can be paid privately by any person, company, trust officer, or family member for personal care
services that are not otherwise covered by a long-term care insurance, Medicaid, Grant Dollars, etc.
Unfortunately, Medicare does not cover Personal Care Services.
How does this differ from services that Medicare will cover?
A physician's referral is not required to receive private duty care; nor are clients required to be home bound.
Personal Care Services can be provided in the comfort of one's home, in an Assisted Living Facility,
or in a Senior Living Facility. Our qualified staff is committed to providing care to our clients with dignity
and respect, giving all of them the individual attention they deserve.
Services provided to Private Pay clients
When a client pays A Plus Health Care for personal care services their options are endless.
Private Pay offers elderly companionship and conversation, monitoring of diet and eating,
checking for food expirations, assisting with evening routine and tuck-in, stimulating mental awareness,
outings and trips. It also provides for life's more simple tasks such as preparing grocery lists,
assisting with clothing selection, answing the door and clipping coupons.
If I am on Medicaid, how do I get services and
who decides what services I will receive?
You can call a local personal assistance agency yourself and make the referral directly or your doctor,
social worker, or a friend may make a referral on your behalf. After the referral is made,
it is sent on to a nurse at the Mountain Pacific Quality Health Foundation. The nurse will visit you
at your home within 10 working days of receiving the referral. During the visit the nurse will do the following:
· Explain the process;
· Complete a client assessment of the need for personal assistance; and
· Give you materials explaining the program and providers in your area.
After the visit the nurse will send the information on to the provider agency you have chosen and
will let you know what services are approved or if you have been denied services.
If you have been denied services and you don’t agree with the determination, you may file for a Fair Hearing.
This can be done by informing A Plus Health Care at which time the appropriate forms will be provided to you.
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