Florida Health Insurance Definitions

Florida Health Insurance Terms:
"Home Health Care"

Please explain -- Home Health Care

Medical care provided by trained personnel in the patient's home for patients who do not need the more extensive treatment provided by a hospital, skilled nursing facility, or extended care facility, or for patients who are not capable of going to a medical facility for outpatient care.

Personal and home care aides help elderly, disabled, ill, and mentally disabled persons live in their own homes or in residential care facilities instead of in health facilities. Most personal and home care aides work with elderly or physically or mentally disabled clients who need more extensive personal and home care than family or friends can provide. Some aides work with families in which a parent is incapacitated and small children need care. Others help discharged hospital patients who have relatively short-term needs. (Home health aides—who provide health-related services, rather than mainly housekeeping and routine personal care—are discussed in the statement on nursing, psychiatric, and home health aides, elsewhere in the Handbook.)

Personal and home care aides—also called homemakers, caregivers, companions, and personal attendants—provide housekeeping and routine personal care services. They clean clients’ houses, do laundry, and change bed linens. Aides may plan meals (including special diets), shop for food, and cook. Aides also may help clients get out of bed, bathe, dress, and groom. Some accompany clients to doctors’ appointments or on other errands.

Personal and home care aides provide instruction and psychological support to their patients. They may advise families and patients on nutrition, cleanliness, and household tasks. Aides also may assist in toilet training a severely mentally handicapped child, or they may just listen to clients talk about their problems.

In home health care agencies, a registered nurse, physical therapist, or social worker assigns specific duties and supervises personal and home care aides. Aides keep records of services performed and of clients’ condition and progress. They report changes in the client’s condition to the supervisor or case manager. In carrying out their work, aides cooperate with health care professionals, including registered nurses, therapists, and other medical staff.

In many cases over the past few years HMO’s have caught a bad wrap. With new technological advances in healthcare many of the new types of treatment are not covered under HMO certificates. If you want choices when it comes to making serious decisions regarding your health in a time in need an HMO is probably not the plan for you. HMO health claims are paid on reasonable and customary charges.

More info on Home Health Care: Home Health CareContinued

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