HomeMy WebLinkAboutDaniel Jarvis Home Health AgencyDANIEL GJARVIS
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HEALTH SERVICES
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GH OME GH EA LTH AGENCY
3514 - Tanglewood Dr.
Bryan, Texas. 77801
Daniel Jarvis Home Health Agency is a private -
non profit organization primarily engaged in pro-
viding, upon written and signed Plan of Treatment
by patients private physicians, skilled nursing and
personal care services in the place of residence,
and which meets the conditions of participation for
home health agencies in the Title )CVI -T Health In-
surance Program.
This is a community service and is available to
any member of the community. Acceptance of private
patients and other third -party pay, as well as med-
ically indigent patients (so long as the community
is able to support the care of indigent patients),
is a part of this agency's policy.
Home health benefits provided under Parts A and
B of medicare are intended only for those benefi-
ciaries whose conditions do not require full time
medical and related care provided in hospitals and
extended care facilities but, nevertheless, are of
such severity that the individuals are under the
care of a physician and confined to their homes.
An individual does not ha to be cedridden to
be considered as confined -o his home. However, the
condition should be such tha-- there exists a normal
inability to leave home and leavin home requires a
considerable and taxing effort. 7 -f the patient does
leave his home, he may be considered homebound if
the absences are infrequent or for periods of rela-
tively short duration. It is expected that in most
instances absences will be for the purpose of re-
ceivin� medical treatment. however, an occasional
trip to the barber, a wal_s aroumd the block, or a
drive does not necessitate a finding that he is not
homebound, so long as absences are infrequent and
of short duration and do not indicate that the pa-
tient has the capacity to obtain the health care
provided outside, rather than in, the home.
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Generally speaking, a beneficiary will be con-
sidered to be homebound if he has a coni'_`ion, due
to illness or injure, which restricts his a'.)ilitir
to leave his place of residence except with the ai
of supportive devices (wheelchair, cane, crutches,
etc.), the use of special transportation or the as
sistance of another person, or if he has a conditi
which is such that leaving, home is medically con-
traindicated.
Service is rendered to a patient in his reside
wherever he makes his home: his own dwellin an
apartment, or relatives home; or an institution
does not meet the basic requirement in the defini
of a hospital. The patient must be under the care
• physician. Items and services are furnished and
• plan established and periodically reviewed by t
physician.
Who makes the Medicare claim
The home health agency always makes the claim for the
Medicare payment.
For more information
For more information about Medicare home health benefits,
look in Your Medicare Handbook or ask someone at your
social security office. Your social security office can also give
you information about home health agency services available
in your community.
U.S. Department of
Health, Education, and Welfare
Social Security Administration
DHEW Publication No. (SSA) 73 -10042
July 1973
* U.S. Government Printing Office 1973: 734 -095/81
Home health benefits under Medicare
Medicare can pay for home health care under either hospital
insurance ( Part A) or medical insurance ( Part B) . But
Medicare can cover home health care only when it is needed
because of your medical condition.
If you live in a home for the elderly or a similar residential
facility, this can be considered your home for Medicare
payment. But a nursing home or other place that mainly
provides skilled nursing care to its patients cannot be
considered your home.
Basic requirements
If you are confined to your home and you need part -time
skilled nursing care or physical or speech therapy, Medicare
may help pay for these and other services furnished in your
home by a home health agency taking part in Medicare.
Your doctor has to order this kind of care for you and,
from time to time, review the plan he has set up.
When hospital insurance can pay... and for how long
When you meet the basic requirements, hospital insurance
can pay the total cost of up to 100 home health "visits" for
each benefit period if:
► Your care is for further treatment of a condition for which
you were treated in a hospital or skilled nursing facility;
► You were in a hospital for at least 3 days in a row;
► Your doctor sets up a plan for your care within 14 days of
your discharge from the hospital or a covered stay in a skilled
nursing facility; and
► The visits are made within 12 months after your discharge
from the hospital or from a skilled nursing facility.
When medical insurance pays ... and for how long
If you have medical insurance and you meet the basic
requirements, medical insurance pays the full cost for up to
100 home health visits in each calendar year —after you meet
the $60 annual deductible.
Your medical insurance can cover these visits even if you
have not been in a hospital and even if you don't have hospital
insurance.
Services covered by Medicare
Some of the home health services Medicare call help pay for
and some that Medicare cannot pay for are listed below.
Medicare can help pay for:
► Visits by a nurse to give skilled care.
► Visits by a physical or speech therapist.
And if you need any of the services above, Medicare can
also help pay for:
► Visits by an occupational therapist.
► Part -time services of home health aides.
► Medical social services.
► Medical supplies and the use of medical appliances furnished
by the agency.
Medicare cannot pay for:
► Full -time nursing care.
► Drugs and biologicals.
► Personal comfort or convenience items.
► Meals delivered to your home.
How "visits" are counted
One "visit" is counted each time you receive a covered health
care service. If both a nurse and a physical therapist call on
you, that would be counted as two visits. It would also be two
visits if you received the same service twice in the same
day, such as two calls by a nurse.
Home health visits under hospital insurance and under
medical insurance are separate. Visits counted under one part
of Medicare will not reduce the number of visits you can
use under the other part of Medicare.
If you are entitled to home health visits under both parts
of Medicare at the same time, then any visits that can be paid
for under hospital insurance will be counted first.
DHEW Publication No. (SSA) 73 -10042
Daniel Jarvis Home Health Agency
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Relocation of Headqu
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7 0 1 South Texas Ave.
Bryan, Texas 77801
(new telephone number) 779 -5733
113 4513