Home Health Care Coverage by Blue Cross Blue Shield

under BCBS, certain criteria must be met:

The services must be deemed medically necessary by a physician.
The patient must be homebound, meaning they have difficulty leaving home without assistance.
The care must be provided by a Medicare-certified home health agency.

Applying for home health care coverage through BCBS involves several steps:

Follow these steps to ensure you receive the necessary coverage:

Consult with your primary care physician to discuss your need for home health care.
Obtain a referral or order for home health services from your physician.
Contact a Medicare-certified home health agency to discuss your needs and verify their acceptance of BCBS insurance.
Submit the necessary documentation to BCBS for approval.
Once approved, coordinate with the home health agency to begin services.

Service Type	Description	Typical Coverage
Skilled Nursing	Nursing care provided by licensed professionals.	Covered if medically necessary.
Physical Therapy	Therapeutic services to improve mobility.	Covered with a physician's referral.
Home Health Aide	Assistance with daily living activities.	Partially covered based on need.

BCBS Home Health Care Coverage Varies by Plan

Medically Necessary Services Covered

Homebound Requirement Yes

BCBS covers various home health care services, including skilled nursing and therapy.
Eligibility is determined by medical necessity and homebound status.
Services must be provided by a certified home health agency.
Consult your physician for referrals and to navigate the application process.

Q: What types of home health care does BCBS cover?
A: BCBS covers skilled nursing, physical therapy, occupational therapy, and home health aide services.
Q: How do I know if I qualify for home health care coverage?
A: You must be homebound and have a physician's order for medically necessary services.
Q: Can I choose any home health agency?
A: You should choose a Medicare-certified agency that accepts BCBS insurance.

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