Medicare & Payment Guidelines

Covering the cost of quality home care is easier than you think. As a private, voluntary, not-for-profit licensed home health care agency, VNA is authorized to bill third party insurance such as: Blue Cross/Blue Shield, Managed Care, Medicaid and Medicare. As needed, we can also bill the patient directly. Payment methods include:

Medicare

As a CHHA (Certified Home Health Agency, VNA is federally regulated and therefore able to bill Medicare for services rendered to patients. Patients qualify for Medicare coverage by being homebound, under the care of a physician, and in need of one of the following skilled services: nursing, physical therapy, speech-language pathology, or occupational therapy. Patients needing only personal or custodial (non-skilled) care will not qualify for Medicare home health benefits, but may be assessed for eligibility of the Long Term Home Health Care Program.

Medicaid

This coverage will also pay for patients requiring skilled or maintenance nursing care and/or rehabilitation services under physician's orders, even if they are not homebound.

Other Insurance

Most private insurance companies will pay for home health care. VNA will verify each patient's coverage.

Private Pay (Out-of-pocket)

Of course, individuals and their families may also pay privately for any home health care services.

How to Assure Eligibility

Referrals can be made directly from the physician, the hospital, the patient or family, or the community. For specific eligibility questions, contact VNA's referral specialists at 315-477-9322 or request information online (info@vnacny.org)