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Does Medicare Pay for Home Health Care? [How Long & What It Covers] - YouTube
Channel: Michigan Foot Doctors
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this is tom bernanke and today i'm here
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with jonathan gasso from park skilled
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home care and we're going to be talking
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about a question how long does medicare
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pay for home services
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jonathan you're the expert in the area
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go for it yeah so
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when a physician writes a script for
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home care services that script is deemed
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uh it's eligible for 60 days so a lot of
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times people think that they can only
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receive services for 60 days
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but the really nice thing about what
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medicare uh believes in is that if a
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patient
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it's deemed necessary that they may need
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more skilled services beyond 60 days
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what they allow is for a
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re-certification for
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another 60 days an easy example of that
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is if there's someone with a wound a
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woman that needs tending to
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that may not heal within 60 days and so
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our nurses will continue as long as it's
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justified if it's documented
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appropriately we technically can be on
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services for as long as there's a
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medical justification so 60 days is the
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time frame but we can always extend by
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60 days still have to meet medical
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criteria for it to be covered so this
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means a doctor has to write a
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prescription that you actually do need
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home care and must certify your care
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that means writing a prescription
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sending it to the home care company
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and you must be homebound so a lot of
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the times is technically everybody could
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make it to the doctor's office if an
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ambulance picked you up and a crew of
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six people picked you up but generally
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if you can make a reasonable case that
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it's extremely hard you don't have a car
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you're crippled you're in a wheelchair
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these things combined with a doctor's
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prescription can qualify you for these
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things at your house so skilled nursing
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hair that means wound care changing iv
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lines you know special care options
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that's a couple times per week physical
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therapy occupational therapy which means
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like how to move around the house how to
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use your upper body social services
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that's like evaluating you or helping
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you with your life circumstances at home
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health aid there's also durable medical
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equipment so like hospital beds
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wheelchairs walkers certain types of
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braces i know logistically this isn't
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the easiest thing to do at the house but
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these are things that are covered and
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we're talking like once twice or three
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times a week uh if you're able to get
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that coverage uh getting a nurse out
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there this is not 24 hour care
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unfortunately so some people after a
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stroke with dementia
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basically do need longer term care this
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is considered custodial care that is
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generally not covered by medicare and
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that's kind of the difference is
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knowing where that line is and i'll talk
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about that later in the video but
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skilled nursing care is the services in
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the list i mentioned
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maybe a few times per week for what's
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called intermittent or short-term care
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and the big thing for my end you know i
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do a lot of wound care for the home
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uh
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companies like jonathan's park home care
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realistically a wound will not heal in
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one month so a lot of the people on at
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home that need wound care on average
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even if everything is going perfectly a
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wound closes maybe 50
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in a month you know so it can sometimes
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take three to six months or more to heal
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a wound same thing with a broken leg a
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broken foot a motor vehicle accident
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we're talking months would you be able
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to help people out like that if the
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doctor are recertified absolutely
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absolutely if there's a if there's a
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justified need which it helps when the
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physician also sees there's a medical
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need for it we will go in there and
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we'll carry out the prescription that
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the physician wants us to do and we will
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service that patient whether they need
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therapy or they need nursing services we
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could carry it out yeah and i think just
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in the meantime a doctor has to write a
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certificate or
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the script but see you in person
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so sometimes you know jonathan's company
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can get people out to see you guys in
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the metro detroit area or you can make
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it in a clinic once every once in a
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while to get checked on your progress
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and make sure it's doing good right
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great an alternative to intermittent
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care or covered medical care is what's
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called custodial care or private duty
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care so this includes things like
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helping around the house meals homemaker
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services bathing dressing using the
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bathroom personal grooming watching your
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loved one respite care so these are
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companies like assisting hands which we
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work with closely as well if you have
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dementia or stroke or you need extra
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help that your family can provide
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more of a private duty
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coverage service can be beneficial if
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skilled care cannot cover your needs and
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this includes stuff like getting a ride
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to your doctor's appointment so if
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you're in the metro detroit area check
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out the website uh under mission called
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personalcare.com and see what the
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options are see if that's something
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available that could help your loved one
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or yourself
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and the one thing is we talk about this
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in some of our other videos but
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skilled home care provides things like
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physical therapy occupational therapy
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wound care you know specialists like
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dietitians that can come out nurses that
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can come help you uh there is a
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difference though if you need somebody
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there permanently like eight hours a day
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you know 12 hours a day or maybe four
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hours a day to help you get to your
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appointment and give you a ride that's
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where private pay home care services can
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come in and we include some links down
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in the show notes assisting hands the
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great one that we work with here
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and jonathan thanks for answering the
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question his info if you need great
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skilled nursing in the metro detroit
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area click down below his info will be
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there thank you thank you so if you
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think you qualify for medicare coverage
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for
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skilled nursing physical therapy
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occupational therapies
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speech language pathology
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social services home health care aids
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you know once or twice a week durable
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medical equipment check with your doctor
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and ask them for park home care
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out of respect to our great guest
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jonathan gasso here his company does an
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excellent job i highly recommend them in
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the metro detroit area if you work in
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this area or around this area if you
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need more help with your foot pain check
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out these links and subscribe
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