Lung disease like COPD, emphysema or other lung disease affects nearly every aspect of life, making it difficult and frightening, and leaving sufferers feeling anxious, depressed and out of control. While some pulmonary diseases are curable, all pulmonary diseases are treatable.
Chronic pulmonary conditions include:
Disease management works to restore the patient to the highest level of function, allowing them to feel and move better and helping them master key skills that can put that back in control of their health. The overall goal is to increase quality of life by decreasing exacerbations and reducing hospitalizations.
Our skilled care team can help you manage your symptoms
Teaching methods to avoid infections & minimize allergens
Oxygen use &
coordination of equipment
Therapies that improve
& conserve energy
Can pulmonary Care Work For You
If you answered yes to 2+ of these questions, our disease management program may be helpful for you.
Home health care provides necessary clinical care to an individual in their home. It refers to clinical services and support provided intermittently for those challenged by illness, age, disability; or those who are recovering from surgery, or an injury.
For Medicare recipients, a physician must certify that an individual needs home health care, medically necessary services to treat, rehabilitate, sustain or restore home-bound adults and seniors to their optimal health and in the setting where they feel most comfortable.
This includes skilled nursing, disease management, physical, occupational and speech therapy.
Original Medicare Part A typically covers home care services at 100 percent, provided the services are ordered by your surgeon, are performed by skilled professionals and are medically necessary. In addition, the patient must be essentially “homebound,” meaning that it is difficult for the patient to perform activities outside the home, except to go to doctor’s appointments.
Medicare enrollees may be eligible for skilled nursing care, disease management and in-home therapy as prescribed by a physician.
Most insurance plans provide some coverage for home care services. But plans, deductibles and out-of-pocket expenses will vary. These plans generally follow the same rules as Medicare regarding payment for long-term care services. If they do cover long-term care services, it is typically only for skilled, short-term, medically necessary care.
Like Medicare, the skilled nursing stay must follow a recent hospitalization for the same or related condition and is limited to 100 days. Coverage of home care is also limited to medically necessary skilled care. Most forms of private insurance do not cover custodial or personal care services at all. Your plan may help you pay for some of the copayments or deductibles. It is best to contact your home care provider of choice prior to your surgery to see if it is in-network with your insurance company. You will also want to contact your insurance company to determine if any pre-authorization is required for home care services.
Short Term and Long-Term Disability Insurance
Disability insurance may pay all or a portion of home health and home care services. It is best to contact your policy provider to determine your coverage.