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PULMONARY CARE
Living with a chronic pulmonary condition affects nearly every aspect of life making it impossible to enjoy that life by significantly impairing the ability to breathe. Some pulmonary diseases are curable, while others are not. 

DISEASE MANAGEMENT FOR PULMONARY CARE 

Chronic lung disease like COPD, emphysema or other lung disease affects nearly every aspect of life, making it difficult and frightening. While some pulmonary diseases are curable, all pulmonary diseases are treatable. 

Chronic pulmonary conditions include:

  • Acute/Chronic Bronchitis
  • Asthma
  • COPD
  • Cystic Fibrosis
  • COVID-19-Related Conditions
  • Emphysema
  • Lung Cancer
  • Pneumonia
  • Pulmonary Arterial Hypertension

Payment Options

Have fewer symptoms (less cough or less shortness of breath).

Fewer visits to hospital or urgent care. 

Feel less tired and anxious.

Benefits of Pulmonary Care

  • Improves the patient’s ability to manage his or her own care, including helping the patient manage shortness of breath.
  • Improves patient’s ability to perform daily living activities, like housework or going out with your family.
  • Strengthens the patient’s resolve to retain his or her independence.
  • Helps to reduce anxiety through education and practice
  • Reinforces a positive attitude regarding managing the disease and improving quality of life.
  • Provides insight on recognizing and managing flare-ups.
  • Avoids unnecessary hospitalizations.
  • Makes the home environment as healthy and safe as possible under the circumstances.
  • Addresses nutritional needs as eating healthy can make the difference in treating your condition.
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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. 

Medicare

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.  

Private Insurance

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.

Private Pay