Medicare & Payment Guidelines

Covering the cost of quality home care in Central New York is easier than you think. Nascentia Health is authorized to bill third party insurance such as Blue Cross/Blue Shield, Managed Care, Medicaid and Medicare. If needed, we can also bill the patient directly. Payment methods include:

Medicare
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 Managed Long-Term Care (MLTC) 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. Nascentia Health will verify each patient’s coverage.

Private Pay (Out-Of-Pocket)
Of course, individuals and their families may 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 Nascentia Health’s referral specialists at 1-888-477-HOME (TTY/TDD: 711) or request information online.