Patient Eligibility
Understanding Medicare, Medicaid, and Private Pay.
At Family Healthcare of Georgia, we understand that each client’s situation is unique. We accept the following coverages on a case-by-case basis, ensuring tailored care for every individual. Please note that all Private and Managed Care Insurances require prior authorization or pre-certification. If you have any questions about eligibility for home health services or need assistance with insurance queries, please don’t hesitate to call us at 404-490-9616.
We’re here to help with:
- Medicare
- Medicaid
- Group Health Insurance Plans
- Private Pay
- Private Health Insurance Plans
Medi(care)
What It Is:
A federal program primarily for people aged 65 and older, but also available to some younger individuals with disabilities.
Coverage:
Medicare typically covers short-term home healthcare services prescribed by a doctor. This includes services like skilled nursing, physical therapy, and certain medical equipment.
Limitations:
It does not cover long-term home healthcare, daily custodial care (like bathing and dressing), or 24-hour home care.
Medi(caid)
What It Is:
A state and federal program assisting people with limited income and resources. Eligibility and benefits can vary by state.
Coverage:
Medicaid often covers a broader range of home healthcare services than Medicare, including long-term care needs.
Key Points:
It’s designed for individuals who need financial assistance for extensive healthcare services.
Private Pay:
What It Is:
Direct out-of-pocket payment for services not covered by Medicare or Medicaid.
Flexibility:
Allows for more control and choice over the types of services and the frequency of care.
Consideration:
Ideal for those who require specific services not covered by Medicare or Medicaid or need more comprehensive, long-term care.
Group Health Insurance Plans:
What It Is:
Employer-provided or group-affiliated health coverage.
Coverage:
Can vary widely; often includes home healthcare services but may require pre-authorization.
Consideration:
Check your plan’s specific benefits for home healthcare coverage details.
Private Health Insurance Plans
What It Is:
Health coverage purchased individually or through non-employer groups.
Coverage:
Varies by plan; may cover a range of home healthcare services with prior authorization.
Consideration:
Review your policy for specific home healthcare benefits and any required pre-approvals.