Humana's payment for home health care can vary significantly based on several factors, including the type of plan you have, the geographical location of the service, and the specific services required. Humana typically covers home health care services under their Medicare Advantage plans, which include skilled nursing care, physical therapy, occupational therapy, and home health aide services.
For Medicare beneficiaries, home health care is generally covered if the services are deemed medically necessary and if certain criteria are met. Under Medicare, home health care must be prescribed by a physician and provided by a Medicare-certified home health agency. The coverage usually includes 100% payment for skilled nursing care and therapy services for the first 60 days, after which co-pays may apply depending on the specific insurance plan.
In addition to Medicare services, Humana offers private insurance plans that might have different coverage limits and payment structures. Some plans may include benefits for additional home health services, such as personal care assistance or home modifications.
To get the most accurate information regarding specific payment amounts and coverage details, it's best to reach out directly to Humana or consult your specific plan's benefits booklet. This will provide clarity on what is covered, potential out-of-pocket costs, and how claims are processed for home health care services.
If you're considering home health care services, it may also be helpful to contact a licensed home health agency. They can give you insight into what services are typically covered by Humana and assist you in verifying your coverage.