Coverage
Insurance we accept
Your first choice Medicare / Medicaid provider for comprehensive home health care. Plan networks change — always verify benefits with our office.
Who pays for home care?
Multiple ways care can be covered
Most families use Medicare, Medicaid, or a managed care plan. We’ll help confirm what applies before services start.
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Medicare
May pay for covered services for eligible homebound patients under physician orders.
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Private insurance
Most private plans include some home care coverage — network and benefits vary by plan.
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Co-pay / share of cost
In some cases the patient or client is responsible for a co-pay or remaining balance.
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Private pay & workers’ comp
Private duty payment and workers’ compensation may cover services in certain cases.
Plans we work with
Accepted coverage partners
Government programs, major health plans, and private options commonly used by Houston-area families.
Government & public programs
Major health plans
Also accepted / private options
Important
Plan participation can change — always call to verify current network status before care begins.
Medicare eligibility (overview)
When Medicare may cover home health
If a patient has an exacerbation of a pre-existing condition, acute onset of a new diagnosis, or new medication, home health services may be covered when eligibility requirements are met.
May be covered 100% by Medicare when requirements are met
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Skilled care need
Intermittent skilled nursing or therapy that is medically necessary and under physician/therapist supervision.
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Homebound
Patient is homebound due to illness or injury and leaving home requires considerable effort.
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Physician orders
Under the care of a physician who provides written orders for the home health plan.
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Certified agency
Services provided by a Medicare-certified home health agency such as States Health.
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Care at home
Care received in the place of residence — not in a hospital or nursing home setting.