Payment
We now offer our home care, hospice and private duty patients a safe, secure, convenient and flexible method of paying their copays and bills through our online bill payment feature. Each transaction is encrypted, logged and stored, making it easy to retrieve the transaction information if needed.
Billing
Main Line Health HomeCare & Hospice accepts many types of health insurance for home health care payment including traditional Medicare and Medicaid, Medicare or Medicaid Advantage plans, and many other private insurance plans including Blue Cross and other health maintenance or preferred provider organizations (HMO's and PPO's).
When Medicare Part A is billed for home health services, payment is accepted as payment in full for services provided. There are no deductibles or co-insurance (co-pay) requirements for these services.
Under the Medicare home health benefit, Main Line Health HomeCare & Hospice is responsible to provide or arrange for:
- Medically necessary outpatient therapies while you are under our care. Outpatient therapy services are not routinely included as part the Home Health treatment plan. If you are interested in outpatient therapy, please discuss this plan with your nurse or therapist.
- Injectable osteoporosis drugs (e.g., Calcimar, Calcitonin).
- All medically necessary medical supplies.
We will provide supplies and outpatient therapies only through our contracted companies. If you receive supplies or outpatient therapies that are not arranged by Main Line Health HomeCare & Hospice, payment for these services will be your responsibility.
If services are ordered which are not covered by the Medicare program, we will notify you in advance so that you can make other financial arrangements for the necessary care.
Main Line Health HomeCare & Hospice will also assist clients with claims that are denied by Medicare for reasons such as medical necessity. Your involvement in the appeals process is required.
If you change your Medicare coverage from traditional Medicare coverage to any other type of health insurance coverage, including a Medicare Advantage plan, you must notify your nurse or therapist immediately. Pre-authorization of services is required by most managed care and private insurance plans. Payment may be denied by the insurance company for all services provided if authorization is not obtained.
When managed care or private insurances including HMO's and PPO's are billed for services, your home health benefits are based on a contract between you and your insurance company. You will be responsible for any charges not paid by your insurance company, including but not limited to deductibles, co-insurance (co-pay) amounts, or services provided by out of network providers. These amounts will be billed to you according to your individual insurance plan.
A copy of our fee schedule is available for your review upon request. Fees for home health services can be adjusted for those in need. Any questions can be directed to our Claims Processing Office at 484.580.1420.