Is a “Home Agency” allowed to decline me as a patient with a Medicare plan?

Yes, a home health agency may decline you if it doesn’t have the ability or resources to meet your medical needs as long as it is consistent and does not accept other patients with the same needs. They are not required to accept you as a patient because your doctor has prescribed, and you qualify for care home health covered by Medicare. A home health agency can also decline to take you as a patient if they do not believe that they can ensure your safety in your current living situation. If you are enrolled in a Medicare Advantage plan, your plan may require you to get care from home health agencies in the plan’s network. Check with your Medicare Advantage carrier to determine if a specific home health agency is in their network. Kevin Leinum Medicare Agent – your local Medicare Expert – can help you understand the many parts of Medicare and determine what the right fit is for you. Give us a call to discuss the options available to you. Medicare’s Annual Enrollment Period (AEP) takes place every year from October 15th through December 7th.

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We do not offer every plan available in your area. Currently, we represent 8 organizations which offer 75 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Assistance Program (SHIP) to get information on all of your options. This is a proprietary website and is not associated, endorsed, or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services. This site contains decision-support content and information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Medicare program, please visit the Official U.S. Government Site for People with Medicare located at http://www.medicare.gov.