The Answers You’ve Been Looking For
Who classifies as homebound patient?
According to Medicare, the beneficiary shall be considered homebound if the following two
criteria are met.
Criteria-One:
The beneficiary must either:
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Because of illness or injury, need the aid of supportive devises such as crutches, canes, wheelchairs, and walkers; the use of special transportation; or the assistance of another person in order to leave their place of residence
OR -
Have a condition such that leaving his or her home is medically contraindicated.
Criteria-Two:
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There must exist a normal inability to leave home;
AND -
Leaving home must require a considerable and taxing effort.
The patient may be considered homebound if the absences from the home are infrequent or for periods of relative short durations, or are for the need to receive health care treatment. Examples may be attendance at adult day care centers, ongoing outpatient kidney dialysis or outpatient chemotherapy or radiation therapy. For examples of homebound status, refer to the Medicare Benefit Policy Manual (CMS Pub. 100-02, Ch. 7, §30.1.1)
What services do you provide?
We focus on preventive care as well as diagnosis and treatment of diseases in older adults. Some of our primary focus areas include (but not limited to) : Healthy Aging , Chronic Disease Management , Urinary Incontinence, Hypertension , Arthritis, Diabetes, Hypothyroidism Chronic Obstruct Pulm Disease (COPD), Parkinson's Disease, Dementia and Alzheimer's . Some of our services include (but not limited to): Yearly wellness visits , Medicare Welcome Exams, Dementia Screening, Sleep Apnea Evaluation , Post-Hospital Discharge Follow-ups.
Will my insurance cover the Physician care visit if it takes place in my home ?
If you are a home-bound patient, Medicare and Medicaid insurances will cover 80% of the allowed amount and the other 20% will be billed to the patient’s secondary insurer. The visit would be treated the same as a care visit occurring at a physician’s office.
What insurances do you accept?
We accepts Medicare, Medicaid, Blue Cross Blue Shield, Humana, Aetna, United Healthcare and many more. For more information about insurances and payments please call 815-773-3255.
Can I get a same-day appointment?
Our priorities are our patients' needs. We schedule appointments within normal business hours (9:00 am till 5:00 pm). Depending on availability of the Physician/Nurse Practitioner, patients can be seen within 18 to 24 hours from calling to request an appointment. However, our members have 24/7 access to Physician/Nurse Practitioner via phone or patient portal messaging to address any medical issues or concerns.
What is the copayment due at the time of the home visit?
Unlike other home-visit providers, we do not collect co-payments from our patients.
What are the benefits of enrolling in the PGC (Premium Geriatric Care) Program for patients residing in the Chicago downtown area?
According to a 2017 survey, the average wait time for a new patient to see a doctor was 24 days. By enrolling in the PGC Program , the patient will be seen within 18-24 hours of scheduling an appointment.
As a member of the PGC program, the patient will :
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Have 24/7 access to a Physician/Certified Nurse via phone
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Never pay any Co-Pay
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Have a more personalized relationship with the physician who will create a health management plan based on his/her evaluation of the patient's health standings
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Prescription refills via phone for eligible patients
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The monthly subscription fee is $350 due at the time of initial visit (Due to the COVID-19 crisis, the membership fee has been waived until further notice).
Do you accept private pay patients?
Yes. Private pay patients are required to pay for care services upon completion of care visit.
Can I schedule an appointment for the weekend?
Patients visits are made during regular business hours which are Monday through Friday from 9:00 a.m to 5:00 pm.
How often does the physician see the patient?
Frequency of care visits are determined based on the health management plan established by the physician after the physician makes the first care visit. Patients will be seen as much as needed.
What are the services offered during a visit?
Services that you would expect to get during an office visit are also offered during a home visit. These services include, but not limited to:
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Blood Pressure Exam
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Vitals
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Lab tests
What if I need to go to the hospital?
The physician will not be able to continue the care while you are at the hospital but will be available for follow-up visits as soon as you have been discharged from the hospital.