Senior Services Explained

	HOME CARE	HOME HEALTH	PALLIATIVE	HOSPICE
Description	Also called in-home care, custodial care, private duty Caregivers help with activities of daily living specific to client's needs.	Curative Care Skilled treatment for a chronic condition, recovery from surgery or injury Goal is to restore function & independence	Curative Care For people at any stage in their illness Illness does not have to be life-threatening Goal is symptom management	Comfort care Typically for people with six months or less to live, but other criteria contributes to qualifying Most underutilized medical benefit
Examples	Bathing & grooming Companionship Transportation Toileting assistance Grocery shopping Laundry	Skilled Nursing Physical Therapy Occupational Therapy Speech Therapy No meds, supplies, personal care	Nurse/Nurse Practitioner provides main care in conjunction with physician Can receive home health services at the same time Interdisciplinary team similar to hospice	Nurse/Medical Director for medical support Chaplain for spiritual support Social worker for emotional support, end-of-life planning (funeral planning) Hospice aide for personal care support
Additional Details	Four to twenty-four hour shifts Rates can vary depending on client needs (i.e companionship vs. bed bound Can be in a private home or in a senior community (wherever someone lives)	Must have doctor's orders that says it is medically necessary After a hospitalization or requested by a physician Must show improvement Patient must be homebound Time-limited Medical visits are a few hours per week (not 24/7 care)	Can be supportive care with or without curative intent Patients who don't qualify for hospice, but need more medical oversight to manage a chronic or progressive condition	Location - wherever patient calls home Patient not sent to hospital; all care takes place at home (some exceptions) Includes durable medical equipment, supplies, & medications related to primary diagnosis
Coverage/ Cost	Self-pay Long-term care insurance	Original Medicare Part A/B Medicare Advantage plans (benefits vary)	Coverage can vary. Typically insurance or self-pay	Original Medicare Part A/B Medicare Advantage plans Commercial insurance

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HOME HEALTH

PALLIATIVE

HOSPICE