Frequently Asked Questions

What services does Transitions Healthcare provide?

Home Health Care

Home visits including nursing, physical therapy, occupational therapy, speech therapy, social work and certified nursing aide.

  • Medication management 
  • Advanced directives 
  • Fall prevention 
  • Pain management 
  • Assistance with self-care
  • Regaining independence and safety in daily activities by strengthening, educating, and addressing equipment needs

Chronic Care

MD and/or Nurse Practitioner home visits.

  • Manage complex care needs of patients with chronic conditions such as cancer, heart failure, lung disease, liver disease, chronic pain, and dementia. 
  • Reduce the need for urgent hospitalization and ER visits.
  • Coordinate Care with doctors, home care, home health, hospice and medical equipment. 
  • Acute home visits
  • Advanced directives 

Are services covered by Medicare?

  • Home Health Care services are  generally covered 100% by Medicare A
  • Chronic Care services are generally covered 80/20 by Medicare B, with co-pays similar to specialists. 
  • Please speak to us further to be sure we are in network with your Medicare plan.

What other insurances does Transitions Home Health accept?

  • Blue Cross Blue Shield, Humana, Medicaid.
  • Once the insurance coverage is verified and approved, the primary insurance carrier will be billed directly. Clients are responsible for deductibles and co-pays. There are no deductibles or co-pays for traditional Medicare and Medicaid

What other insurances does Transitions Chronic Care accept?

  • Medicaid, Anthem Blue Cross Blue Shield, Humana, Cigna , Rocky Mountain Health Plan
  • Once the insurance coverage is verified and approved, the primary insurance carrier will be billed directly. Clients are responsible for deductibles and co-pays. There are no deductibles or co-pays for traditional Medicare and Medicaid 

How do I qualify for home health care services?

Medicare allows individuals to obtain home health services and fully covers the costs if a physician says they meet specific criteria such as:

  1. Homebound
  2. A medical necessity such as disease management needs, wound care, frequent falls, swallowing issues, mental health issues, therapeutic needs, post operative needs
  3. A medical condition that is in whole or in part for the needs of home health

*Homebound criteria does not apply to Chronic Care visits

How can Transitions Healthcare help me or my loved one at home?

If you or your loved one is needing help managing a conditioning or striving to improve independence, let our team help!

  • Diabetes management
  • Chronic obstructive pulmonary disease
  • Cancer
  • Orthopedic surgeries (hip or knee replacement; spinal surgeries)
  • Stroke, Parkinson’s Disease, traumatic brain injury
  • Deconditioning and/or injury after a fall
  • Congestive Heart Failure