Video Transcription

Hi folks, my name is Ryan McEniff I am the owner of Minute Women Home Care a private duty home care company located in Lexington, MA.  Today’s video is going to be answering the question biggest misconceptions of a visiting nurses association.

I find many times that seniors and their families aren’t completely sure what visiting nurses association covers and doesn’t cover and what hours they cover.  Where it becomes a misconception that visiting nurses association is going to be offering all the care they need for an unlimited amount of time. So this chart right here, our white board, is going to explain the differences between private home care and between a visiting nurses association.  Private home care is also known as non-medical home care, and visiting nurses association can be known just as home care companies.

So to start off, I don’t just want to make the ‘verses’ sound like we’re competitors.  We’re here to work in conjunction with one another and to help families out where visiting nurses association can no longer help, and where private duty can pick that up.

So we’ll start with visiting nurses association and the pros and the cons.  What’s good about it and what’s not as desirable about it.  So, first of all, we’ll start with visiting nurses association and that medicare pays for all services that you’re going to get, it is essentially free to you.  There’s no out-of-pocket costs associated with it which is obviously a big plus, so in this example if somebody falls and hurts themselves and breaks a hip and goes to a hospital, and then ends up going to a short term rehabilitation facility and then is being discharged after their 100 days of Medicare are up, they are going to go home with Visiting Nurses Association. You getting all that paid for by Medicare.  You are getting nurses, you are getting home health aides, occupational therapists, and physical therapists that will come to their home and help them give you that continued care that they were getting from the hospital down to the rehab facility and back into their home.

The problem that comes up, and a big misconception is that it’s a limited amount of time.  You don’t get this 24 hours a day, seven days a week of unlimited time for having the services.  They are paid by Medicare which means they have to end at some point in time.  So there is a shorter duration with it, usually somewhere in the two to eight week range though that can be extended and you could be ten weeks or twelve weeks. But that’s a general idea how long the services last.

You will be getting somebody for two to three hours a day. two to three days a week. So if that person who broke their hip is laying in bed and somebody’s not there for a day or two, how do you use the bathroom?  How are they making meals? How are they getting dressed in the morning? How are they going to shower and use the toilet?  And that’s really where that misconception comes in and where private pay can help out.

Now private pay is great, they both again have their pros and cons, and obviously with private you get a custom plan. You are getting someone that comes to your home is dedicated to that person they’re taking care of.   You can get personalized care,  Twenty-four hours a day seven days a week 365 days a year.  If you want care on Christmas or a holiday you are going to be getting that care care.   We offer you home health aides, we offer CNA’s and also some private pays  offers some nursing help as well.

The biggest drawback with private pay is that it is private pay, it’s out-of-pocket.  Insurance, Medicare, and Medicaid don’t cover this and your you paying a good amount of money. If you decide to get private pay you can be anywhere between twenty and thirty five dollars an hour.  So that can add up, so if somebody’s getting private pay on our hip example,the person that broke their hip is getting eight hour a day at twenty dollar per hour, they’re going to be paying a hundred sixty dollars per day for that person to be coming in and that’s on the low end.  Twenty dollars a day is on a low end for care and it can be as high as thirty-five dollars [per hour] so it can get very costly quick.

Like I said insurance doesn’t pay for this, but I have an asterisk there because long-term care insurance is available for people.  And if you do have long term care insurance that is specifically purchased for private pay and assisted livings and nursing homes and things like that.  If you have a long-term care insurance obviously they will cover it, but if you’re not sure about long-term care insurance is we’re going to do a video on that in the future.

So for now this gives you an idea, and answers that misconception that visiting nurses association is going to be the end all be all.  We get a lot of calls on a regular basis where visiting nurses association is starting to end, or visiting nurses association has started and people aren’t’t getting the amount of care that they need and they didn’t realize that visiting nurses association is not going to be there every single day, all day long.  This isn’t visiting nurses association fault, it isn’t a problem they started, it is just what Medicare is going to pay for and that’s where visiting nurses association comes in.

So if you happen to have any questions you can certainly ask them in the comments or you can give us a call at 1-800-HOME-CARE if you’re in the Massachusetts area, again 1-800-HOME-CARE. Again, my name is Ryan McEniff the owner of Minute Women Home Care and I look forward to giving you more videos in the future.