Home Care..What Is It?


“Home care”, “In-Home Care” and “At Home Care” are simple phrases that encompass a wide range of health and social services. These services are delivered at home to recovering, disabled, chronically or terminally ill people in need of assistance with the essential activities of daily living. These can be medical or private non-medical care services with companions and homemakers.  At home services are often thought of as long term personal care or in home care for seniors and elderly.

When is home care recommended?

Generally, in home care assistance is appropriate whenever a person prefers to stay at home but needs ongoing care that cannot easily or effectively be provided solely by family and friends. Shifts can be customized from 1 hour up to 24 hour care, as well as from 1 day a week to 7 days a week. More and more seniors and elderly people, electing to live independent, non-institutionalized lives, are receiving home care services as their physical capabilities diminish. This increases safety for them to live in their own homes. Younger adults who are disabled or recuperating from acute illness are choosing home care whenever possible. Chronically ill infants and children are receiving sophisticated medical treatment in their loving and secure home environments.


Is 24 hour private home care possible?

YES! Adults and children diagnosed with terminal illness often are being cared for at home, receiving compassion and maintaining dignity through their illness to the end of life.  Most home care agencies will work side by side with hospice agencies if the client is on hospice. As hospital stays decrease, increasing numbers of patients need skilled help when they return home. Caregivers are generally placed in the home to help with daily activities such as meal preparation, medication reminders, ambulation assistance, housekeeping, linen changes, transportation and more. 24 hour shifts are staffed with 2 12 hour caregivers and they are awake the whole shift to assist with ambulations with toileting, and medications. Any client can have 24 hour care, does not have to have a terminal illness. Many clients have 24 hour care simply because they are fall risks

How are home care services paid for?

Non-medical home care services can be paid by private funds from the client. Non-medical home care assistance is not covered by Medicare.

There are some known reimbursements available to families through the Veterans Administration. You can see our Resource Tab for contact information regarding the Veteran’s Reimbursement. A Past client of At Home Care from Amador County made a comment on how helpful the Veterans Service Officer was in their county. They were able to qualify and accept reimbursements monthly from the V.A.

Long term care insurance often covers non-medical home care. Check your policy to make sure that it covers “Homemaker” or “Custodial” services. At Home Care has several clients in Amador, Calaveras, El Dorado and surrounding counties such as Placer, San Joaquin and Sacramento taking advantage of their Long Term Care benefits.

Majority of Information provided above is from National Association of Home Care.


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