Our care coordination staff has access to many providers of daily care, home modification, skilled nursing, and much more to help you maintain your independence as you age. Through this network, we can help you find high-quality care providers in your area; share the results of state survey reports about service availability, quality, costs, and licensing; and arrange for discounted services. All providers must meet the qualifications established under the sharing progran (and required documentation received) in order to be certified and included in an approved plan of care.
If you have comprehensive coverage, you may elect to receive care services in your home. Types of home care providers include :
- Informal caregiver
An informal caregiver is a person providing maintenance or personal care whose services are not arranged or supervised by a home care agency. An informal caregiver’s services are typically arranged directly by you or a family member. In some instances, an employment agency may offer support in locating an informal caregiver. Informal care may be provided by a friend, relative, or private caregiver, as long as that person did not live in your home at the time you became eligible for benefits. Note: Benefits for care provided by family members are limited under your specific plan.
Required documentation:
A copy of a valid driver’s license or passport, and a valid Social Security number are required for each informal caregiver.
- Formal caregiver
A formal caregiver is a caregiver whose services are arranged and supervised by a home care agency (including visiting nurse associations and hospice agencies). Home care agencies must meet the laws of the jurisdiction in which they are located in order to be included in an approved plan of care.
Required documentation:
A copy of the state-issued license for the appropriate type of home care agency and a Federal Employer Identification number are required.
Note: We will make reasonable attempts to obtain this information directly from the home care agency. However, we may ask for your assistance if we are unsuccessful in getting the information.
You may also elect to receive care in a facility. A facility may be an adult day care center*, an assisted living facility, a nursing home, or a hospice facility. Facilities must meet the laws of the jurisdiction in which they are located in order to be included in an approved plan of care.
Required documentation:
A copy of the state-issued license for the appropriate facility and a Federal Employer Identification number are required. The facility must also complete the appropriate facility form.
Note: We will make reasonable attempts to obtain this information directly from the facility. However, we may ask for your assistance if we are unsuccessful in getting the information.
