Coverage & eligibility
We accept Medicare, most major insurance plans, and private pay. Our team helps you identify the information needed to review coverage and plan the next step.
Medicare home health coverage requires an eligible skilled need, homebound status, and a provider-ordered plan. A face-to-face assessment and care through a Medicare-certified agency are part of the requirements.
Coverage is generally for part-time or intermittent skilled services, not round-the-clock care or personal assistance alone.
Tell us the plan name and the services on your referral. Benefits, network status, authorizations, deductibles, and other patient costs may vary.
Accepting insurance does not guarantee that every service is covered. We review the relevant details before care begins.
Private-pay inquiries are welcome. Share the kind of skilled care recommended and where visits would take place.
We discuss availability, the proposed services, and payment arrangements individually. Private pay does not change the need for appropriate clinical assessment and orders.
For Medicare, leaving home generally requires considerable effort and assistance, or is not advisable because of the person’s condition. Short, infrequent trips and medical appointments do not automatically prevent eligibility.
Your provider and the agency assess the requirements for your situation. A website cannot determine individual eligibility.
Coverage information: Medicare.gov — Home health services.
We help you understand what comes next, before services begin.
Share the city where care is needed, any recent discharge plans, and the skilled services your provider has recommended.
We discuss the referral, service availability, and Medicare, insurance, or private-pay arrangements. Specific benefits and costs need individual review.
Our team explains what information is still needed and how provider-ordered care can be coordinated when appropriate.
We can help you prepare the right questions for your plan and provider.
Yes. Vanguard accepts Medicare. Coverage depends on Medicare requirements, the ordered services, and individual eligibility. Call to discuss your referral and the information needed for a review.
We accept most major insurance plans and private pay. Participation, benefits, authorization requirements, and patient costs vary by plan and service. We review these details before services begin.
No. Coverage, network participation, authorization, and any patient responsibility need to be checked for your specific plan and requested care. We can discuss the information needed for that review.
Yes. Call to discuss the requested skilled services, availability, and private-pay arrangements. Pricing and the scope of care are reviewed individually before services begin.
A conversation is a good place to begin.