Accepted Plans

Plans We Accept

Better Days Home Health is committed to making care financially accessible. We accept the following coverage types and work directly with your insurance to verify benefits.

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Medicare

Medicare Part A covers home health services for eligible beneficiaries who are homebound and require skilled care ordered by a physician. Better Days Home Health accepts Original Medicare and most Medicare Advantage plans.

Skilled nursing visits (RN & LPN)
Physical and occupational therapy
No copay for Medicare-covered home health visits
Requires homebound status & physician's order

Also accepted: Medicare Advantage (Part C) plans — benefits vary by plan. We verify coverage before care begins.

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Medicaid

We are a participating Virginia Medicaid provider. Medicaid can cover a wide range of home health services for eligible patients, including skilled nursing, therapy, and personal care aide services.

Skilled nursing visits (RN & LPN)
Physical and occupational therapy
Personal care aide hours (PCA / CNA / HHA)
Covered for eligible Virginia residents

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Sentara Health Plans

Better Days Home Health is an in-network provider for Sentara Health Plans, one of the leading health systems in Hampton Roads. Sentara members can access our full range of home health services with in-network cost sharing.

In-network provider status
Lower out-of-pocket costs for members
Skilled and personal care covered
Direct billing to Sentara

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Commercial Insurance

We accept most major commercial health insurance plans. Our billing team will verify your benefits before care begins, so you have a clear picture of your coverage and any cost-sharing responsibilities.

Most major commercial plans accepted
Prior authorization handled by our team
Transparent communication on benefits
Direct insurance billing

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Private Pay

For patients who prefer to self-pay or whose insurance does not cover a specific service, we offer flexible private pay arrangements. Our team will work with you to find an affordable schedule that meets your care needs.

Flexible scheduling options
Transparent, upfront pricing
No long-term contracts required
Available for any level of care

Not sure what your plan covers? Call us at (757) 715-7829 and we will contact your insurance company directly to verify your home health benefits before any commitment is required.

Eligibility

Do I Qualify for Home Health?

Medicare and Medicaid have specific eligibility requirements for home health coverage. Here is what typically qualifies a patient for covered home health services.

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Medicare Eligibility Requirements

To qualify for Medicare-covered home health services, you generally must meet all of the following:

✓You are under the care of a doctor and a plan of care is established

✓You need skilled nursing care or physical/occupational therapy on an intermittent basis

✓You are homebound — leaving home requires considerable effort

✓The home health agency is Medicare-certified (that’s us)

Under Medicare, qualifying home health visits are covered at 100% — no copay for Medicare-covered services.

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Medicaid Eligibility Requirements

Virginia Medicaid eligibility for home health services generally requires:

✓You are enrolled in Virginia Medicaid

✓A physician has ordered the services as medically necessary

✓Services are within covered benefit categories (skilled nursing, therapy, personal care)

✓Prior authorization has been obtained where required

Not sure if you qualify for Medicaid? We can help you understand your options or connect you with enrollment resources.

Not sure if you qualify? Call us — we will review your situation at no cost and no obligation.

(757) 715-7829 — Free Benefits Review

The Process

How It Works

Getting started with home health care is simple. We handle the paperwork and insurance verification so you can focus on your loved one.

Call Us or Submit a Referral

Reach out by phone, email, or through our contact form. Physician referrals are welcome, but a self-referral from a patient or family member is also perfectly fine — we will coordinate from there.

We Verify Your Benefits

Our team contacts your insurance provider directly to verify home health benefits, obtain any required prior authorizations, and give you a clear breakdown of your expected coverage before care starts.

Care Begins at Home

Once approved, we schedule your first visit and create a personalized care plan. Your assigned nurse or therapist will arrive at your home and begin delivering exceptional care right away.

Common Questions

Insurance FAQs

Answers to the questions we hear most often about home health insurance coverage.

Yes. Medicare Part A covers home health services when you meet eligibility requirements: you must be homebound, have a physician's order, and require skilled nursing or therapy on an intermittent basis. When these conditions are met, Medicare covers qualifying home health visits at 100% — there is no copay or deductible for covered home health services. We are a Medicare-participating home health agency and our intake team will verify your Medicare benefits before care begins.

Medicare defines "homebound" as meaning that leaving your home requires a considerable and taxing effort due to illness, injury, or functional limitation. You do not have to be completely bedridden. Patients who use a cane, walker, or wheelchair, or who experience significant fatigue, pain, or shortness of breath when leaving home often qualify. Occasional trips for medical appointments, religious services, or similar activities do not disqualify you from homebound status. If you are unsure whether you qualify, call us — we can help assess your situation.

For skilled care services (nursing, physical therapy, occupational therapy), a physician's order is required by insurance providers and by state regulations. However, you do not need to bring us a referral yourself — we can contact your physician's office directly and coordinate the paperwork. For personal care services, a physician's order is not always required, though some Medicaid plans may require one. Call us and we will walk you through what applies to your situation.

Virginia Medicaid covers a broad range of home health services for eligible patients, including skilled nursing visits, physical therapy, occupational therapy, and personal care aide services. Coverage is subject to medical necessity criteria determined by your physician and Medicaid guidelines. Our team will verify your specific Medicaid plan and benefits before care begins to ensure there are no surprises.

In most cases, we can complete insurance verification within one to two business days. Prior authorization, if required, can take slightly longer depending on the insurance company's turnaround time. We communicate proactively with your insurer to expedite approvals. For urgent care situations, please let us know and we will prioritize verification accordingly.

If your insurance does not cover a specific service or you do not have insurance, private pay options are available with flexible scheduling and transparent pricing. We can also help you understand whether you might qualify for Medicaid if you are not already enrolled. Our goal is to make sure cost is never an insurmountable barrier to the care your family needs.

Yes, many of our patients receive both skilled care (such as nursing or therapy visits) and personal care (such as daily aide assistance) concurrently. These are typically billed separately to insurance, and eligibility for each depends on your plan and medical needs. During our intake process, we assess all aspects of your care needs and coordinate the appropriate combination of services and billing.

Insurance & Coverage