๐Ÿ“‹ ย  Medicaid โ€ข Sentara โ€ข Commercial โ€ข Private Pay

Insurance & Coverage

We accept Medicaid, Sentara, and most commercial plans. Quality personal home care should be accessible to every family in Hampton Roads.

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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Medicaid

We are a participating Virginia Medicaid provider. Medicaid can cover personal care aide services for eligible patients through the CCC Plus Waiver and other programs.

  • Personal care aide hours (PCA / CNA / HHA)
  • Bathing, grooming, meal prep, and daily living support
  • Companionship and medication reminders
  • 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 personal care services with in-network cost sharing.

  • In-network provider status
  • Lower out-of-pocket costs for members
  • Personal care services 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 personal 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 care benefits before any commitment is required.
Eligibility

Do I Qualify for Personal Care Coverage?

Medicaid and many commercial plans cover personal care aide services for qualifying patients. Here is what typically qualifies a patient for covered personal care services.

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Medicaid Eligibility (CCC Plus Waiver)

Virginia Medicaid personal care coverage through the CCC Plus Waiver generally requires:

โœ“You are enrolled in Virginia Medicaid
โœ“You need assistance with daily living activities (ADLs) such as bathing or dressing
โœ“A functional assessment determines you need support to remain safely at home
โœ“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.

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Commercial & Private Pay

For Sentara and commercial insurance plans, personal care coverage varies by plan. We verify benefits for you. Common qualifying factors include:

โœ“Long-term care insurance plan includes home care benefit
โœ“Commercial plan includes home health aide or personal care benefit
โœ“VA Benefits (for qualifying veterans) may cover personal care aide services
โœ“Private pay โ€” no eligibility requirement, flexible scheduling available

No insurance? Private pay options are flexible and transparent. Call us to discuss rates and scheduling.

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

(757) 715-7829 โ€” Free Benefits Review
The Process

How It Works

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

1

Call Us or Submit a Referral

Reach out by phone, email, or through our contact form. No physician's order required for most personal care services โ€” we will coordinate everything from there.

2

We Verify Your Benefits

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

3

Care Begins at Home

Once approved, we schedule your first visit and match you with a certified aide. Care typically begins within 24โ€“48 hours of insurance approval.

Common Questions

Insurance FAQs

Answers to the questions we hear most often about personal care coverage.

Yes. Virginia Medicaid covers personal care aide (PCA, CNA, HHA) services for eligible patients through programs like the CCC Plus Waiver. This can cover assistance with bathing, grooming, dressing, meal preparation, medication reminders, and companionship. Better Days Home Health is a Medicaid-enrolled provider, and we verify your benefits before care begins โ€” at no cost to you.
For most personal care services, a physician's order is not required to get started. Some Medicaid programs may require a functional assessment or documentation, but we handle that process for you. Simply call us and we'll walk you through exactly what's needed for your specific situation โ€” at no charge.
Virginia Medicaid covers personal care aide hours for eligible patients, including assistance with bathing, grooming, meal preparation, light housekeeping, companionship, and medication reminders. Coverage is subject to eligibility criteria and a functional assessment. 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 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.
Better Days Home Health is an in-network provider with Sentara Health Plans. Coverage for personal care aide services varies by plan type. Call us at (757) 715-7829 and we will verify your specific Sentara plan benefits before any commitment is made. There is no cost or obligation for the benefits check.
Yes, in many cases. The VA offers programs such as the Program of Comprehensive Assistance for Family Caregivers (PCAFC) and Aid & Attendance that can help cover personal care aide costs for qualifying veterans. Call us and we can help you understand which VA programs may apply to your situation.

Have Questions About Your Coverage?

Our team will verify your benefits directly with your insurance company, at no cost and no obligation.

๐Ÿ“žCall Us โ€” (757) 715-7829