Frequently Asked Questions

Primary homecare is a nontechnical, medically related personal care service that is available to eligible individuals whose health problems cause them to have limitations in performing activities of daily living, according to a practitioner's statement of medical need.

 To be eligible for the PHC program, Texas residents must be 21+ years old and require assistance to perform at least one of the activities of daily living, such as bathing, grooming, eating, or toileting. Their functional limitation must result from a medical condition and must be documented by a medical professional.

· Long-Term Care Insurance: Long-term care insurance policies are designed to cover a range of long-term care services, including personal assistance with ADLs. The coverage can vary depending on the policy, so it's essential to review the terms and benefits of the specific policy.

· Medicaid: Medicaid, the joint federal and state program that provides healthcare coverage to low-income individuals and families, may cover personal assistance services as part of its home and community-based services (HCBS) programs. Eligibility and coverage options can vary by state.

· Workers' Compensation: In cases where an injury or illness is work-related, workers' compensation insurance may cover personal assistance services as part of the rehabilitation and recovery process.

· Veterans Affairs (VA) Benefits: Veterans may be eligible for personal assistance benefits through the VA, especially if they have service-connected disabilities or are part of certain VA healthcare programs.

· Private Health Insurance: Some private health insurance plans may cover personal assistance services if they are deemed medically necessary. Coverage can vary between insurance companies and policies.

· Disability Insurance: Some disability insurance policies may include coverage for personal assistance services, especially for policyholders who become disabled and require assistance with ADLs.

  We understand that continuity of care with a specific caregiver is important to our customers and we will , and they may inquire about this possibility.

  Just contact our office via email or phone and we will gladly provide you with the information.

  Yes, home care services can be tailored to specific medical conditions or individual needs. One of the key advantages of home care is its flexibility and ability to provide personalized care that addresses the unique requirements of each client. We at Seven Pines Homecare work closely with clients, their families, and healthcare professionals to develop customized care plans that accommodate various medical conditions and support specific needs.