Home Care, Home Health, Hospice… What’s the Difference?

As the demand for care and services in assisted living and residential care increases, so too does the use of home care, home health, and hospice. But it can be confusing to understand the difference between these providers and the services they offer. Fortunately, the California Association for Health Services at Home provides a clear breakdown of these important providers:

Medicare Certified Home Health Agencies: Provide skilled nursing services (part time/ intermittent), therapy services (physical, speech, or occupational therapy) medical social services and home health aide services. They employ physicians, registered nurses, licensed vocational nurses, certified home health aides, nutritional specialists, and social workers. They accept Medicare and often accept private pay, private health insurance and Medi-Cal.

Licensed Home Health Agencies: Provide skilled nursing services (part time/intermittent), therapy services (physical, speech, or occupational therapy) medical social services and home health aide services. They employ physicians, registered nurses, licensed vocational nurses, certified home health aides, nutritional specialists, and social workers. They often accept private pay and private health insurance.

Home Care Aide Organizations: Provide non-medical personal care support with activities of daily living, such as meal preparation, bathing, toileting, and dressing. Services may include housekeeping, transportation, assistance with handling finances and companionship. They employ caregivers which may be certified nurse assistants or certified home health aides. They often accept private pay, and private health insurance.

Hospices: Provide palliative care, psychological, and spiritual care for the terminally ill and support for their families. They employ physicians, registered nurses, licensed vocational nurses, certified home health aides, nutritional specialists, social workers and spiritual counselors. They often accept private pay, private health insurance, Medi-Cal and Medicare.

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3 Responses to “Home Care, Home Health, Hospice… What’s the Difference?”

  1. Lots of people takes all these three terms in same way because these all are related to senior care, but there are a big difference between all three. They differ in matter of services and cost.

  2. Hi I really would like to talk to someone about the RCFE Licens ,No one seems to know wheremy Licence is or whay happen to it I paid for the test and that was the end of it I never got any results and again no one has any information ,can some help me thanks 760 755 8855

  3. There are various home care companies which provide caring services but if we choose any which is not licensed then there is no any guarantee for the better services. If we want to hire any home care agency then these points are so important and noticed at the time of hiring.

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