Some health insurance, both government provided and private, have moved to paying for more transition care management for patients. This means that more patients have access to intense care in less acute settings for a longer period of time. For example, an elderly person who has fallen and badly hurt him or herself used to have to stay in the hospital and then immediately go home, which increased the risk that he or she would have to go back to the hospital relatively soon, but with the increased focus on transition care management, that elderly person will now go to an in-patient rehabilitation facility that is less acute than a hospital setting but that still provides an intense level of care. This will help him or her get stronger and reduce the chances that he or she will have to go back to the hospital. Here are some tips for making the most use of this shift in insurance policy.
1. Find Out What's Covered
Patients don't want to go back to the hospital. They want to be able to eventually go home and go back to living their lives. This means that you are going to need to do research on what transition care management facilities are covered by your insurance and choose one to go to after you have been injured. This will allow you to be ready after you are discharged from the hospital with a full treatment plan that will increase your chances of success at home.
2. Request the Face-to-Face Visit
Next, contact your insurance company and request the face-to-face visit with the transition care management provider. Many insurance companies will have someone stationed nearby precisely for this purpose. The face-to-face visit will allow you to do three things. It will first allow you to make your case that you will need transitional care in order to reduce the chances that you will end up in the hospital again and cause the insurance to have to pay more money. It will allow you to present the transitional care facility that you want to go to and see if it is amenable to the management expert. Finally, it will allow you to ask any questions that you might have about the billing for these services. This will allow you to feel like you are more in control of your situation and will make it easier for you to get better.
For more information, talk to a company that specializes in transitional care management, like CareVitality.