Fidelity Health Care Insurance Information

Fidelity Health Care accepts Medicare, Medicaid, private insurance, and self-pay. Most insurance companies will cover all or a portion of services that are considered skilled. We’re happy to work with you and your insurance plan to determine coverage, and we’ll also bill your insurance company directly. Please contact our office at (937) 208-6400(937) 208-6400 or (800) 946-6344 (800) 946-6344  to discuss your options with us. We may still be able to provide services to you, as not all insurance carriers require that providers be contracted.

Updating Your Insurance Information

Contact our patient accounting department at (937) 208-6400(937) 208-6400 or (800) 946-6344(800) 946-6344 with any changes to your financial or insurance information. We are also happy to answer your questions about insurance filing.

Please be ready to provide your account number, shown at the top of your bill.

What Is Typically Covered?

Skilled services typically covered include nursing, therapy, and social work visits for evaluation, education, and treatment. Additionally, home care aide services, home infusion services, and medical equipment are covered by many insurance plans.

Do I Have to Meet Specific Requirements To Receive Coverage for Services?

A physician’s order is required for skilled services to be performed by a home care agency, as well as for home infusion and medical equipment. Many non-skilled services can be provided by a home care aide and obtained without a physician’s order on an Independent Care Service basis.

In addition to a physician’s order, your insurance company will have coverage guidelines that must be followed. Please call the office at (937) 208-6400(937) 208-6400 or  (800) 946-6344(800) 946-6344  to discuss your options.

Supplies And Services Not Covered By Insurance

Your private insurance, Medicare, or Medicaid benefits may not pay for some supplies and services you receive. We are required to bill you for these items after your insurance company processes the bill.

If you have questions about what your insurance will pay, please contact your insurance company. For Medicare enrollees, visit Medicare for a complete list of services and supplies covered by Medicare. Learn more about some frequently asked Medicare questions.

How To Dispute a Claim

If a health care treatment or service was denied, reduced or terminated by your health plan, you should appeal first to your insurance provider. After you have completed your health insurance provider’s internal review process, you may have the right to appeal or file a complaint with the Ohio Department of Insurance. To find out more, contact the Ohio Department of Insurance.

Medicare Frequently Asked Questions

Who qualifies for Medicare coverage?

To qualify for Medicare coverage, the patient must:

  • Be aged 65 years old or older
  • Currently receive Social Security benefits or be enrolled in the railroad retirement system
  • Be younger than 65 years old and have received Social Security disability benefits for at least two years (24 months)

Will Medicare pay for home health services for patients who are 65 years or older and still working?

Yes. However, if a patient is covered by an employer’s insurance plan, the employer’s health insurance could be used in conjunction with Medicare. Spouses who are a qualified Medicare beneficiary are covered under the spouse's primary Medicare benefits as well.

Are home visits covered under Medicare?

Yes, if each of the following conditions is met:

  • Patient’s physician has requested home health care and established a plan of care
  • Agency is Medicare-certified
  • Patient must be homebound and cannot leave without assistance
  • Patient requires nursing care, physical therapy, or speech therapy for at least 60 days

Are home health, home infusion and medical equipment covered under Medicare?

Medicare has specific guidelines that must be met for home health, home infusion, or medical equipment services to qualify for coverage. Please contact our office at (800) 946-6344(800) 946-6344  or (800) 589-7337(800) 589-7337 to discuss your options.