Ask a Senior Home Care Expert - Q&A

If you have specific questions about the cost of services, or what services are right for you or a loved one, contact your local Client Care Liaison.

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Insurance companies differ in their long term care reimbursement requirements. At American In-Home Care, we work with our clients and their families to assist with Long Term Care Insurance policies, and to find the best payment solutions. Contact us directly to discuss your insurance plan's long term care reimbursement options.

-Answered by Lisa Newman, BSN, CCRN


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Yes, a Registered Nurse or Licensed Practical Nurse can administer medication as long as the Nurse obtains a medical plan of treatment signed by the client's physician listing all of the client's current medications.

-Answered by Lisa Newman, BSN, CCRN, RN, Director of Compliance


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If a client has been diagnosed with dementia or displays cognitive and memory impairment, American In-Home Care will always refer a Certified Nursing Assistant or Home Health Aide who has completed Alzheimer’s Disease and Dementia training.

During their Alzheimer’s Disease and Dementia training, the care providers receive an overview of Alzheimer’s Disease and dementia, and are able explain Alzheimer's disease and dementia, recognize the most common symptoms and treatment, and discuss methods to provide meaningful interaction for quality of life. Upon completion of the training, the care providers are dementia certified and qualified to assist clients with Alzheimer's or dementia. This training is appropriate for all care providers in long term and post-acute home health care.

If you would like more information, or to schedule a free in-home consultation, contact us today at 1-866-841-5854.

-Answered by Jim Mark, Chief Operating Officer, American In-Home Care

 


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Yes we are bonded and insured, and all of the care providers we refer have up-to-date credentials and qualifications. We do accept Workmen's Comp, however we do not accept Medicare or Medicaid payments for our services.

For more information, or to schedule a free in-home consultation to assess your in-home care needs, contact a Client Care Liaison today.

-Answered by Lisa Newman, BSN, CCRN


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Home healthcare, also known as "skilled care," requires a Registered Nurse or Licensed Practical Nurse, and includes services such as medication management, wound care, or medical treatment of any kind. For this type of skilled care, a Physician’s order or prescription is necessary to initiate care. However, a physician’s referral is not needed to receive personal care or companion care services, which include assistance with daily activities such as homemaking, bathing, dressing, meal preparation, and companionship, among others. For more information, or to schedule a free in-home consultation to assess your in-home care needs, contact a Client Care Liaison today. 

-Answered by Lisa Newman, BSN, Director of Compliance


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At American In Home Care we believe that each care situation is important...personal and unique in its own way. For this reason our care provider engagements require a minimum weekly schedule of three to four hours per day, three days per week. This ensures that the care provider has ample time to familiarize themselves with the case requirements and the care recipient, allowing for a more complete and personalized care experience. If you have any questions, or would like to schedule a free in-home care assessment, contact a Client Care Liaison today .

-Answered by Matt Robinson, Executive Vice President and General Manager


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No, American In-Home Care does not accept Medicaid or Medicare. However, we do accept most Long Term Care insurance policies, and we can work with you to see if you could possibly qualify for the Veterans Aid & Attendance program.

If you have any questions or would like to schedule a free in-home consultation, please contact one of our Client Care Liaisons today at 1-866-841-5854.

-Answered by Marjorie Marcus, MSW, Client Care Liaison 


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No, American In-Home Care does not accept Medicaid or Medicare. However, we do accept most Long Term Care insurance policies, and we can work with you to see if you could possibly qualify for the Veterans Aid & Attendance program.

If you have any questions or would like to schedule a free in-home consultation, please contact one of our Client Care Liaisons today at 1-866-841-5854.

-Answered by Marjorie Marcus, MSW, Client Care Liaison 


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Cost of in-home services depend on the needs of the client, the geographic location of the client and the how often the client needs care. However, Nurse Registries such as American In-Home Care tend to refer care providers for less than the median for most services.  The best resource for detailed price information is the Genworth 2015 Cost of Care Survey. Cost ranges are provided for various care services (for Florida-specific cost information please review pg. 28 of the Genworth Survey). 

An AIHC Client Care Liaison will be happy to work with you to determine your specific in-home care needs with a free, no obligation consultation. Call 1-866-841-5854 to schedule your consultation.

-Answered by Jim Mark, Chief Operating Officer of American In-Home Care


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American In-Home Care is a Registry, and therefore does not provide CNA training.  There are accredited schools, such as Flagler Technical Institute or Daytona Technical College, that you can attend for CNA certification programs. Although we do not provide training ourselves, all of the care providers that we refer to our clients must have official and up-to-date credentials, licensing, training, and experience, and must also be background screened.

In addition to registering CNAs, HHAs, and RNs, we also register and refer Homemakers and Companions with eligible background screens and verified references as independent contractors.  Homemaker/Companion services typically include light housekeeping, transportation, companionship, meal preparation, supervision and possibly other non-personal care to assist seniors to stay independent within their home. 

If you feel qualified to provide services as care provider, please feel free to review the Care Provider qualifications at https://www.douglashealthservices.com/careprovider-welcome-page/ .   You can also fill out the online registration at www.HomeCareJobSite.com and one of our representatives will contact you, or call us toll free at 1-866-841-5854 to discuss Care Provider eligibility.

-Answered by Lisa Newman, BSN, CCRN, RN, Director of Compliance at American In-Home Care


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Cost of in-home services depend on the needs of the client, the geographic location of the client and the how often the client needs care. However, Nurse Registries such as American In-Home Care tend to refer care providers for less than the median for most services.  The best resource for detailed price information is the Genworth 2015 Cost of Care Survey. Cost ranges are provided for various care services (for Florida-specific cost information please review pg. 28 of the Genworth Survey). 

An AIHC Client Care Liaison will be happy to work with you to assess your specific in-home care needs with a free, no obligation consultation. Call 1-866-841-5854 to schedule your consultation.

-Answered by Jim Mark, Chief Operating Officer of American In-Home Care


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As people age, their sleep patterns change as a part of the normal aging process. Seniors may be less satisfied with the quality of their sleep, and some might take naps throughout the day to make up for the sleep deficit. Good care providers learn the rhythm of their client’s sleep patterns and organize their care activities around that schedule so as not to disturb the client's valuable sleep. The care provider will take breaks or rest when the client rests, and be available to perform services when the client is alert and ready to receive care.

The alternative would be 24-hour care, which can be performed at home, or in a hospital or facility setting. This type of care is carried out by a group of Registered Nurses working on a set schedule, so your loved one is receiving constant care and monitoring based on their Physician's plan of care. 24-hour skilled care is delivered regardless of if a client is sleeping or awake, whereas Companion Care, Personal Care, and Live-In Care services are done on the client's schedule - i.e. when the client wants to take a bath or when they need to go to the bathroom.

If you have any additional questions, or want to schedule a free in-home consultation to assess your care needs, contact one of our Client Care Liaisons at 1-866-841-5854.

-Answered by Jim Mark, Chief Operating Officer


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Cost of in-home services depend on the needs of the client, the geographic location of the client and the how often the client needs care. However, Nurse Registries such as American In-Home Care tend to refer care providers for less than the median for most services.  An AIHC Client Care Liaison will be happy to assess your specific in-home care needs with a free, no obligation consultation. Call 1-866-841-5854 to schedule your consultation.

The best resource for detailed price information is the Genworth 2015 Cost of Care Survey. Cost ranges are provided for various care services (for Florida-specific cost information please review pg. 28 of the Genworth Survey). 

-Answered by Jim Mark, Chief Operating Officer of American In-Home Care


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Unfortunately, we do not accept Wellcare. Wellcare is an HMO - Supplemental. This means that as an HMO, you as the patient need to call, and they will have a list of their own providers that they can refer to you.

Supplemental means that insurance will cover the part that Medicare doesn’t (20%) if you or your loved one receive care from a Medicare agency. Wellcare works with Medicaid as well.

Don't hesitate to reach out to one of our Client Care Liaisons at 1-866-841-5854 if you have any additional questions, or would like to schedule a free in-home assessment.

-Answered by Marjorie Marcus, MSW, Client Care Liaison 


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Assistance with a feeding tube is a skilled nursing procedure. American In-Home Care can refer Registered Nurses (RNs) or Licensed Practical Nurses (LPNs) to  provide the appropriate care with a feeding tube. Because a doctor’s order is needed to initiate skilled nursing services,  we can refer a registered nurse to provide an initial evaluation and medical plan-of-treatment  to obtain the needed doctor’s order.

 Certified Nursing Assistants (CNAs) or Home Health Aids (HHAs) cannot administer feeding, medication, or flush a feeding tube.  

Contact us at 1-866-841-5854 to schedule the free initial evaluation for you or your loved one, and we can get the skilled nursing process started.

-Answered by Lisa Newman, Director of Compliance, BSN, CCRN, RN


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The caregivers referred by American In-Home Care can provide a wide variety of services for the elderly, including companionship, meal preparation, errands, personal care and medication reminders to name a few.  There are also many different options for seniors to pay for in-home care, including paying privately for the services, utilizing a Long Term Care insurance policy or perhaps accessing veteran's benefits to support the cost of home care services. Contact us at 1-866-841-5854 to speak to a representative about your specific situation, as we can refer home support that will meet your specific needs, and can help determine if you or your elderly loved one qualifies for any special programs.

-Answered by Kristi O'Neal, Client Care Liaison, Certified Senior Advisor


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In the home environment Medicare typically only pays for rehabilitative care such as wound care or physical therapy. Help with bathing, dressing, feeding, toileting, mobility and other activities of daily living are referred to as custodial or personal care services. These are typically paid for as an out-of-pocket expense or through a Long Term Care Policy.

Home Health Aide services also must be part of the care for your illness or injury. Medicare doesn't cover Home Health Aide services unless you're also getting skilled care such as nursing care or other physical therapy, occupational therapy, or speech-language pathology services from the home health agency.

More information about Medicare Home care services may be found here.

-Answered by Jim Mark, Chief Operating Officer


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Cost of in-home support depends on the needs of the client, the geographic location of the client and the how often the client needs care. However, Nurse Registries such as American In-Home Care tend to refer care providers for less than the median for most services.  An AIHC Client Care Liaison will be happy to assess your in-home care needs with a free, no obligation consultation. Call 1-866-841-5854 to schedule your consultation.

The best resource for detailed price information is the Genworth 2015 Cost of Care Survey. Cost ranges are provided for various care services (for Florida-specific cost information please review pg. 28 of the Genworth Survey). 

-Answered by Jim Mark, Chief Operating Officer of American In-Home Care


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Many companies can refer a caregiver that can provide a transportation package and related care that will fit your circumstances and budget. At American In-Home Care, we offer a Welcome Home package through our referred caregivers that sets up a caregiver to transport you or your loved one home from the hospital or surgical center, as well as provide 4 hours of in-home care upon arrival home, and assistance with exit paperwork at the facility.

You can also ask the surgery center who they utilize for transportation to and from, and for any information that they could provide for pre-surgery planning. Contact us at 1-866-841-5854 to set up a free consultation to discuss the Welcome Home package, or other services that might be right for you and your family.

-Answered by Charlie Allie (BBA ,RN), Client Care Liaison, Certified Senior Advisor (CSA)


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It's important to understand the particular needs of one individual with Parkinson's disease may be very different from the next person with Parkinson's disease.  With this in mind, the caregiver we refer to a client with Parkinson's disease will be able to assist the individual with a variety of services to meet his/her needs. 

Some of the more common tasks and chores performed by the credentialed Nurse (RN), Licensed Practical Nurse (LPN), Certified Nursing (CNA) or Home Health Aid (HHA) include assistance with bathing, dressing, personal hygiene, meal preparation and medication reminders.  The caregiver may also be able to provide services such as transportation and errands, light housekeeping and laundry, to mention a few.  The goal of the caregiver's service is to keep the individual as independent as possible while providing safe and reliable assistance as needed.  For a complete listing of tasks and chores the caregiver may provide, please refer to our Services page.

-Answered by Kristi O'Neal, Client Care Liaison & Certified Senior Advisor


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Caregiver cost, including Home Health Aide, depends on the needs of the client, the geographic location of the client and the how often the client needs care. However, Nurse Registries such as American In-Home Care tend to refer care providers for less than the median for most services.  An AIHC Client Care Liaison will be happy to assess your home care needs with a free, no obligation consultation. Call 1-866-841-5854 to schedule your consultation.

The best resource for detailed price information is the Genworth 2015 Cost of Care Survey. Cost ranges are provided for various care services (for Florida-specific cost information please review pg. 28 of the Genworth Survey). 

-Answered by Jim Mark, Chief Operating Officer of American In-Home Care


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You should first contact a local DME (Durable Medical Equipment) company to look for elderly safety products. Search online for a DME company near you. Sometimes there may also be used equipment at Goodwill. If your mom is on hospice, they may even provide some of the equipment.

-Answered by Marjorie Marcus, MSW, Client Care Liaison 


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Cost of services, including homemaking, depends on the needs of the client, the geographic location of the client and the how often the client needs care. However, Nurse Registries such as American In-Home Care tend to refer care providers for less than the median for most services.  An AIHC Client Care Liaison will be happy to assess your home care needs with a free, no obligation consultation. Call 1-866-841-5854 to schedule your consultation.

The best resource for detailed price information is the Genworth 2015 Cost of Care Survey. Cost ranges are provided for various care services (for Florida-specific cost information please review pg. 28 of the Genworth Survey). 

-Answered by Jim Mark, Chief Operating Officer of American In-Home Care


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None. For skilled care: 1st -20th day, Medicare pays 100%, and 21st-100th day Medicare pays 80% (Other 20% is paid by secondary insurance or self pay).

If in a Long Term Care situation, charges are paid by Long Term Care Insurance, Self pay or Medicaid.

- Answered by Marjorie Marcus, MSW, Client Care Liaison 


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There are many options for paying for in home care, in addition to your existing financial assets and reverse mortgages. If you have a Long Term Care insurance policy (10% of Americans do), it is the most popular method to pay for private duty care. Whole Life policies and combined Long Term Care/Life Insurance policies may also be tapped for your long term care needs.

Medicare also pays for some rehabilitative home care services, but typically does not pay for custodial or respite home care. For wartime Veterans, the VA Aid & Attendance benefit may provide assistance to qualified veterans and their spouses. In some states Medicaid may also be an option, based on economic and need factors.

An AIHC Client Care Liaison will be happy to assess your home care need and direct you to available resources with a free, no obligation consultation. Call 1-866-841-5854 to schedule your consultation.

-Answered by Jim Mark, Chief Operating Officer at American In-Home Care


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For an independent analysis about self-directed care, applicable comparisons, and additional information please visit the web site of The Private Care Association


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Personal and in-home care services are largely provided through private payment. Long Term Care (LTC) insurance may provide coverage though each policy is different. We can help you understand your options with LTC. Generally Medicare does not pay for long term in-home care services. Veterans do have some limited care options which we can explain when contacted.


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Why take a risk with a loved one's safety and security? The caregivers we present for your approval, have been thoroughly screened, interviewed, reference and background checked. We also review their credentials on an on-going basis to ensure that they have the proper training to care for seniors, the elderly, disabled, or those with dementia or Alzheimer's disease. Other important considerations would include these; How will emergencies, sicknesses, or absences be managed? What about 24/7 support? Are internet advertisers insured? How will they be background checked? and more.


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The service fees will be determined by the type and frequency of services required and the caregiver's rate. An American In-Home Care local Client Care Liaison can assist you in determining your needs and help explain what service fees will apply.


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We're never confused - you are the client. We will always work with you to ensure that your caregiver is a match, we gurantee it.


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Our screening process of each caregiver candidate includes:

  • comprehensive background checks including Level II FBI
  • thorough personal and client reference checks
  • confirmation of current credentials where applicable
  • predictive behavioral testing
  • inspection of enforce insurance and bonding documents
  • personal interview
  • Visit our Caregivers section

...and we continue to monitor this information for any changes that might be important to you.


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It's really pretty easy. Just contact a local Client Care Liaison from Our Locations, and they will promptly contact you by phone or email at your preference. Typically the American In-Home Care or AIHC engagement process might look something like this…

  • Client establishes needs through consultation with AIHC professional
  • Client and AIHC enter into a simple referral services agreement
  • AIHC reviews caregivers from AIHC registry for best match
  • AIHC presents caregiver candidate(s) for acceptance by client
  • AIHC manages the administrative relationship between client and caregiver

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Working with an American In-Home Care professional, you and your family will determine the schedule that is best for your situation. The caregiver's we refer can provide service a few hours each week or around the clock 24/7. We also offer live-in caregivers as an affordable option.


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Every situation is unique, but options include companion, personal care services, live-in caregivers, and others. See In-Home Care Services


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We offer a free, no-obligation consultation including an in-home assessment with a local American In-Home Care Client Care Liaison to review the environment and explore care options for your consideration.


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Benefits include; affordability of qualified caregivers, flexibility to determine services and schedule, guaranteed caregiver match, and peace of mind through our on-going client and administrative support.


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American in-Home Care is a respected, nationally accredited, state licensed and insured, non-medical home care referral agency. We have an over 22 year legacy of providing seniors, the elderly and others, access to qualified, credentialed, verified, screened, and insured caregivers.


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